title: Evaluation of the educational impact of the WHO Essential Newborn Care course in Zambia.
abstract: OBJECTIVE
  To evaluate the effectiveness of the World Health Organization (WHO) Essential Newborn Care (ENC) course in improving knowledge and skills of nurse midwives in low-risk delivery clinics in a developing country.
  
  
  METHODS
  The investigators identified the content specifications of the training material, developed both written and performance evaluations and administered the evaluations both before and after training clinical nurse midwives in Zambia.
  
  
  RESULTS
  Based on these evaluations, both the knowledge and skills of the nurse midwives improved significantly following the course (from a mean of 65% correct pretraining to 84% correct post-training and from 65% to 77% correct on the performance and written evaluations, respectively). The ENC course written evaluation was validated and both tools allowed evaluation of the ENC course training.
  
  
  CONCLUSIONS
  We found significant improvements in trainees' knowledge and skills in essential newborn care following the WHO ENC course; however, lack of basic resources may have limited the application of the ENC guidelines. Implementation of the ENC course should be undertaken in consideration with the local conditions available for newborn care.
authors.affiliation: Research Triangle Institute, Durham, North Carolina 27709, USA. mcclure@rti.org
authors.forename: E M
authors.initials: EM
authors.lastname: McClure
authors.forename: W A
authors.initials: WA
authors.lastname: Carlo
authors.forename: L L
authors.initials: LL
authors.lastname: Wright
authors.forename: E
authors.initials: E
authors.lastname: Chomba
authors.forename: F
authors.initials: F
authors.lastname: Uxa
authors.forename: O
authors.initials: O
authors.lastname: Lincetto
authors.forename: C
authors.initials: C
authors.lastname: Bann
mesh_terms: D003906:Developing Countries; D004509:Education, Nursing, Continuing / Q000592:standards*; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007224:Infant Care; D007231:Infant, Newborn; D009721:Nurse Midwives / Q000193:education*; D017064:Process Assessment, Health Care / Q000379:methods; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D014944:World Health Organization; D015024:Zambia