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Problem-based teaching of birth attendants in the Philippines
N Singhal1, D D McMillan, F L Cristobal
1University of Calgary, Alberta, Canada. nalini.singhal@crha-health.ab.ca
Interactive problem-based learning significantly improved knowledge and practices of traditional birth attendants in the Philippines. While attitudes improved initially, reinforcement is needed, and further education is recommended for better maternal and newborn care.
Area of Science:
- Maternal and Child Health
- Medical Education
- Public Health
Background:
- Traditional birth attendants (TBAs) play a crucial role in maternal and newborn care in the Philippines.
- Assessing the effectiveness of different educational approaches for TBAs is vital for improving healthcare outcomes.
- Knowledge, Attitude, and Practices (KAP) are key indicators of healthcare provider competency.
Purpose of the Study:
- To compare the effectiveness of lecture-style (L) versus interactive problem-based (I) educational programs.
- To evaluate the impact of these programs on the KAP of TBAs in the Philippines.
- To assess the long-term retention of knowledge and changes in practices.
Main Methods:
- A randomized controlled trial was conducted in two Philippine cities.
- TBAs were assigned to either lecture-style or interactive problem-based learning groups.
- Questionnaires were administered pre-education, immediately post-education, and at 6-month follow-up.
- Mothers' reports were used to validate TBA practices.
Main Results:
- Interactive learning (I) led to significant improvements in TBA knowledge scores, with continued improvement at 6 months.
- Attitude scores improved in both groups but declined after 6 months, suggesting a need for reinforcement.
- Undesirable practices like late cord clamping were reduced in both groups.
- Reported TBA practices by mothers were less frequent than self-reported practices, indicating a gap.
Conclusions:
- Interactive problem-based learning is a more effective educational method for TBAs compared to lecture-style learning.
- Continuous education and reinforcement are necessary to sustain positive changes in attitudes and practices.
- Addressing resource limitations and further education are crucial for optimizing TBA performance and improving maternal/newborn outcomes.
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