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ne|p|ng Mothers Surv|ve: 8|eed|ng aher 8|rth

An |nnovanve tra|n|ng approach br|ng|ng competency-based tra|n|ng to


the front||ne to he|p mothers surv|ve the day of b|rth
Cherr|e Lynn Lvans, Drn, CNM
Sen|or MNn Adv|sor

G|oba| A|||ance for Nurs|ng and
M|dw|fery
Iebruary 2014
Todays Agenda
! What is Helping Mothers
Survive?
! Why do we need another
training?
! The evidence for this
training style
! Development and testing
! Ongoing practice is key!
! Where it is being used
! How to get involved
! Resources
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What |s ne|p|ng Mothers Surv|ve?
! Series of modules on leading killers
1
st
Bleeding after Birth
! Similar in look and feel to Helping Babies
Breathe
! Facility based training and practice
3
Cne-day Lralnlng
CnslLe
Pands-on learnlng
Slmulauon
Scenarlo pracuce
Plghly graphlc
maLerlals
Why do we need th|s?
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Helping Mothers
Survive:
Bleeding after Birth
Why do we need th|s?
! AMTSL Uterotonic use in 3
rd
stage
! Quality of care surveys in 6 countries 2009-2011
showed that fewer than 29% of women
received AMTSL to standard.
! Traditional training approaches dont reach
everyone!
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lnnovauve
soluuons
LmclenL
and
eecuve
Acqulsluon
of
knowledge
and skllls
Change
pracuce
ln-Servlce 1ralnlng
WhaL makes ln-servlce Lralnlng eecuve?
1echnlque
Locauon
1lmlng
Medla
Locanon
1|m|ng
Med|a
rlnL
- 1exLs
- !ob alds
Llve
Audlo/vldeo
Moblle messaglng
CompuLer - C-llne, Cnllne, 8eal ume
1echn|que
asslve
- LecLure
- 8eadlng
aruclpaLory
- Cames
- 1eam-based
- Self-dlrecLed
- Case-based
- Slmulauon
1he key ComponenL?
1echnlque
Semng
1lmlng
Medla
We need..
kead|ng
Lecture
LLSS
MCkL
S|mu|anon
racnce
w|th
Ieedback
Case-based
ne|p|ng Mothers Surv|ve Stakeho|ders
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Competenc|es

1.# Acnve Management of 1h|rd Stage of Labor
2.# S|mp||hed management of n
Pelplng MoLhers Survlve ls
n|gh|y graph|c
uses Mu|nd|sc|p||nary Sma|| Groups
Lmphas|zes S|mu|anon
Change |n
pracnce
Mother and
Newborn
are a un|t
1ra|n ALL
author|zed
prov|ders
n|gh|y
graph|c
mater|a|s
Short &
sweet
Interacnve
s|mu|ators
Shared
fac|||tanon
of pracnce
nMS 1ra|n|ng - Concept
Low dose,
hlgh frequency"
pracuce
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Low-Dose, High-Frequency Practice
Denition
Case-based scenarios
Hands on simulation
Participatory
Team-based or pairs

Timing
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Evidence for Helping Mothers Survive?
8A8 know|edge Assessment: 8y Country
Average Scores ass 8aLe
reLesL osL-
LesL
p-
value
a

re-
LesL
osL-
LesL
p-value
1ota| 76 89 *** 71 94 ***
lndla
(n=47)
70 87 *** 43 89 ***
Malawl
(n=44)
83 93 *** 100 100 n/a
Zanzlbar
(n=26)
73 87 *** 70 92 *
a
*p<.03 and ***p<.001
nMS I|e|d 1est - I|nd|ngs
23 lLem LesL - valldaLed by 60 SML
3 skllls sLauons - valldaLed by 60 SML
ass kate

AM1SL
(11 lLems)
8eLalned lacenLa

(7 lLems)
8lmanual uLerlne
Compresslon
(12 lLems)
1ota|
83 89 8S
lndla 82 88 90
Malawl 83 90 79
nMS I|e|d 1est - I|nd|ngs
Se|f-keported Conhdence |n Sk|||s*
8efore
1ralnlng
Aer
1ralnlng
p-value
rovldlng AM1SL 3.3 4.1 p<.001
Managlng P 3.1 3.9 p<.001
erformlng blmanual
uLerlne compresslon
2.9 4.0 p<.001

*LlkerL scale: 1 = l cannoL perform Lhls sklll"
3 = l am exLremely condenL"
nMS I|e|d 1est - I|nd|ngs
Global Distribution of HMS Training
700+ trained
48+ countries
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Sav|ng L|ves at 8|rth - Uganda
PMS Lralnlng aL
faclllues
8 weeks of
pracuce
P88 Lralnlng aL
faclllues
8 weeks of
pracuce + 4
alr PMS and P88 ln 12 dlsLrlcLs and
measure healLh ouLcomes of
moLhers and bables
Where next?
! ICM
! FIGO
! UNFPA
! UNICEF
! Faith based organizations
! Academic institutions
! Ministries of Health
! Professional bodies

How can you get involved?
Learn more
www.helpingmotherssurvive.org


How to Become a Helping Mothers Survive Trainer
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WrlLe us aL:
hms[[hplego.org

Thank you!
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