Jody R. Lori, CNM, PhD, is a Clinical Assistant Professor in the Office of International Affairs and the Nurse-Midwifery Program at the University of Michigan, School of Nursing, Ann Arbor, MI.
Home-Based Life-Saving Skills in Liberia: Acquisition and Retention of Skills and Knowledge
Article first published online: 24 DEC 2010
2010 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 55, Issue 4, pages 370–377, July-August 2010
How to Cite
Lori, J. R., Majszak, C. M. and Martyn, K. K. (2010), Home-Based Life-Saving Skills in Liberia: Acquisition and Retention of Skills and Knowledge. Journal of Midwifery & Womens Health, 55: 370–377. doi: 10.1016/j.jmwh.2009.09.016
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- community-based interventions;
- infant mortality;
- maternal mortality;
- traditional midwives;
Introduction: In 2006, Home-Based Life-Saving Skills was introduced in three Liberian counties, in partnership with Africare-Liberia and the Liberian Ministry of Health and with funding by the United States Agency for International Development.
Methods: Traditional midwives and trained traditional midwives (N = 412) underwent pre- and immediate posttesting on four topics. Three hundred eighty-nine (94%) of the original participants also completed 1-year follow-up posttesting.
Results: Mean scores significantly improved between pre- and immediate posttests and knowledge improvement was stable at 1 year. Correct responses on individual steps for each of four topics significantly increased over the course of training. The data demonstrate a major change in the knowledge base of the traditional and trained traditional midwives acting as village guides.
Discussion: Home-Based Life-Saving Skills is a viable means by which to improve community knowledge and decrease maternal and neonatal morbidity and mortality.