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Helping Mothers Survive
An Innovative Approach to Training Frontline Health Workers
Peter Johnson, CNM, PhD, FACNM
Director of Global Learning
The East, Central and Southern African
College of Nursing (ESCACON)
September 2012
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Presentation Objectives
Describe the principles underpinning Helping Mothers Survive (HMS) training
Review HMS training materials
Present HMS field validation preliminary findings
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Focus on Greatest Causes of Maternal
Mortality
HMS Bleeding after Birth
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Key Principles
Training ALL
authorized health
workers
Training that reaches
the periphery
Low-Dose / High-
Frequency training
Shared facilitation of
training
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HMS Prioritizes Simulation
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HMS Builds Essential
Clinical Decisions
Making Skills
Tri-Colored Action Plan
based on HBB
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Flipbook Facilitates Facility-Based Training
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Facilitation
Guide
Demystifies
Training
Page from HMS BAB
facilitation guide
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Field Validation
Grant from Laerdal Foundation
India, Malawi and Zanzibar
Trainer and Participant Focus Group
Discussions
Pre-Post Training Knowledge Assessment
Post Training Skill Assessment
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Kirkpatrick Framework for Training
Evaluation
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Preliminary Findings
Significant knowledge transfer
Pretest Posttest
Mean score 76% 89%
Passing 71%
94%
N = 114
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Preliminary Findings
Immediate skills acquisition
Country Percent Passed
PPH Prevention Transfer to Higher
Level Care
Uterine
Compression
India 82 88 90
Malawi 83 90 79
Total 83 89 85
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Join us Friday Afternoon
We look forward to seeing you at our HMS BAB
dissemination session
HMS BAB materials will be available for
everyone attending
Jhpiego and Laerdal expert facilitators will
demonstrate the use of the MamaNatalie
simulator and BAB training methods
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Thank You