Prevention of Postpartum Hemorrhage: Implementing ... - POPPHI

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AMTSL Training Registration Form- Page 2 -Job Title/Designation ______________________________________Position _____________________Primary ResponsibilityClinical teaching___________Clinical practice________Administration_________Other (please specify) ___________________________________________Main area of clinical work or teaching (tick the area where youspend most of your time as a provider or tutor/facilitator)Antenatal clinic___________Labor ward________Postpartum ward_______Family planning clinic_________Other (please specify) _______________________Number of births you have attended in the last 3 months:None ( ) 0-10 births ( ) 11-20 births ( ) >20 births ( )Experience with active management of third stage of labor (AMTSL)Previous training in AMTSL: Yes ( ) No ( )If yes: Date of training in AMTSL: ______/______ (mm/yyyy)Organization that provided training in AMTSL:Pre-Service Education ( ) MOH ( ) NGO ( ) UNICEF ( )UNFPA ( ) Other (please specify) _____________ ( )Number of times you have practiced AMTSL: Never practiced ( )0-10 times ( ) 11-20 times ( ) >20 times ( )8 Prevention of Postpartum Hemorrhage: Implementing Active Management of the Third Stage of Labor
Facilitator’s GuideFinal Evaluation FormPlease evaluate the following by ticking (̌) how you feel about each statement.Feel free to comment below and use the back for more writing space.Statement1. For the work I do, trainingwas appropriate.2. For the work I do, trainingwas helpful.3. Training facilities andarrangements weresatisfactory.4. The Participant’s Manual andother reading materials wereeasy to understand.5. The reference manual andother reading materialshelped me to learn.6. Teaching aids were useful(films, charts, models).7. The methods used forteaching were helpful (casestudies, role-plays, clinical).8. The facilitators wereknowledgeable and skilled.9. The facilitators were fair andfriendly.10. The facilitatorscommunicated clearly andsimply.11. The objectives of the trainingwere met.StronglyAgreeAgreeNotDecidedDisagreeStronglyDisagree12. What 3 topics were most useful to you?13. What 3 topics were not useful to you?14. What 3 things would you change about the training?Other comments (please use back of paper if needed):Prevention of Postpartum Hemorrhage: Implementing Active Management of the Third Stage of Labor 9
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