Knowledge and competencies (from simulations) before and after HMS BAB
Providers | Pretraining score mean/median | Providers | Post-training score mean/median | Adjusted change in score* (pre-post) | |
n | % | n | % | % (95% CI) | |
Knowledge | 326 | 74/80 | 301 | 87/93 | 13 (10 to 16) |
AMTSL simulation | 317 | 32/33 | 284 | 83/87 | 49 (41 to 57) |
Recognition of retained placenta | 281 | 47/50 | 268 | 90/100 | 42 (34 to 50) |
PPH management | 284 | 35/33 | 268 | 79/83 | 44 (39 to 48) |
*Derived from a multilevel mixed methods model with fixed effects specified for the district and the hospital level, adjusted for the health work cadre. A total of 268 out of 331 providers included in the training completed the HMS BAB training. Providers left the training to attend emergencies or other duties.
AMTSL, active management of the third stage of labour; HMS BAB, Helping Mothers Survive Bleeding after Birth; PPH, postpartum haemorrhage.