Lynn Sibley, CNM, PhD, FACNM, is Associate Professor, Lillian Carter Center for International Nursing, Nell Hodgson Woodruff School of Nursing. She holds a secondary appointment, Rollins School of Public Health, and adjunct appointment, Department of Anthropology, Emory University, Atlanta, Georgia.
Home-Based Life Saving Skills in Ethiopia: An Update on the Second Phase of Field Testing
Article first published online: 24 DEC 2010
2006 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 51, Issue 4, pages 284–291, July-August 2006
How to Cite
Sibley, L., Buffington, S. T., Tedessa, L. and McNatt, K. (2006), Home-Based Life Saving Skills in Ethiopia: An Update on the Second Phase of Field Testing. Journal of Midwifery & Womens Health, 51: 284–291. doi: 10.1016/j.jmwh.2005.10.015
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- emergency obstetric care;
- home-based care;
- maternal mortality;
- neonatal mortality;
Home-Based Life Saving Skills (HBLSS) was integrated over 3 years into a district-level child survival project coordinated through the Ministry of Health and Save the Children Foundation/US in Liben Woreda, Guji Zone, Oromia Region, southern Ethiopia. During late 2004, the second phase of the program was reviewed for performance, home-based management, learning transfer, and program coverage. The immediate posttraining performance score for HBLSS guides for “First Actions” was 87% (a 78% increase over the pretraining baseline) and 79% at 1 year (a 9% decrease from the immediate posttraining score). The home-based management score of women attended by HBLSS guides for “First Actions” was 89%, compared to 32% for women assisted by other unskilled attendants. HBLSS guides teach women and families in the community as they were taught, by using pictorial Take Action Cards, role-play and demonstration, and a variety of venues. Estimates of HBLSS coverage suggest that HBLSS guides attended 24% to 26% of births, and 54% of women giving birth were exposed to HBLSS training. The HBLSS field tests demonstrate a promising program that increases access to basic care for poor, underserved, rural populations who carry the greatest burden of maternal and neonatal mortality.