Key components influencing the sustainability of a multi-professional obstetric emergencies training programme in a middle-income setting: a qualitative study.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Maternal Health Services* ; Obstetrics*; Emergencies ; Female ; Humans ; Philippines ; Pregnancy ; Qualitative Research
    • Abstract:
      Background: Multi-professional obstetric emergencies training is one promising strategy to improve maternity care. Sustaining training programmes following successful implementation remains a challenge. Understanding, and incorporating, key components within the implementation process can embed interventions within healthcare systems, thereby enhancing sustainability. This study aimed to identify key components influencing sustainability of PRactical Obstetric Multi-Professional Training (PROMPT) in the Philippines, a middle-income setting.
      Methods: Three hospitals were purposively sampled to represent private, public and teaching hospital settings. Two focus groups, one comprising local trainers and one comprising training participants, were conducted in each hospital using a semi-structured topic guide. Focus groups were audio recorded. Data were analysed using thematic analysis. Three researchers independently coded transcripts to ensure interpretation consistency.
      Results: Three themes influencing sustainability were identified; attributes of local champions, multi-level organisational involvement and addressing organisational challenges.
      Conclusions: These themes, including potential barriers to sustainability, should be considered when designing and implementing training programmes in middle-income settings. When 'scaling-up', local clinicians should be actively involved in selecting influential implementation champions to identify challenges and strategies specific to their organisation. Network meetings could enable shared learning and sustain enthusiasm amongst local training teams. Policy makers should be engaged early, to support funding and align training with national priorities.
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    • Contributed Indexing:
      Keywords: Implementation; Middle-income setting; Obstetric emergencies, multi-professional training; Sustainability
    • Publication Date:
      Date Created: 20210427 Date Completed: 20210514 Latest Revision: 20230920
    • Publication Date:
      20240104
    • Accession Number:
      PMC8077832
    • Accession Number:
      10.1186/s12913-021-06385-5
    • Accession Number:
      33902568