On-site and individual (SAIN) learning package
The on-site and individual (SAIN) learning package on the prevention of postpartum hemorrhage consists of a Facilitator's Guide to train mentors, a Mentor’s Guide, a Learner’s Guidebook, and a Learner’s Notebook. This learning package was developed for use by nurses, midwives, and doctors providing childbirth and immediate postpartum care. These documents comprise a set and should be used together. These resources are distinguished within the series by a corresponding icon located at the top of the right-hand page:
Facilitator’s Guide |
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Mentor’s Guide |
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Learner’s Guidebook |
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Learner’s Notebook |
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These learning materials were developed for in-service training of skilled birth attendants using a mixed- or blended-learning approach that combines self-paced study for the theoretical portion of the course followed by a clinical practicum. This training course should assist providers in offering the crucial care needed to prevent PPH.
The Facilitator’s Guide assists facilitators to train mentors to guide learners through the blended learning materials. The purpose of this guide is to help facilitators do their job when conducting PPPH training programs that include training mentors for competency in AMTSL and training them to guide learners using blended learning materials. The guide has the following components:
- General information to assist the facilitator in conducting a training session.
- An agenda for the training program.
- Lesson plans for each session to be presented.
- Knowledge assessment questionnaires and answers.
- Model forms to fill in for the training report.
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PowerPoint slides for training of mentors |
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Overview of the course |
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Core Topic 1.Review of the third stage of labor and evidence for use of AMTSL. |
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Core Topic 2.Causes and prevention of postpartum hemorrhage. |
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Core Topic 3a.Review of uterotonic drugs. |
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Core Topic 3b.Management of uterotonic drugs. |
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Core Topic 4.AMTSL. |
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Additional Topic 1. Infection prevention. |
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Additional Topic 2. Birth preparedness and complication readiness. |
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Additional Topic 3. Managing complications during the third stage of labor. |
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Blended learning approach |
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Mastery learning |
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Developing clinical skills |
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Using competency-based tools |
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Managing clinical practice |
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Planning for implementation |
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Mentor’s pledge |
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The Mentor’s Guide should be used by mentors working on the prevention of PPH initiative. The purpose of this guide is to help mentors do their job when conducting PPPH training programs that include training for competency in AMTSL. The guide has the following components:
- General information about using the SAIN learning approach.
- A detailed plan for evaluating the knowledge and skills of learners.
- An agenda for the training program.
- A copy of the pre-course, mid-course, post-course, and alternate post-course questionnaires.
- Answers for the knowledge evaluation questionnaires.
- Model forms to track skilled birth attendants trained in AMTSL, collect baseline data, and collect data for monitoring and evaluation.
The Learner’s Guidebook is the reference book for the course and provides general information on the SAIN learning approach, essential information for each session, and answers to the learning activities. The Learner’s Guidebook should be used in conjunction with the Learner’s Notebook. There are seven topics, four that are considered core topics and three that are considered additional topics.
The core topics are:
- Review of the third stage of labor and evidence for use of AMTSL.
- Causes and prevention of postpartum hemorrhage.
- Review and management of uterotonic drugs.
- AMTSL.
Additional topics that some countries may include during the training include:
- Infection prevention.
- Birth preparedness and complication readiness.
- Managing complications during the third stage of labor.
The Learner’s Notebook should be used by the learner throughout the training program. The purpose of this notebook is to help the learner successfully complete the program with a minimum of stress. The notebook has the following components:
- Forms for the learner to record knowledge and skills assessment scores.
- Learning activities for each topic.
- Practice checklist for AMTSL and monitoring during the first six hours postpartum.
- Evaluation checklist for AMTSL and monitoring during the first six hours postpartum.
- Job aids for storage and documentation of uterotonic drugs, AMTSL, and monitoring the woman and newborn during the first six hours postpartum.
- Evaluation of the in-service training program.
- An action plan.
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Guide du point focal |
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Guide de l'apprenant |
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Cahier de l'apprenant |
