Human Resources for Health in Maternal, Neonatal and - HRH ...

Table 22 Some approaches to the design and delivery of MNRH curricula for community
based workers
Participants/ Method / document type Findings Reference
cadre
Performance orientated
Tanzania: HRD
training system
for all cadres
case study evaluation HRD & training system played a role in
the success of the National family
planning program. This approach has
helped the MOH and NGO partners to
increase the use of FP/reproductive
health services dramatically over a 10-
year period, from under 7% in 1989 to an
estimated at 17% in 1999.
(Ingras 2001)
Competency based
Ethiopia: women,
families & birth
attendants
Programme evaluation
Home-Based Lifesaving Skills program
(HBLSS) is a family- and communityfocused,
competency-based program
improved performance in management of
postpartum haemorrhage
Problem Based
Philippines TBAs RCT Interactive learning is a preferred method
by TBAs
(Sibley,
Buffington et al.
2004)
(Singhal 2001)
Cascade training
CHWs (IntraHealth 2002)
rural health
workers
(Tecnicos) &
village health
promoters
(Promotores):
Guatamala
prospective trial: interactive
Kader method, developed in
West Java, Indonesia, was
compared with traditional
didactic training
Kader method for rapid tiered training of
health workers has applicability
(Bailey 1996)
maternity staff at
district hospital
&
post staff to train
TBAs, CHWs to
train community
Health care
providers Asia &
near East
Performance of CHWs
TBAs was assessed pre-&
post-training. Management
of MN complications by
women, families, and
homebirth attendants was
assessed post-training.
Survey – question included
lessons learned
village birth Report
attendants &
community
sexual health
educators PNG
Learning by doing/ experiential
Community- Systematic review
Level Health and
Nutrition
workers: India
Increase knowledge in most areas,
reinforcement in newborn areas required.
Improved management of PPH indicates
that home-based management of signs
of PPH by unskilled attendants,
including HBLSS guides, is promising
Cascade approach has increased the
number of trained service providers since
funding and Ministries of Health cannot
afford to train all health care workers
Training for trainers of 320 women
volunteers to become village birth
attendants and community sexual health
educators in the East Sepik Women and
Children‘s Health Project,
training methodologies that provide
hands-on training and experiential
learning show better outcomes
(Sibley,
Buffington et al.
2004)
(ESD Project
2008)
(Cox 2003)
(IntraHealth
2008)
CHN Expert report people orientated, practical (WHO 1974)
TBA Review Should be nondirective, dialogical, &
experiential & integrate into community
activities
(Estrada 1983)
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