Abstract

Orientation: The World Health Organisation (WHO) (2005) reported that at least 260 mothers and babies die every day in South Africa. Most of these deaths are attributed to low standards of maternal and infant care. Research has shown that one way of reducing the maternal and infant mortality rates in hospitals is to improve the standard of care.Research purpose: The Perinatal Education Programme (PEP) has been introduced in the Western Cape in South Africa, and the main aim of this evaluation was to provide information regarding the effectiveness of perinatal training in a single maternity hospital in this province.Motivation for the study: There are a few evaluation studies of the PEP in different South African contexts. These evaluations have shown that the programme was effective in improving the knowledge of midwives. The current evaluation was motivated by the need for more research on the programme’s effectiveness.Research design, approach and method: A quasi-experimental design was used to determine knowledge and skills acquisition of midwives. The sample consisted of 42 midwives. Programme records and questionnaire results were used as data.Main findings: This evaluation showed that the PEP is an effective programme endorsed by participants and supervisors alike.Practical/managerial implications: This specific hospital added group facilitation to the self-study mode of the programme. This mode of study produced additional increases in knowledge, skills and group work.Contributions/value-add: The evaluation has provided sound evidence for programme managers to increase programme coverage and continue the good work already evident from the results.

Highlights

  • In the light of the high child mortality rates in South Africa (SA), this evaluation assessed whether or not a Perinatal Education Programme (PEP) delivered its intended short-term outcomes, namely improved knowledge and skills of midwives, in a Western Cape maternity hospital

  • How many midwives practised at this maternity hospital?

  • What was the proportion of midwives who had participated in the PEP at this maternity hospital?

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Summary

Introduction

In the light of the high child mortality rates in South Africa (SA), this evaluation assessed whether or not a Perinatal Education Programme (PEP) delivered its intended short-term outcomes, namely improved knowledge and skills of midwives, in a Western Cape maternity hospital. The United Nation’s Children’s Fund (UNICEF) reported improved mortality rates of 60 per 1000 for 2010 but warned that this reduction was not sufficient to comply with the MDG standard for child mortality (UNICEF, 2011). To attain this MDG, developing countries like SA need to take drastic measures to reduce both child and maternal deaths by improving the standard of care of mothers and their babies (Osorno, Campos, Cook, Vela & Dávila, 2006; Pattinson, Woods, Greenfield & Velaphi, 2005)

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