New Avenues to Increase the Use of Skilled Birth Attendants in Ghana

加纳增加熟练助产士使用的新途径

• 批准号: 8232662
• 负责人: Jody Rae Lori
• 金额: $ 14.08万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-17 至 2016-07-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8232662
• 关键词: Address; Africa; Africa South of the Sahara; Agency for International Development; American; Area; Award; Birth; Caring; Cessation of life; Child; Clinic; Clinical; Communities; Community Health; Community Participation; Continuity of Patient Care; Data; Developing Countries; Development; Development Plans; District Hospitals; Education; Elements; Environment; Evaluation; Event; Exclusion; Experimental Designs; Exposure to; Faculty; Family Caregiver; Family member; Feasibility Studies; Female; First Aid; Focus Groups; Ghana; Goals; Grant; Health; Health Policy; Home environment; Hospitals; Household; Human Resources; Husband; Institution; Instruction; International; Joints; Knowledge; Life; London; Maternal Health; Measures; Mediation; Mentors; Methods; Michigan; Midwife; Modeling; Morbidity - disease rate; Mothers; Newborn Infant; North Carolina; Nurse Midwives; Nursing Research; Outcome; Participant; Population; Positioning Attribute; Postpartum Hemorrhage; Pregnancy; Pregnant Women; Prenatal Nutrition; Prenatal care; Prevention; Process; Professional Role; Program Effectiveness; Protocols documentation; Provider; Readiness; Recruitment Activity; Reliance; Reproductive Health; Research; Research Design; Research Personnel; Research Project Grants; Research Training; Resources; Sampling; Secure; Services; Students; Surveys; Techniques; Testing; Third Pregnancy Trimester; Time; Traditional Birth Attendants; Trainers Training; Training; Training Programs; Translating; United States; Universities; Woman; Work; base; career; career development; clinical practice; college; comparison group; design; experience; global health; improved; meetings; nutrition; prenatal; prenatal intervention; programs; skills; uptake

DESCRIPTION (provided by applicant): The long term career goal of this proposal is for the applicant to become an independent researcher and to gain training in designing and implementing studies that are relevant to populations and maternal and newborn health policy in sub-Saharan Africa. The immediate goal is to complete the proposed training program that includes the following objectives: 1) to acquire research skills in advanced qualitative and quantitative methods in order to conduct surveys, focus groups, and participant-observation studies in sub-Saharan Africa; 2) to translate research findings into clinical practice protocols in sub-Saharan Africa; 3) to establish relationships in sub-Saharan Africa in order to influence maternal-newborn health policy; and 4) to secure an independent tenure-track faculty position. Key Elements of Career Plan The career plan focuses on coursework at the University of Ghana (UG), University of Michigan (UM) and the University of North Carolina (UNC) with participation and presentations at seminars and scientific meetings. The faculty mentors, Drs. Tim Johnson (UM) and Richard Adanu (UG), leading experts in the field of Ghanaian women's reproductive health, will be involved in all aspects of carrying out the research and training plan. The research project will allow for experiences in conducting community based research, feasibility studies in low resource clinic settings, and the use of quasi-experimental design in examining program effectiveness. Research Project Drawing on a sample from one Ghanaian District Hospital in the Ashanti Region, the overall aims of the research are to: 1) modify the Home-Based Life Saving Skills (HBLSS) program for use by skilled midwives (HBLSS-M) in a Ghanaian clinical setting; 2) establish the feasibility of the HBLSS-M in Ghana; and 3) determine whether exposure to the HBLSS-M increases Ghanaian women's use of skilled birth attendants for delivery and improves birth outcomes. To meet Aim 1, a community participation strategy with a focus group design will be used to develop the HBLSS-M and to get buy-in from the community being served. To meet Aim 2, five skilled midwives will be trained to deliver the HBLSS-M and feasibility will be assessed. To meet Aim 3, a two-group comparison design (92 participants in each group) will be used to determine whether the HBLSS- M, delivered by 10 midwives produces a greater number of deliveries with professional midwives and improves birth outcomes. It is hypothesized that child-bearing women who receive the HBLSS-M program will be more likely to deliver with skilled midwives and experience improved birth outcomes than the child-bearing women in the comparison group. Environment As one of the world's foremost research institutions, the UM provides an exceptionally rich environment for nursing research. The proposed research training plan is congruent with the UM international initiatives spearheaded from the President's Office. For more than 20 years, the UM has sought mutual engagement with our partners from Ghana. The UG is the oldest and largest of the seven Ghanaian public universities. It is by far the most prestigious university in West Africa. It was founded in 1948 as the University College of the Gold Coast and was originally an affiliate college of the University of London, which supervised its academic programs and awarded degrees. It gained full university status in 1961, and now has nearly 30,000 students. After completion of the proposed five-year training program, the applicant will be well positioned to conduct interdisciplinary, high-impact research that conveys the role of professional midwives in sub-Saharan Africa. PUBLIC HEALTH RELEVANCE: This career development plan provides coursework and mentored experiences to acquire additional skills for an independent global health research career. The research project develops a modified version of the Home-Based Life Saving Skills (HBLSS-M), tests its feasibility in a Ghanaian setting and examines whether exposure to the HBLSS-M increases Ghanaian women's use of skilled birth attendants for delivery and improves birth outcomes.

