Training-of-trainers of nurses and midwives as a strategy for the reduction of eclampsia-related maternal mortality in Nigeria

Background: Preeclampsia and eclampsia (PE/E) are major contributors to maternal and perinatal mortality in Nigeria. Despite the availability of current curriculum at Nigerian schools of nursing and midwifery, the knowledge on the management of PE/E among the students has remained poor. In order to...

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Main Authors: Jamilu Tukur, Mohammed Salisu Ishaku, Babatunde Ahonsi, Ayodeji Babatunde Oginni, Gloria Adoyi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Sahel Medical Journal
Subjects:
Online Access:http://www.smjonline.org/article.asp?issn=1118-8561;year=2016;volume=19;issue=2;spage=63;epage=68;aulast=Tukur
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spelling doaj-7fa265e301ed45d5ba63a86f0db17cf92020-11-24T23:07:19ZengWolters Kluwer Medknow PublicationsSahel Medical Journal2321-66892016-01-01192636810.4103/1118-8561.186034Training-of-trainers of nurses and midwives as a strategy for the reduction of eclampsia-related maternal mortality in NigeriaJamilu TukurMohammed Salisu IshakuBabatunde AhonsiAyodeji Babatunde OginniGloria AdoyiBackground: Preeclampsia and eclampsia (PE/E) are major contributors to maternal and perinatal mortality in Nigeria. Despite the availability of current curriculum at Nigerian schools of nursing and midwifery, the knowledge on the management of PE/E among the students has remained poor. In order to reduce maternal and perinatal mortality in developing countries, targeted training and supportive supervision of frontline health care providers have been recommended. Methodology: A total of 292 tutors from 171 schools of nursing and midwifery participated in the training of the trainers' workshops on current management of PE/E across the country. Pre- and post-test assessments were administered. Six months after the training, 29 schools and 84 tutors were randomly selected for follow-up to evaluate the impact of the training. Results: Significant knowledge transfer occurred among the participants as the pretest/posttest analysis showed knowledge transmission across all the 13 knowledge items assessed. The follow-up evaluation also showed that the trained tutors conducted 19 step-down trainings and trained 157 other tutors in their respective schools. Subsequently, 2382 nursing and midwifery students were properly trained. However, six of the monitored schools (24.2%) lacked all the essential kits for teaching on PE/E. Conclusion: Updating the knowledge of tutors leads to improved preservice training of the future generation of nurses and midwives. This will likely result in higher quality of care to patients and reduce PE/E-related maternal and perinatal mortality. However, there is need to provide essential training kits for teaching of student nurses and midwives.http://www.smjonline.org/article.asp?issn=1118-8561;year=2016;volume=19;issue=2;spage=63;epage=68;aulast=TukurEclampsiahypertensionmagnesium sulfatenurse-midwife tutorspreeclampsia
collection DOAJ
language English
format Article
sources DOAJ
author Jamilu Tukur
Mohammed Salisu Ishaku
Babatunde Ahonsi
Ayodeji Babatunde Oginni
Gloria Adoyi
spellingShingle Jamilu Tukur
Mohammed Salisu Ishaku
Babatunde Ahonsi
Ayodeji Babatunde Oginni
Gloria Adoyi
Training-of-trainers of nurses and midwives as a strategy for the reduction of eclampsia-related maternal mortality in Nigeria
Sahel Medical Journal
Eclampsia
hypertension
magnesium sulfate
nurse-midwife tutors
preeclampsia
author_facet Jamilu Tukur
Mohammed Salisu Ishaku
Babatunde Ahonsi
Ayodeji Babatunde Oginni
Gloria Adoyi
author_sort Jamilu Tukur
title Training-of-trainers of nurses and midwives as a strategy for the reduction of eclampsia-related maternal mortality in Nigeria
title_short Training-of-trainers of nurses and midwives as a strategy for the reduction of eclampsia-related maternal mortality in Nigeria
title_full Training-of-trainers of nurses and midwives as a strategy for the reduction of eclampsia-related maternal mortality in Nigeria
title_fullStr Training-of-trainers of nurses and midwives as a strategy for the reduction of eclampsia-related maternal mortality in Nigeria
title_full_unstemmed Training-of-trainers of nurses and midwives as a strategy for the reduction of eclampsia-related maternal mortality in Nigeria
title_sort training-of-trainers of nurses and midwives as a strategy for the reduction of eclampsia-related maternal mortality in nigeria
publisher Wolters Kluwer Medknow Publications
series Sahel Medical Journal
issn 2321-6689
publishDate 2016-01-01
description Background: Preeclampsia and eclampsia (PE/E) are major contributors to maternal and perinatal mortality in Nigeria. Despite the availability of current curriculum at Nigerian schools of nursing and midwifery, the knowledge on the management of PE/E among the students has remained poor. In order to reduce maternal and perinatal mortality in developing countries, targeted training and supportive supervision of frontline health care providers have been recommended. Methodology: A total of 292 tutors from 171 schools of nursing and midwifery participated in the training of the trainers' workshops on current management of PE/E across the country. Pre- and post-test assessments were administered. Six months after the training, 29 schools and 84 tutors were randomly selected for follow-up to evaluate the impact of the training. Results: Significant knowledge transfer occurred among the participants as the pretest/posttest analysis showed knowledge transmission across all the 13 knowledge items assessed. The follow-up evaluation also showed that the trained tutors conducted 19 step-down trainings and trained 157 other tutors in their respective schools. Subsequently, 2382 nursing and midwifery students were properly trained. However, six of the monitored schools (24.2%) lacked all the essential kits for teaching on PE/E. Conclusion: Updating the knowledge of tutors leads to improved preservice training of the future generation of nurses and midwives. This will likely result in higher quality of care to patients and reduce PE/E-related maternal and perinatal mortality. However, there is need to provide essential training kits for teaching of student nurses and midwives.
topic Eclampsia
hypertension
magnesium sulfate
nurse-midwife tutors
preeclampsia
url http://www.smjonline.org/article.asp?issn=1118-8561;year=2016;volume=19;issue=2;spage=63;epage=68;aulast=Tukur
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