Discussing Success of Training Programmes
Principle investigators of Helping Mothers Survive (HMS) and Helping Babies Survive (HBB) studies and representatives from global professional organizations collaborating on the development and implementation of these programs met in Stavanger on January 20-21, 2015 for a Discussion Forum co-hosted by the Laerdal Foundation and Laerdal Global Health. Participation included representation from five of the founding members of the Survive and Thrive Alliance. The participants agreed upon three main objectives for the meeting:
- Share research findings and practical experience from rollout of the HBB and HMS programs.
- Discuss how to leverage lessons learnt for further research and improved implementation support.
- Discuss needs and opportunities for additional training modules, and supporting training tools.
Findings of published and ongoing research show that the teaching methodology used in said programs is highly efficient, but that the clinical impact vary from marginal to very significant. Beyond who and what is being taught, impact is heavily dependent on how essential lifesaving skills are being taught and maintained. Efficient local implementation – including provision of essential lifesaving commodities, is also essential. Impact requires integration of all four factors.
The Forum agreed that the clinical impact of the training programs could be much enhanced by more efficient transition from training to practice, in particular by use of low dose high frequency; refresher training and practice; capitalizing on the lessons learnt to make the case for prioritization and funding for scale up; development of seamless integrated modules to enhance the adoption for mainstream use; endorsement of the combination of HBS and HMS programs by all relevant stakeholders; strong ownership of local implementation.
The Forum emphasized the need and opportunity for integration of the training modules, including:
- Alignment of the current Implementation Guides for Helping Babies Breathe and Helping Mothers Survive – Bleeding after Birth, and preferably development of one combined implementation guide for Helping Babies and Mothers Survive and Thrive.
- Development of additional modules to cover the continuum of Emergency Obstetric Maternal and Newborn Care. Possible additional modules include Sick Babies, Preterm Labor and Prolonged/Obstructed Labor. The latter two in particular illustrate the need for integration, as they very much relate to the survival and thrive of both the mother and the newborn.
- Inclusion in the Helping 100,000 Babies Survive and Thrive of the maternal care modules.
- Inclusion in the 10,000 Happy Birthdays initiative of the Essential Care for Every Baby and Essential Care for Small Babies modules.
ICM is currently collaborating with Laerdal Global Health on the 10,000 Happy Birthdays initiative with the goal to train 10,000 midwives on HMS and HBB to save 10,000 lives.