描述（由申请人提供）：该提案的长期职业目标是申请人成为一名独立的研究人员，并获得设计和实施与撒哈拉以南非洲人口和孕产妇和新生儿健康政策相关的研究的培训。近期目标是完成拟议的培训计划，其中包括以下目标：1）获得先进的定性和定量方法的研究技能，以便在撒哈拉以南非洲进行调查，焦点小组和参与者观察研究; 2）将研究结果转化为撒哈拉以南非洲的临床实践协议; 3）在撒哈拉以南非洲地区建立关系，以影响母婴健康政策;和4）确保独立的终身教职。职业计划的关键要素职业计划侧重于加纳大学（UG）、密歇根大学（UM）和北卡罗来纳州大学（UBC）的课程，并参加研讨会和科学会议并在会上发言。教师导师Tim约翰逊博士（UM）和Richard Adanu博士（UG）是加纳妇女生殖健康领域的主要专家，他们将参与执行研究和培训计划的各个方面。该研究项目将允许在进行基于社区的研究，在低资源诊所设置的可行性研究，并在检查程序的有效性准实验设计的使用经验。研究项目从阿散蒂地区的一家加纳地区医院抽样，研究的总体目标是：1）修改家庭救生技能（HBLSS）计划，供熟练助产士（HBLSS-M）在加纳临床环境中使用; 2）确定HBLSS-M在加纳的可行性;以及3）确定接触HBLSS-M是否会增加加纳妇女使用熟练助产士进行分娩并改善分娩结果。为了实现目标1，将采用具有焦点小组设计的社区参与战略来制定HBLSS-M，并获得所服务社区的支持。为了实现目标2，将培训五名熟练的助产士来提供HBLSS-M，并评估可行性。为了满足目标3，将使用两组比较设计（每组92名参与者）来确定由10名助产士分娩的HBLSS-M是否会产生更多的专业助产士分娩次数并改善分娩结局。据推测，接受HBLSS-M计划的育龄妇女与对照组的育龄妇女相比，更有可能在熟练助产士的帮助下分娩，并改善分娩结局。环境作为世界上最重要的研究机构之一，UM为护理研究提供了非常丰富的环境。拟议的研究培训计划与总统办公室牵头的UM国际倡议一致。20多年来，UM一直寻求与我们的加纳合作伙伴的相互参与。UG是加纳七所公立大学中历史最悠久，规模最大的一所。它是迄今为止西非最负盛名的大学。它成立于1948年，最初是黄金海岸大学学院，最初是伦敦大学的附属学院，负责监督其学术课程并授予学位。它于1961年获得正式大学地位，现在有近30，000名学生。完成拟议的五年培训计划后，申请人将有能力进行跨学科、高影响力的研究，传达撒哈拉以南非洲专业助产士的作用。 公共卫生相关性：该职业发展计划提供课程和指导经验，以获得独立的全球健康研究职业的额外技能。该研究项目开发了家庭救生技能（HBLSS-M）的修改版本，测试其在加纳环境中的可行性，并研究接触HBLSS-M是否会增加加纳妇女使用熟练助产士进行分娩并改善分娩结果。