title: Home-Based Life Saving Skills in Ethiopia: an update on the second phase of field testing.
abstract: 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.
authors.forename: Lynn
authors.initials: L
authors.lastname: Sibley
authors.forename: Sandra Tebben
authors.initials: ST
authors.lastname: Buffington
authors.forename: Lelisse
authors.initials: L
authors.lastname: Tedessa
authors.forename: Kathryn
authors.initials: K
authors.lastname: McNatt
mesh_terms: D004521:Educational Measurement; D004632:Emergency Medical Services / Q000379:methods*; D005002:Ethiopia; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006700:Home Childbirth / Q000193:education*; D006701:Home Nursing / Q000193:education*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D016730:Program Development / Q000379:methods; D015397:Program Evaluation