Assessing behavioural influences and behavioural changes following Safer Anaesthesia From Education (SAFE) Obstetrics training in Africa and Asia
Authors' conclusion
There is evidence of efficacy of the course to increase capabilities.
Study context
- Population
- Healthcare providers attending SAFE Obstetrics training in Tanzania, Zimbabwe, Nepal and Bangladesh
- Participants
- 361 completed assessments
- Exposure
- Before vs after SAFE Obstetrics training
- Outcome
- Behaviour and behavioural influences (perceptions of capability, opportunity and motivation), knowledge and skills
- Follow-up
- Baseline, post-training and (3-9 months)
Methodological detailspre-post (baseline, post-training, follow-up), workplace observation subset, multicountry
- Pre-post (baseline, post-training, follow-up)
- Workplace observation subset
- Multicountry
Main finding
As reported in the abstract
Knowledge, skills and other behavioural influences · post-training and follow-up (3-9 months)
- Knowledge and skills improved after the course; improvements maintained at follow-up
- Other behavioural influences did not change over time
Observational data: associations, not effects.
Further findings
Completion of behaviours to SAFE standards (workplace observation subset, n = 78) · follow-up
- Performing inflation breaths
- 10%
- Measuring BP before spinal anaesthetic
- 96%
- Varied widely
Original publication
Assessing behavioural influences and behavioural changes following Safer Anaesthesia From Education (SAFE) Obstetrics training in Africa and Asia. Int J Obstet Anesth. Published 11 June 2025. doi:10.
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