Assessing longitudinal prenatal knowledge and skills retention among community birth attendants enrolled in a novel school.

IF 2.6 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Margot Bellon, Annalie Brody, Mahdia Parker, Ana Leticia Mendoza, Sasha Hernandez, Rachel D Clarke, Taraneh Shirazian, Jessica B Oliveira
{"title":"Assessing longitudinal prenatal knowledge and skills retention among community birth attendants enrolled in a novel school.","authors":"Margot Bellon, Annalie Brody, Mahdia Parker, Ana Leticia Mendoza, Sasha Hernandez, Rachel D Clarke, Taraneh Shirazian, Jessica B Oliveira","doi":"10.1002/ijgo.16165","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Guatemala has one of the highest rates of maternal mortality in Central America. A total of 60% of births in Guatemala are attended by traditional Mayan birth attendants, or comadronas. Their prevalence in these communities makes them a valuable resource to bridge home births with safe prenatal care. The objective of this study was to evaluate a low-cost prenatal care training program for Guatemalan comadronas with the goal of improving maternal health outcomes in the region.</p><p><strong>Methods: </strong>In this retrospective longitudinal cohort study, we examined the knowledge retention of comadronas enrolled in a 12-month prenatal care training program known as the School of PowHER (SOP). Recruited from the Lake Atitlán region of Guatemala by Saving Mothers, 501(c)(3) and the Guatemalan Ministry of Health, comadronas participated in a four-month didactic curriculum followed by a nine-month clinical curriculum. Pre- and post-tests were administered to assess learning outcomes over the study's duration (2014-2022), and test results were evaluated to assess the effectiveness of the SOP.</p><p><strong>Results: </strong>A total of 123 women were recruited and enrolled in all eight graduating classes of the SOP from 2014, 2016-2019, and 2021-2022. An average, statistically significant improvement in didactic and clinical pre- and post-test scores was found across all years analyzed.</p><p><strong>Conclusion: </strong>The SOP is a low-cost, culturally appropriate, community-based model that empowers comadronas through knowledge and skill acquisition to improve local maternal health outcomes. This program proves effective at not only teaching comadronas prenatal health information and clinical skills, but also at promoting long-term retention of these skills.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Gynecology & Obstetrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/ijgo.16165","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: Guatemala has one of the highest rates of maternal mortality in Central America. A total of 60% of births in Guatemala are attended by traditional Mayan birth attendants, or comadronas. Their prevalence in these communities makes them a valuable resource to bridge home births with safe prenatal care. The objective of this study was to evaluate a low-cost prenatal care training program for Guatemalan comadronas with the goal of improving maternal health outcomes in the region.

Methods: In this retrospective longitudinal cohort study, we examined the knowledge retention of comadronas enrolled in a 12-month prenatal care training program known as the School of PowHER (SOP). Recruited from the Lake Atitlán region of Guatemala by Saving Mothers, 501(c)(3) and the Guatemalan Ministry of Health, comadronas participated in a four-month didactic curriculum followed by a nine-month clinical curriculum. Pre- and post-tests were administered to assess learning outcomes over the study's duration (2014-2022), and test results were evaluated to assess the effectiveness of the SOP.

Results: A total of 123 women were recruited and enrolled in all eight graduating classes of the SOP from 2014, 2016-2019, and 2021-2022. An average, statistically significant improvement in didactic and clinical pre- and post-test scores was found across all years analyzed.

Conclusion: The SOP is a low-cost, culturally appropriate, community-based model that empowers comadronas through knowledge and skill acquisition to improve local maternal health outcomes. This program proves effective at not only teaching comadronas prenatal health information and clinical skills, but also at promoting long-term retention of these skills.

评估纵向产前知识和技能保留的社区助产士注册在一个新的学校。
目标:危地马拉是中美洲产妇死亡率最高的国家之一。在危地马拉,共有60%的分娩是由传统的玛雅助产士或comadronas接生的。它们在这些社区的流行使它们成为连接家庭分娩和安全产前护理的宝贵资源。本研究的目的是评估危地马拉准军事部队的低成本产前护理培训方案,目的是改善该地区的孕产妇保健结果。方法:在这项回顾性纵向队列研究中,我们调查了参加为期12个月的产前护理培训计划的准尉(SOP)的知识保留情况。由拯救母亲组织、第501(c)(3)款和危地马拉卫生部从危地马拉Atitlán湖地区招募的准将们参加了为期4个月的教学课程,然后是为期9个月的临床课程。在研究期间(2014-2022年)进行了前后测试,以评估学习结果,并对测试结果进行评估,以评估SOP的有效性。结果:2014年、2016-2019年和2021-2022年,共有123名女性被招募并进入了SOP的八个毕业班。在分析的所有年份中,发现教学和临床测试前和测试后分数的平均,统计上显着改善。结论:SOP是一种低成本、文化适宜、以社区为基础的模式,通过知识和技能的获取,使妇女能够改善当地孕产妇健康状况。事实证明,该方案不仅有效地教授准将产前健康信息和临床技能,而且还能促进这些技能的长期保留。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
5.80
自引率
2.60%
发文量
493
审稿时长
3-6 weeks
期刊介绍: The International Journal of Gynecology & Obstetrics publishes articles on all aspects of basic and clinical research in the fields of obstetrics and gynecology and related subjects, with emphasis on matters of worldwide interest.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信