Abstract

BackgroundMulti-professional obstetric emergencies training is one promising strategy to improve maternity care. Sustaining training programmes following successful implementation remains a challenge. Understanding, and incorporating, key components within the implementation process can embed interventions within healthcare systems, thereby enhancing sustainability. This study aimed to identify key components influencing sustainability of PRactical Obstetric Multi-Professional Training (PROMPT) in the Philippines, a middle-income setting.MethodsThree hospitals were purposively sampled to represent private, public and teaching hospital settings. Two focus groups, one comprising local trainers and one comprising training participants, were conducted in each hospital using a semi-structured topic guide. Focus groups were audio recorded. Data were analysed using thematic analysis. Three researchers independently coded transcripts to ensure interpretation consistency.ResultsThree themes influencing sustainability were identified; attributes of local champions, multi-level organisational involvement and addressing organisational challenges.ConclusionsThese themes, including potential barriers to sustainability, should be considered when designing and implementing training programmes in middle-income settings. When ‘scaling-up’, local clinicians should be actively involved in selecting influential implementation champions to identify challenges and strategies specific to their organisation. Network meetings could enable shared learning and sustain enthusiasm amongst local training teams. Policy makers should be engaged early, to support funding and align training with national priorities.

Highlights

  • Multi-professional obstetric emergencies training is one promising strategy to improve maternity care

  • Understanding, and incorporating, key sustainability components into the implementation process could improve the implementation of local training programmes and embed them within healthcare systems, [12] reducing the burden of promising but short-lived interventions on limited resources and funding

  • All the participants had attended the PRactical Obstetric Multi-Professional Training (PROMPT) training that was delivered in English and had good spoken English

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Summary

Introduction

Multi-professional obstetric emergencies training is one promising strategy to improve maternity care. Sustaining training programmes following successful implementation remains a challenge. Understanding, and incorporating, key components within the implementation process can embed interventions within healthcare systems, thereby enhancing sustainability. Multi-professional obstetric emergencies training is one of the most promising strategies to improve global maternity care [1, 2]. Sustainability of effective training programmes following successful implementation projects remains a challenge [8, 9]. Understanding, and incorporating, key sustainability components into the implementation process could improve the implementation of local training programmes and embed them within healthcare systems, [12] reducing the burden of promising but short-lived interventions on limited resources and funding

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