Drills PPH & retained placenta +manual removal 34 8 Eclampsia 29 5 Shoulder dystocia 13 5 Cord prolapse 13 2 Partogram 12 1 Breech delivery 12 4 Neonatal resuscitation 13 1 Maternal resuscitation 6 1 APH 6 1 10.Twin delivery 4 0 11.CTG interpretation 1 EOST manual easy to use (those doing exercises) 53 (100%) 14(82.3%) Mannequins used in EOST 41(77.4%) 5(17.8%) Reasons for not using mannequins Kept locked up 1 1 None of drills done needed mannequins 1 1 Shortage of staff 1 1 Waiting for doctor to borrow them 0 1 Only done the theory 0 1 Drills performed, are in line with areas of management where most maternal and neonatal deaths occur. The majority found the EOST manual easy to use. At the hospitals the mannequins are being used In contrast the CHC’s who did not receive mannequins –the majority are not using them Table 5: Usefulness of EOST Hospital CHC’s EOST exercises helpful 53(100%) 14(82.3%) Reasons why helpful 1. Improve skills and knowledge 23 7 e.g. obstetric emergencies in eclampsia partogram 2. Feel like real midwives 4 3. Do things correctly without panicking. 2 4. Applicable to what is happening in real life. 2 4 5. Teaching junior staff and refresher for older staff. 3 6. Communication Within team 2 1 Sharing experiences 1 Enthusiasm 1 Involving referral clinics. 1 1 7. On site so don’t have to travel. Table 6: Problems mentioned Problems Hospitals CHC’s
Drills PPH & retained placenta +manual removal Eclampsia Shoulder dystocia Cord prolapse Partogram Breech delivery Neonatal resuscitation Maternal resuscitation APH 10.Twin delivery 11.CTG interpretation 34 29 13 13 12 12 13 6 6 4 1 8 5 5 2 1 4 1 1 1 0 EOST manual easy to use (those doing exercises) 53 (100%) 14(82.3%) Mannequins used in EOST 41(77.4%) 5(17.8%) Reasons for not using mannequins Kept locked up None of drills done needed mannequins Shortage of staff Waiting for doctor to borrow them Only done the theory 1 1 1 0 0 1 1 1 1 1 Drills performed, are in line with areas of management where most maternal and neonatal deaths occur. The majority found the EOST manual easy to use. At the hospitals the mannequins are being used In contrast the CHC’s who did not receive mannequins –the majority are not using them Table 5: Usefulness of EOST Hospital CHC’s EOST exercises helpful 53(100%) 14(82.3%) Reasons why helpful 1. Improve skills and knowledge e.g. obstetric emergencies in eclampsia partogram 2. Feel like real midwives 3. Do things correctly without panicking. 4. Applicable to what is happening in real life. 5. Teaching junior staff and refresher for older staff. 6. Communication Within team Sharing experiences Enthusiasm Involving referral clinics. 7. On site so don’t have to travel. 23 4 2 3 2 1 1 1 1 7 2 4 1 Table 6: Problems mentioned Problems Hospitals CHC’s
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