Date of Award
Open Access Thesis
Master of Science in Nursing (MSN)
Yale University School of Nursing
Objective: To evaluate a cohort of graduates from a grassroots skilled birth attendant training program in Haiti to determine if they meet global standards of competency established by the International Confederation of Midwives.
Design and setting: A testing instrument that included both a 50-question, multiple choice knowledge test and two emergency skills tests (postpartum hemorrhage and neonatal resuscitation) was adopted from the USAID Quality Assurance Project. A convenience sample of 30 skilled birth attendants completed the knowledge test and, of this cohort, a random sample of 18 completed the skills test. Data collection took place in Hinche, Haiti in July, 2013.
Findings: On average, participants were correct for 59% of the knowledge questions, 34% of the skills steps for postpartum hemorrhage, and 39% of the skills steps for neonatal resuscitation.
Conclusions: Emphasizing emergency simulation training and opportunities to refresh emergency skills periodically is recommended to ensure competency in a cohort of skilled birth attendants. This research is discussed in the context of the Haitian health care system fraught by extreme poverty, lack of basic infrastructure, and a critical shortage of healthcare workers.
Zickler, Nicole, "Skilled Birth Attendant Assessment In Haiti: A Pilot Project" (2014). Yale School of Nursing Digital Theses. 1019.