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The impact of evidence-based education on a perinatal capacity-building initiative in Macedonia

Heather E Jeffery1, Mirjana Kocova, Fimka Tozija

  • 1RPA Newborn Care, Royal Prince Alfred Hospital, Missenden Road, Camperdown, Sydney, NSW 2050, Australia. hjeffery@med.usyd.edu.au

Medical Education
|March 18, 2004
PubMed

Insights

Macedonia

Area of Science:

  • Perinatal Medicine
  • Medical Education
  • Public Health Initiatives

Background:

  • Macedonia faced high perinatal mortality rates (PMR).
  • A national strategy was developed with World Bank support to reduce PMR.
  • A hospital-based educational initiative focused on evidence-based perinatal practices.

Purpose of the Study:

  • To detail the development, implementation, and evaluation of a perinatal educational intervention.
  • To enhance the capacity of healthcare professionals in evidence-based perinatal care.
  • To assess the impact of the intervention on perinatal mortality rates.

Main Methods:

  • A needs-based curriculum was designed using interactive teaching methods.
  • A 'train the teachers' model involved international training in Sydney and local training in Skopje.
  • Evaluation included trainee feedback, competence assessment, practice changes, and PMR comparison.

Main Results:

  • 115 healthcare professionals completed the program, with over 80% positive feedback.
  • Evidence-based practices were implemented in 16 hospitals covering 91% of births.
  • Perinatal mortality rate significantly decreased from 27.4 to 21.5 per 1000 births.

Conclusions:

  • The educational intervention successfully enhanced capacity for evidence-based perinatal medicine in Macedonia.
  • The 'train the teachers' approach demonstrated sustainability.
  • Improvements in perinatal outcomes were observed, alongside strengthened infrastructure.
Abstract

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