Improving Quality Of Intrapartum Care In Zambia By Expanding On Helping Babies Survive (HBS) and Helping Mothers Survive (HMS) Training Using Project ECHO (Extension for Community Healthcare Outcomes)

S. N. Ngoma, C. Lowman, Michael K. Visick, Shannon Limjuco
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Abstract

Background: Zambia continues to face a high burden of maternal and newborn mortality, with an estimated 1,400 maternal deaths and 13,000 newborn deaths occurring every year. Inadequate number of skilled birth attendants and infrastructure and service gaps are key barriers to advancing progress. HBS and HMS are evidence-based curricula shown to reduce neonatal mortality rates (NMR) and maternal mortality rates (MMR) in low-resource settings. The ECHO model offers an opportunity to improve intrapartum care in Zambia by expanding on previous HBS and HMS training using an innovative tele-mentoring …
利用ECHO项目(社区医疗保健成果扩展)扩大帮助婴儿生存(HBS)和帮助母亲生存(HMS)培训,提高赞比亚分娩时护理质量
背景:赞比亚继续面临孕产妇和新生儿死亡率的沉重负担,估计每年有1 400名孕产妇死亡和13 000名新生儿死亡。熟练助产士数量不足以及基础设施和服务差距是推动进展的主要障碍。HBS和HMS是基于证据的课程,可在资源匮乏的环境中降低新生儿死亡率(NMR)和孕产妇死亡率(MMR)。回声模型提供了一个机会,以改善分娩内护理在赞比亚扩大以前的HBS和HMS培训使用创新的远程辅导…
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