Skilled Birth Attendant Assessment In Haiti: A Pilot Project

<p>Objective: To evaluate a cohort of graduates from a grassroots skilled birth attendant training program in Haiti to determine if they meet global standards of competency established by the International Confederation of Midwives. </p> <p>Design and setting: A testing instrument that included both a 50-question, multiple choice knowledge test and two emergency skills tests (postpartum hemorrhage and neonatal resuscitation) was adopted from the USAID Quality Assurance Project. A convenience sample of 30 skilled birth attendants completed the knowledge test and, of this cohort, a random sample of 18 completed the skills test. Data collection took place in Hinche, Haiti in July, 2013. </p> <p>Findings: On average, participants were correct for 59% of the knowledge questions, 34% of the skills steps for postpartum hemorrhage, and 39% of the skills steps for neonatal resuscitation. </p> <p>Conclusions: Emphasizing emergency simulation training and opportunities to refresh emergency skills periodically is recommended to ensure competency in a cohort of skilled birth attendants. This research is discussed in the context of the Haitian health care system fraught by extreme poverty, lack of basic infrastructure, and a critical shortage of healthcare workers.</p>

Name thesis:degree_name

Master of Science in Nursing (MSN)

Level thesis:degree_level

Open Access Thesis

Discipline thesis:degree_discipline

Yale University School of Nursing

Year

2014

Author dc:creator

• Zickler, Nicole

Contributors dc:contributor

• Marjorie Funk

• Assessment, Haiti, Maternal mortality, Millennium Development Goals, Skilled birth attendance, Skilled birth attendants

Repository record dc:identifier

https://elischolar.library.yale.edu/ysndt/1019

OAI identifier oai:identifier

oai:elischolar.library.yale.edu:ysndt-1018