Construct | Description of the construct in the HMS BAB training intervention |
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Innovation | Competency-based in-facility training, use low-fidelity birthing simulator: Mama Natalie. Inclusive to all maternity-ward staff (multi-profession) Training curriculum covers communication with pregnant woman and family, standard delivery, Active Management of Third Stage of Labour (AMTSL), assessment of excessive bleeding, care of newborn, and preparation of advanced/referral care when needed Graphic flip chart, learner’s guide, posters |
Facilitation | Short theory sessions followed by role plays, case scenarios and skill practice on the Mama Natalie simulator. Practice sessions are followed by debriefing and group discussions. Some training materials were available in local language, Kiswahili Outside/district facilitators- pairs of outside facilitators conducted initial in-facility training in all the facilities, they identified and coached local facilitators or “peer practice coordinators.” The “peer practice coordinators” organised colleagues for short weekly practice drills on PPH-specific scenarios |
The Recipients | All maternity ward health workers of different cadres trained on the initial day, used the knowledge and skills gained and continued to practice with simulators |
Context | Training is in-facility, using the local environment and managing everyday daily tasks and creating safe learning and regular practice sessions at the workplace |