ArticlePloS one2018
Retention of knowledge and skills after Emergency Obstetric Care training: A multi-country longitudinal study.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Is ultrasound training sustainable? A systematic review of competency retention in healthcare trainees.Medical education · 2025Pooled it
- National continuous professional development programmes for midwifery educators and their effectiveness in low-and-middle-income-countries: a systematic review.BMC medical education · 2025Pooled it
- The effectiveness of training in emergency obstetric care: a systematic literature review.Health policy and planning · 2019Pooled it
- An evaluation of the effectiveness of an updated pre-service midwifery curriculum integrated with emergency obstetric and newborn care in Kenya: a cluster randomised controlled trial.BMC medical education · 2024Trial
- The impact of the Safe Delivery Application on knowledge and skills managing postpartum haemorrhage in a low resource setting: a cluster randomized controlled trial in West Wollega region, Ethiopia.Reproductive health · 2023Trial
- Effectiveness of self-managed continuous monitoring for maintaining high-quality early essential newborn care compared to supervision visit in Lao PDR: a cluster randomised controlled trial.BMC health services research · 2021Trial
- Trial
- Coadaptation and implementation of intrapartum clinical guidelines to save lives during childbirth: Protocol for an adapted PartoMa intervention in Eastern Ethiopia.BMC health services research · 2026Article
- Task-shifting and system readiness: a narrative review of strategies for pediatric emergency care in low-resource settings.International journal of emergency medicine · 2025Review
- Impact of the WHO/ICRC Basic Emergency Care (BEC) course on nurses' knowledge, confidence, and competence in Primary Health Care facilities in Gauteng, South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Improving capacity for advanced training in obstetric surgery: evaluation of a blended learning approach.BMC medical education · 2025Article
- The knowledge and skills of emergency department registered nursing staff at an academic hospital in South Africa, on endotracheal tube cuff manometry, before and after a training session.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Effectiveness of Simulation-Based, Peer Learning Intervention in Continuing Nursing Education: An Explorative Study.Cureus · 2024Article
- Evaluation of the feasibility of a midwifery educator continuous professional development (CPD) programme in Kenya and Nigeria: a mixed methods study.BMC medical education · 2024Article
- Web-Based Development of Standard Operating Procedures and Midwifery Trainings at Ugandan Birth Clinic in the Framework of Implementing a Quality Improvement System for the MEWU-Midwife Exchange with Uganda.Women's health reports (New Rochelle, N.Y.) · 2024Article
- Consensus-based recommendations for strengthening emergency care at primary health care level: a Delphi study.Global health action · 2023Article
- Effect of mentorship and a mHealth application in updating provider skills and knowledge in maternal and newborn care in two informal settlements of Nairobi.BMC women's health · 2023Article
- Implementing maternal and newborn health quality of care standards in healthcare facilities to improve the adoption of respectful maternity care in Bangladesh, Ghana and Tanzania: a controlled before and after study.BMJ global health · 2023Article
- Experiences of primary health care practitioners dealing with emergencies - 'We are on our own'.African journal of primary health care & family medicine · 2023Article
- "It's complicated…": Exploring second stage caesarean sections and reasons for non-performance of assisted vaginal births in Kenya: A mixed methods study.PLOS global public health · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine retention of knowledge and skills after standardised "skills and drills" training in Emergency Obstetric Care.
designLongitudinal cohort study.
settingGhana, Malawi, Nigeria, Kenya, Tanzania and Sierra Leone. POPULATION: 609 maternity care providers, of whom 455 were nurse/midwives (NMWs).
methodsKnowledge and skills assessed before and after training, and, at 3, 6, 9 and 12 months. Analysis of variance to explore differences in scores by country and level of healthcare facility for each cadre. Mixed effects regression analysis to account for potential explanatory factors including; facility type, years of experience providing maternity care, months since training and number of repeat assessments.
main outcome measuresChange in knowledge and skills.
resultsBefore training the overall mean (SD) score for skills was 48.8% (11.6%) and 65.6% (10.7%). for knowledge. After training the mean (95% CI) relative improvement in knowledge was 30.8% (29.1% - 32.6%) and 59.8% (58.6%- 60.9%) for skills. Mean scores for knowledge and skills at each subsequent assessment remained between those immediately post-training and those at 3 months. NMWs who attended all four assessments demonstrated statistically better retention of skills (14.9%, 95% CI 7.8%, 22.0% p<0.001) but not knowledge (8.6%, 95% CI -0.3%, 17.4%. p = 0.06) compared to those who attended one or two assessments only. Health care facility level or experience were not determinants of retention.
conclusionsAfter training, healthcare providers retain knowledge and skills for up to 12 months. This effect can likely be enhanced by short repeat skills-training sessions, or, 'fire drills'.
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