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Helping Mothers Survive

An Innovative Approach to Training Frontline Health Workers


Peter Johnson, CNM, PhD, FACNM Director of Global Learning The East, Central and Southern African College of Nursing (ESCACON) September 2012

Presentation Objectives
Describe the principles underpinning Helping Mothers Survive (HMS) training Review HMS training materials Present HMS field validation preliminary findings

Focus on Greatest Causes of Maternal Mortality


HMS Bleeding after Birth

Key Principles
Training ALL authorized health workers Training that reaches the periphery Low-Dose / HighFrequency training Shared facilitation of training

HMS Prioritizes Simulation

HMS Builds Essential Clinical Decisions Making Skills

Tri-Colored Action Plan based on HBB

Flipbook Facilitates Facility-Based Training

Facilitation Guide Demystifies Training


Page from HMS BAB facilitation guide

Field Validation
Grant from Laerdal Foundation India, Malawi and Zanzibar Trainer and Participant Focus Group Discussions Pre-Post Training Knowledge Assessment Post Training Skill Assessment

Kirkpatrick Framework for Training Evaluation

Preliminary Findings
Significant knowledge transfer
Pretest Posttest

Mean score

76%

89%

Passing

71%

94%

N = 114

Preliminary Findings
Immediate skills acquisition
Country Percent Passed PPH Prevention Transfer to Higher Level Care Uterine Compression

India
Malawi Total

82
83 83

88
90 89

90
79 85

Join us Friday Afternoon


We look forward to seeing you at our HMS BAB dissemination session HMS BAB materials will be available for everyone attending Jhpiego and Laerdal expert facilitators will demonstrate the use of the MamaNatalie simulator and BAB training methods

Thank You

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