Banke-Thomas, Aduragbemi ORCID: https://orcid.org/0000-0002-4449-0131, Mauac, Judith, Madaja, Barbara, Ameha, Charles and van den Broek, Nynke (2020) Perspectives of stakeholders on emergency obstetric care training in Kenya: a qualitative study. International Health, 12 (1). pp. 11-18. ISSN 1876-3413 (Print), 1876-3405 (Online) (doi:10.1093/inthealth/ihz007)

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Abstract

Background
This study explores stakeholders’ perceptions of emergency obstetric care (EmOC) ‘skills-and-drills’-type training including the outcomes, strengths, weaknesses, opportunities and threats of the intervention in Kenya.
Methods
Stakeholders who either benefited from or contributed to EmOC training were purposively sampled. Semi-structured topic guides were used for key informant interviews and focus group discussions. Following verbatim transcriptions of recordings, the thematic approach was used for data analysis.
Results
Sixty-nine trained healthcare providers (HCPs), 114 women who received EmOC and their relatives, 30 master trainers and training organizers, and six EmOC facility/Ministry of Health staff were recruited. Following training, deemed valuable for its ‘hands-on’ approach and content by HCPs, women reported that they experienced improvements in the quality of care provided. HCPs reported that training led to improved knowledge, skills and attitudes, with improved care outcomes. However, they also reported an increased workload. Implementing stakeholders stressed the need to explore strategies that help to maximize and sustain training outcomes.
Conclusions
The value of EmOC training in improving the capacity of HCPs and outcomes for mothers and newborns is not just ascribed but felt by beneficiaries. However, unintended outcomes such as increased workload may occur and need to be systematically addressed to maximize training gains.

Item Type:	Article
Uncontrolled Keywords:	emergency obstetric care, low- and middle-income country, perspectives, qualitative study, stakeholder, training
Subjects:	R Medicine > RG Gynecology and obstetrics R Medicine > RT Nursing
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > School of Human Sciences (HUM)
Related URLs:	http://academic.oup.com/inthealth/articl...
Last Modified:	16 Dec 2021 11:32
URI:	http://gala.gre.ac.uk/id/eprint/34173

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