Building a Maternal and Newborn Care Training Programme for Health-Care Professionals in Guinea-Bissau.

Abstract

The Integrated Programme of Maternal and Child Health aims to reduce maternal and child mortality in Guinea-Bissau.The purpose of this article is to share our experience in building a training programme on maternal and newborn care for health-careprofessionals in Guinea-Bissau. Regional directors of the four target areas chose a group of staff who provide prenatal and childbirth careto attend the course (12 to 15 trainees per region). In each region, 15 highly interactive and practical sessions were scheduled overeight weeks. The trainees' summative and reactive assessment was obtained using a multiple choice questionnaire (final test) and ananonymous survey, respectively. Attendees included 25 nurses, 17 midwives and 14 doctors. About two thirds had five years' practice or less. Test medianscores were higher among trainees with two to nine years of practice (54.4% to 60.9%), as compared to those with a year or less(47.8%) or 10 or more years (45.7%). Pedagogical variables were rated as 'good' or 'very good' by 91% to 95% of the attendees. Use of an interactive and practical pedagogical methodology produced positive results and was crucial to tailoring thetraining to local needs. However, adapting the syllabus according to professional categories and experiences should be considered. Our results warrant further development and evaluation of training programmes on maternal and neonatal care inGuinea-Bissau.