Human Resources for Health in Maternal, Neonatal and - HRH ...
Human Resources for Health in Maternal, Neonatal and - HRH ...
Human Resources for Health in Maternal, Neonatal and - HRH ...
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Participants<br />
/ context<br />
LMICs<br />
method Purpose / f<strong>in</strong>d<strong>in</strong>gs Reference<br />
Systematic<br />
review<br />
The potential of TBA tra<strong>in</strong><strong>in</strong>g to reduce peri-neonatal<br />
mortality is promis<strong>in</strong>g when comb<strong>in</strong>ed with improved health<br />
services. number of studies meet<strong>in</strong>g the <strong>in</strong>clusion criteria is<br />
<strong>in</strong>sufficient to provide the evidence base needed to establish<br />
tra<strong>in</strong><strong>in</strong>g effectiveness<br />
Community Paramedics<br />
Bangladesh Evaluation Difference between the knowledge levels of tra<strong>in</strong>ed <strong>and</strong><br />
untra<strong>in</strong>ed paramedics <strong>in</strong> both Child Survival Interventions &<br />
Reproductive <strong>Health</strong> is statistically significant. Utilization of<br />
cl<strong>in</strong>ic services had <strong>in</strong>creased s<strong>in</strong>ce the arrival of the tra<strong>in</strong>ed<br />
paramedics, <strong>in</strong>crease due to the higher quality of services<br />
delivered by the tra<strong>in</strong>ed paramedic<br />
Nurses & Midwives<br />
Gambia:<br />
CHNs<br />
Senegal<br />
Questionnaire<br />
& analysis of<br />
records<br />
Project<br />
evaluation<br />
Community <strong>Health</strong> workers<br />
Ecuador Knowledge<br />
test &<br />
community<br />
assessment<br />
India Knowledge &<br />
attitude<br />
survey<br />
Tra<strong>in</strong><strong>in</strong>g <strong>in</strong> WHO Haemoglob<strong>in</strong> Colour Scale to screen <strong>for</strong><br />
anaemia <strong>in</strong> pregnant women. 60% used scale, 6/9 patients<br />
with anaemia managed correctly. Simpler tra<strong>in</strong><strong>in</strong>g procedure<br />
<strong>and</strong> a st<strong>and</strong>ard way of measur<strong>in</strong>g observer per<strong>for</strong>mance are<br />
necessary<br />
family plann<strong>in</strong>g counsell<strong>in</strong>g tra<strong>in</strong><strong>in</strong>g contributed to<br />
<strong>in</strong>creas<strong>in</strong>g the % of women treated <strong>for</strong> postabortion<br />
complications who accepted a modern family plann<strong>in</strong>g<br />
method after counsel<strong>in</strong>g rose to 69% <strong>in</strong> May from<br />
just 17% <strong>in</strong> January 2003 at Sokone <strong>Health</strong> Center. Also<br />
<strong>in</strong>cluded TBA & Community tra<strong>in</strong><strong>in</strong>g <strong>in</strong> activat<strong>in</strong>g<br />
transportation <strong>and</strong> referral networks, <strong>in</strong><strong>for</strong>m<strong>in</strong>g women about<br />
where to obta<strong>in</strong> family plann<strong>in</strong>g, <strong>and</strong> identify<strong>in</strong>g the danger<br />
signs of obstetric emergencies<br />
Poor retention of CHW knowledge affected by community<br />
organisation CHW may not have been utilis<strong>in</strong>g their skills<br />
<strong>and</strong> knowledge due to the difficult environment there<strong>for</strong>e<br />
los<strong>in</strong>g them .Poor health behaviours there<strong>for</strong>e persisted.<br />
Knowledge <strong>and</strong> attitudes of Anganwadi workers about <strong>in</strong>fant<br />
feed<strong>in</strong>g <strong>in</strong> Delhi weak except <strong>in</strong> breastfeed<strong>in</strong>g probably due<br />
to pre-placement tra<strong>in</strong><strong>in</strong>g & mass media campaigns<br />
(Sibley 2007)<br />
(Sadana 2002)<br />
(Gosl<strong>in</strong>g,<br />
Walraven et al.<br />
2000)<br />
(Intra<strong>Health</strong> 2003)<br />
(Mangelsdorf<br />
1988)<br />
(Bhas<strong>in</strong>, Kumar et<br />
al. 1995)<br />
Nigeria<br />
Multivariable<br />
analysis<br />
The results suggest that breastfeed<strong>in</strong>g education can enhance<br />
CHW professional recommendations on breastfeed<strong>in</strong>g <strong>and</strong><br />
should be extended to all categories of health workers<br />
Malawi RCT Tra<strong>in</strong><strong>in</strong>g led to greater uptake of IPTI but lowered ANC<br />
attendance<br />
Nepal cl<strong>in</strong>ical skills<br />
assessment<br />
Primary health care worker cadres<br />
Nigeria Observation 7<br />
CHEW & months after<br />
MWs tra<strong>in</strong><strong>in</strong>g<br />
MCHWs with appropriate tra<strong>in</strong><strong>in</strong>g have an acceptable level<br />
of knowledge <strong>and</strong> skill, demonstrated <strong>in</strong> a practice situation,<br />
to meet the def<strong>in</strong>ition of community level skilled birth<br />
attendants<br />
Lower cadres of primary health care workers can be<br />
effectively tra<strong>in</strong>ed to use the partogram with satisfactory<br />
results<br />
(Davies-Adetugbo<br />
1997 )<br />
(Msyamboza,<br />
Savage et al. 2009)<br />
(Carlough <strong>and</strong><br />
McCall 2005)<br />
(Fatusi, Mak<strong>in</strong>de et<br />
al. 2008)<br />
LMIC<br />
RCT trial<br />
Protocol only<br />
To <strong>in</strong>vestigate the effectiveness of <strong>in</strong>-service tra<strong>in</strong><strong>in</strong>g of<br />
health professionals on their management <strong>and</strong> care of<br />
seriously ill neonates or children <strong>in</strong> low <strong>in</strong>come sett<strong>in</strong>gs<br />
(Opiyo <strong>and</strong><br />
English 2009)<br />
In terms of the countries <strong>in</strong> the Asia Pacific Region 92 documents that discussed community<br />
level tra<strong>in</strong><strong>in</strong>g <strong>in</strong> MNRH were located specific to these regions literature. The table at<br />
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