Patience A. Afulani|Raymond Aborigo|Dilys Walker|Cheryl A. Moyer|Susanna R. Cohen|John E. Williams
Can an integrated obstetric emergency simulation training improve respectful maternity care? Results from a pilot study in Ghana
Global Brain Health Institute|University of California, San Francisco|Navrongo Health Research Centre|Global Brain Health Institute|University of California, San Francisco|University of Michigan–Ann Arbor|University of Utah|Navrongo Health Research Centre
evidencebased interventions exist improve respectful maternity care rmc lowresource settings sought evaluate effect integrated simulationbased training provision rmcthe pilot project east mamprusi district northern ghana integrated specific components rmc emphasizing dignity respect communication autonomy supportive care simulation training improve identification management obstetric neonatal emergencies fortythree providers trained evaluation conducted surveys baseline n 215 endline n 318 6 months later recently delivered women assess experiences care using personcentered maternity care scale higher scores scale represent respectful carecompared baseline women endline reported respectful care average personcentered maternity care score increased 50 baseline 72 endline relative increase 43 scores subscales also increased baseline endline 15 increase dignity respect 87 increase communication autonomy 55 increase supportive care differences remained significant multivariate analysis controlling several potential confoundersthe findings suggest integrated provider trainings give providers opportunity learn practice reflect provision rmc context stressful emergency obstetric simulations potential improve womens childbirth experiences lowresource settings incorporating trainings preservice inservice training providers help advance global efforts promote rmc