Sonya Sebastian, Hannah Thornton, Mahmoud Abdel-Rasoul, Karielle Shaffery
Patient-perceived understanding of home-going medication with transitions of care services at a pediatric institution
Journal of the American Pharmacists Association : JAPhA
60 women papua new guinea png give birth unsupervised outside health facility contributing high national maternal perinatal mortality rates evaluated practical hospitalbased onthejob training program implemented local health authorities png 2013 2019 aimed addressing challenge upskilling community health workers chws provide quality maternal newborn care rural health facilities two provinces eastern highlands simbu provinces included study eastern highlands province baseline end point skills assessment posttraining interviews 12 months completion 2018 training used evaluate impacts chw knowledge skills selfreported satisfaction training quality timeliness referrals assessed data eastern highlands province referral hospital registers simbu province impacts training facility births stillbirths referrals evaluated pre posttraining retrospectively using routine health facility reporting data 2012 2019 negative binomial regression analysis adjusted potential confounders correlation outcomes within facilities average knowledge score increased significantly 698 95 ci663732 baseline 878 95 ci829926 following training 8 chws participating eastern highlands province training chws reported increased confidence skills ability use referral networks significant increases referrals eastern highlands provincial hospital arriving second stage labour significant difference 5 min apgar score children pre post training data 11345 births participating facilities simbu province showed number births participating rural health facilities doubled compared prior training impact increasing time training 012 months training irr 159 95 ci 104244 pvalue 0033 12 months training irr 246 95 ci137441 pvalue 0003 significant change stillbirth referral rates findings showed positive impacts upskilling program chw knowledge practice participants facility births rates appropriateness referrals demonstrating promise feasible intervention improve uptake maternal newborn care services rural remote lowresource settings within resourcing available local authorities largerscale evaluations size adequately powered ascertain impact intervention stillbirth rates warranted