Assessment of knowledge and skills on safe motherhood of ethnic minority midwives after 3 years of training in Ha Giang province, 2014

Abstract

      Under UNPPA support, the 18-month training pilot model of ethnic minority midvvives (EMM) was conducted in Ha Giang from 2009 to 2011. This study aims to evaluate knowledge and skills on safe motherhood of EMM after 2 years of training in HaGiang province. Methods: The cross- sectional designusing self-administered questionnaire and direct observation methods was used in 2 rounds ofevaluation in 2013 and 2014. Results: After 2 years of training and upon retuming to work at their local health facilities, the knowledge and skills of EMM in Ha Giang were quite good, however, EMM knowledge mean point on counseling for pregnant women decreased gradually during the time between 2 rounds of evaluation, from 3.12 to 2.80 (P < 0.001). They were good atpractical basic skills such as antenatal care, child care, post-partum bleeding management. Midwifery skills were the lowest completion rate (60%). Their communication skills are still poor. Recommendations: This model is suitable for EMM in poor economic areas. Continuing training and supportive supervision for EMM should be conducted every year by local health authority in order to strengthen work performance and effectiveness after training.