A pilot study on the simulation-based training for Ethiopia skilled birth attendants.

Area of Science:

• Global Health
• Medical Education
• Simulation Training

Background:

• The China-UK Global Health Support Program (GHSP) aims to enhance healthcare delivery in Ethiopia.
• Improving midwifery teaching skills is crucial for skilled birth attendants in Ethiopia.
• Simulation-based training offers a novel approach to medical education.

Purpose of the Study:

• To evaluate the effectiveness of a simulation-based Train-the-Trainer program for Ethiopian midwives.
• To assess the impact of the program on trainers' teaching skills and clinical management abilities.
• To gather feedback on the program's implementation and reception in Ethiopia.

Main Methods:

• A three-stage Train-the-Trainer program involving Fudan University and Ethiopian trainers.
• Participatory observation for process evaluation.
• Kirkpatrick model for effectiveness evaluation, including self and peer assessments.
• In-depth interviews and questionnaire surveys for qualitative feedback.

Main Results:

• Ethiopian trainers demonstrated significantly improved teaching skills and confidence in managing obstetric emergencies (p < 0.01).
• High mean mastery scores were reported in Stage 2 (self-assessment: 3.48, peer-assessment: 3.63) and Stage 3 (self-assessment: 3.27, peer-assessment: 3.38).
• The program received a positive response from participants, indicating successful implementation.

Conclusions:

• Simulation-based training is an effective method for improving midwifery education and trainer capacity in Ethiopia.
• The GHSP-OP4-V01 Ethiopia Midwife Train-the-Trainer Program successfully enhanced skills for managing complex obstetric situations.
• This approach holds promise for sustainable improvements in skilled birth attendance and maternal healthcare in Ethiopia.