5260.0: Wednesday, November 15, 2000 - Board 9

Abstract #9059

Improving maternal and child health services through continuous quality improvement and an innovative training methodology

Eva Miranda, MA, Bruno Benavides, MD, and Ellen Eiseman, MPH. Project 2000, Pathfinder International, 9 Galen Street, Suite 217, Watertown, MA 02472, 617-924-7200, rmorgan@pathfind.org

The maternal child training program (PCMI) component of Project 2000, a five year collaboration between the Peruvian Ministry of Health (MOH) and USAID, has implemented quality improvement processes in 89 health facilities using a continuing education of health personnel methodology and a constructivist pedagogical model. This methodology and training model emphasize the workplace and daily job as crucial elements in the educational process, encouraging teamwork and learning based on problem solving.

The PCMI approach goes beyond traditional training models that often have inefficient, ineffective, and uneven results. PCMI has brought about qualitative changes in maternal and infant services, facilitating access to services for the poorest segment of the population and increasing demand for services. In this way, the PCMI is contributing to decreases the maternal, perinatal, and infant mortality, which is Project 2000's ultimate goal.

The continuing education of health personnel and learning based on problem solving has resulted in:

- Ongoing staff education

- The work environment being valued as a source of knowledge and an objective of change

- New knowledge in clinical areas

- Management and interpersonal relations created through experience

- Information being managed analitically

- The exchange of knowledge and experience

Project 2000 has come up against some resistence in implementing this model, which must be expected given the predominance of a pedagogical model that essentially focuses on the transmission of knowledge and instructor-based training.

Over time, the 89 facilities where PCMI has been implemented should be able to manage this training-learning process independently and extend it to other health facilities in their areas.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to: 1. Identify five advantages to implementing continuous staff education and a constructivist educational model in training health personnel. 2. Describe three PCMI achievements at the health facility level

Keywords: Quality Improvement, Training

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA