TY - JOUR
T1 - Two models of in-service training to improve midwifery skills
T2 - How well do they work?
AU - McDermott, Jeanne
AU - Beck, Diana
AU - Buffington, Sandra Tebben
AU - Annas, Janne
AU - Supratikto, Gunawan
AU - Prenggono, Darwin
AU - Ekonomi, M. F.Sri
AU - Achadi, Endang
N1 - Funding Information:
The work of the MotherCare/Indonesia project and this publication were made possible through support provided by the John Snow, Inc./MotherCare Project and the Office of Health and Nutrition, Bureau for Global Programs, Field Support and Research, U.S. Agency for International Development, under the terms of Contract No. HRN-C-00-98-00050-00. The opinions expressed herein are those of the authors and do not necessarily reflect the views of the US Agency for International Development or John Snow, Inc.
PY - 2001/7
Y1 - 2001/7
N2 - This program evaluation compared the knowledge, confidence, and skills of Indonesian village midwives who attended an intensive in-service training with midwives who received an internship program and midwives who attended no program. The five key skills compared were prevention of infection, use of the partograph, manual removal of placenta, bimanual uterine compression, and neonatal resuscitation. Midwives from the intensive in-service that combined competency-based skill training with peer review and continuing education scored higher on the knowledge test and demonstration of the five key skills and reported managing complications better than midwives who attended no training program. Midwives from the internship program scored intermediate between the intensively trained and the untrained midwives. Overall, skill scores were 71% for midwives in the intensive program, 62% for the interns, and 51% for midwives with no in-service training. Village midwives from the intensive program scored significantly higher in the practical demonstration of manual removal of placenta, bimanual compression, and neonatal resuscitation than the interns, but the scores on infection prevention and use of the partograph were not different between the two groups. Differences in the volume of training opportunities between the two programs could be responsible for the different outcomes. J Midwifery Womens Health 2001;46:217-25
AB - This program evaluation compared the knowledge, confidence, and skills of Indonesian village midwives who attended an intensive in-service training with midwives who received an internship program and midwives who attended no program. The five key skills compared were prevention of infection, use of the partograph, manual removal of placenta, bimanual uterine compression, and neonatal resuscitation. Midwives from the intensive in-service that combined competency-based skill training with peer review and continuing education scored higher on the knowledge test and demonstration of the five key skills and reported managing complications better than midwives who attended no training program. Midwives from the internship program scored intermediate between the intensively trained and the untrained midwives. Overall, skill scores were 71% for midwives in the intensive program, 62% for the interns, and 51% for midwives with no in-service training. Village midwives from the intensive program scored significantly higher in the practical demonstration of manual removal of placenta, bimanual compression, and neonatal resuscitation than the interns, but the scores on infection prevention and use of the partograph were not different between the two groups. Differences in the volume of training opportunities between the two programs could be responsible for the different outcomes. J Midwifery Womens Health 2001;46:217-25
UR - http://www.scopus.com/inward/record.url?scp=0035402354&partnerID=8YFLogxK
U2 - 10.1016/S1526-9523(01)00137-4
DO - 10.1016/S1526-9523(01)00137-4
M3 - Article
C2 - 11603633
AN - SCOPUS:0035402354
SN - 1526-9523
VL - 46
SP - 217
EP - 225
JO - Journal of Midwifery and Women's Health
JF - Journal of Midwifery and Women's Health
IS - 4
ER -