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Impact of Training on Awareness and Knowledge of Service Providers About Maternal Near-Miss Events in Maharashtra, India

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The Journal of Obstetrics and Gynecology of India Aims and scope Submit manuscript

Abstract

Objective

To improve the awareness and knowledge regarding Maternal Near Miss (MNM) among health service providers in the selected districts and women’s hospitals in Maharashtra, India.

Methods

A one-day training programme on MNM was conducted at four Family Welfare Training Centres in the state of Maharashtra, India, for the health service providers, viz. gynaecologists, pathologists, anaesthesiologists, medical officers, staff nurses, other paramedical workers of the selected 29 districts/women’s hospitals in Maharashtra. A total of 147 participants participated in the training programme. The participants filled a questionnaire before (pretest) and after the training (post-test) with the same set of questions pertaining to knowledge on the basic and operational aspects of MNM.

Results

There was a significant improvement in the level of knowledge (post-test responses vs pretest responses) about the correct definition and classification of MNM, as per the instructions in the MNM-R guidelines by the Government of India. The service providers informed regarding the challenges in the implementation of the MNM-R guidelines at their hospitals such as shortage of manpower in terms of specialists and need of quality assurance.

Conclusion

The training programme improved the knowledge of the service providers about MNM, which would help them to implement the MNM-R guidelines effectively at their hospitals. This training effectively upgraded the knowledge level, and therefore, such trainings should be organized for all obstetricians, high-dependency unit (HDU) personnel and critical care teams.

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Acknowledgements

We acknowledge the Ministry of Health and Family Welfare, Government of India and Government of Maharashtra, for providing funding support for the study through the Program Implementation Plan of the state. The authors acknowledge the encouragement received from ICMR (NIRRH/RA/713 /12–2018).

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Authors and Affiliations

  1. Department of Operational Research, National Institute for Research in Reproductive Health (NIRRH), Indian Council of Medical Research (ICMR), JM Street, Parel, Mumbai, Maharashtra, 400012, India

    Ragini Kulkarni, Sanjay Chauhan & Namrata Dohate

  2. Department of Clinical Research, National Institute for Research in Reproductive Health (NIRRH), Indian Council of Medical Research (ICMR), JM Street, Parel, Mumbai, Maharashtra, 400012, India

    Anushree Patil

  3. Department of Obstetrics and Gynecology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India

    Poonam Shivkumar & Surekha Tayade

  4. State Family Welfare Bureau, Pune, India

    Archana Patil, Aniruddh Deshpande & Madhusudan Karnataki

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  1. Ragini Kulkarni
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  2. Sanjay Chauhan
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Correspondence to Ragini Kulkarni.

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Ethical approval (expedited review) was taken from the institutional ethics committee.

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Waiver of informed consent was requested as the responses of the participants were completely anonymized.

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Dr. Ragini Kulkarni is the Scientist E in the Department of Operational Research, National Institute for Research in Reproductive Health (NIRRH), Indian Council of Medical Research (ICMR), Mumbai, Maharashtra, India. Dr. Sanjay Chauhan is the Scientist G in the Department of Operational Research, National Institute for Research in Reproductive Health (NIRRH), Indian Council of Medical Research (ICMR), Mumbai, Maharashtra, India. Dr. Anushree Patil is the Scientist D in the Department of Clinical Research, National Institute for Research in Reproductive Health (NIRRH), Indian Council of Medical Research (ICMR), Mumbai, Maharashtra, India. Dr. Poonam Shivkumar is the Professor and Head in the Department of Obstetrics and Gynecology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India. Dr. Surekha Tayade is the Professor in the Department of Obstetrics and Gynecology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India. Dr. Namrata Dohate is the Consultant in the Department of Operational Research, National Institute for Research in Reproductive Health (NIRRH), Indian Council of Medical Research (ICMR), Mumbai, Maharashtra, India. Dr. Archana Patil is the Additional Director of Health Services in the State Family Welfare Bureau, Pune. Dr. Aniruddha Deshpande is the Assistant Director, Maternal Health & Training in the State Family Welfare Bureau, Pune. Dr. Madhusudan Karnataki is the Consultant Maternal Health in the State Family Welfare Bureau, Pune, India.

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Kulkarni, R., Chauhan, S., Patil, A. et al. Impact of Training on Awareness and Knowledge of Service Providers About Maternal Near-Miss Events in Maharashtra, India. J Obstet Gynecol India 69, 529–534 (2019). https://doi.org/10.1007/s13224-019-01259-7

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  • DOI: https://doi.org/10.1007/s13224-019-01259-7

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