1. A sustainable model to improve maternal health and promote early obstetric care in resource‐poor regions
- Author
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Kok Hian Tan, Sharon Anqi Foo, Anette Sundfor Jacobsen, Maly Sam, Manisha Mathur, Shephali Tagore, Keorany Poun, and Kenneth Kwek
- Subjects
Adult ,medicine.medical_specialty ,Health Personnel ,Southeast asia ,Obstetric care ,03 medical and health sciences ,0302 clinical medicine ,Pre-Eclampsia ,Pregnancy ,medicine ,Global health ,Humans ,Maternal Health Services ,Maternal health ,030212 general & internal medicine ,Retrospective Studies ,Resource poor ,030219 obstetrics & reproductive medicine ,Cesarean Section ,business.industry ,Public health ,Postpartum Hemorrhage ,Obstetrics and Gynecology ,Prenatal Care ,General Medicine ,Maternal Mortality ,Health promotion ,Standardized mortality ratio ,Family medicine ,Female ,Cambodia ,business ,Program Evaluation - Abstract
OBJECTIVE To design and examine the feasibility of a sustainable training program to build local capacity and improve obstetric outcomes in Kampong Chhnang, Cambodia. METHODS A "train-the-trainers" model was used to conduct an obstetrics course between 2012 and 2015, its aim to reduce maternal mortality and morbidity. All Cambodian healthcare providers trained by the program were included in the study. The obstetric outcomes of all patients under the care of the trained healthcare providers were analyzed retrospectively to assess the feasibility of the program. Data from all three hospitals and 42 health centers in the province that the trainees worked at were collected from case logs. RESULTS There was a significant increased trend in recognition of cases of postpartum hemorrhage and pre-eclampsia, and occurrence of difficult deliveries and cesarean deliveries (P
- Published
- 2019
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