PROMPT has been successfully implemented in many countries demonstrating its adaptability in a range of settings. PROMPT can be easily modified to take into account differing clinical practices, however the basic principal of training locally, with local trainers, remains.
The PROMPT course satisfies national recommendations for the regular training in emergency obstetric care for all staff in maternity units. 80% of units in England have attended a PROMPT T3 and are using the materials as part of their annual mandatory training courses. T3 Training has been provided to units in Scotland, Wales and Northern Ireland.
- Cathy Winter (PMF Lead Midwife)
- +44 117 323 2322
Australia and New Zealand
The first PROMPT train-the-trainers courses were held in Australia and New Zealand in 2005. Since that time PROMPT course have been held in both Australia and New Zealand.
The Auckland PROMPT team have been instrumental in helping to disseminate PROMPT in the Pacific Islands.
A project evaluation of PROMPT training in Victoria, Australia conducted by VMIA is nearing completion with extremely promising provisional results at all Kirkpatrick levels emerging. More news of these findings will be posted soon......
RANZCOG are now licensed to roll out PROMPT in both Australia and New Zealand and work is currently underway to ‘Australian and New Zealandise’ the course materials.
- + 64 3 9412 2996
A PROMPT train-the-trainers course was held in the Bahamas in February 2011.
Cairo hosted an extremely successful T3 training sessions where the local teams recognised the importance of training together. It is hoped that as the country stabilises, further training will ensure PROMPT spreads throughout the region.
PROMPT has been running in Fiji since 2009 after a Fijian team of midwives and doctors attended a PROMPT workshop in Auckland, New Zealand. Following this success, the New Zealand PROMPT faculty helped to establish PROMPT training in the Cook Islands. We are hopeful that PROMPT can be disseminated to other Pacific Islands in the near future.
More information about training in the Pacific Islands can be found in the Pacific Society for Reproductive Health (PSRH) Newsletter.
PROMPT courses have been held for obstetricians and midwives in Hong Kong and Mainland China since 2008, led by Prof. TY Leung. Work is currently underway with Central Agencies in China to make a full roll out of PROMPT across China a reality.
- Prof TY Leung
In 2010 the first PROMPT train-the-trainers course was held in Dublin for multi-professional maternity teams from across Ireland. PROMPT training is now run in many maternity units in Ireland.
Trinidad and Tobago
A PROMPT train-the-trainers course was held in Trinidad in November 2010.
United States of America
PROMPT in USA has been successfully adapted for American staff and taught in Kansas since 2006. There is growing evidence of its effectiveness with a reduction in the caesarean section rate and a decrease in the decision to delivery time for emergency caesarean sections since the introduction of training.
- Carl Weiner
Zimbabwe 2015 - an update
We are delighted to provide an update regarding the roll out of PROMPT training across Zimbabwe. During 2015 participants from across the units of St. Alberts, St. Luke’s and Muvonde Mission Hospital in Zimbabwe attended PROMPT training. Topics covered during training included:
Haemorrhage and communication
Hypertensive disorders in pregnancy and roles and responsibilities
Recognition of the unwell patient using the early warning charts, sepsis and situational awareness
Foetal monitoring in labour. Neonatal sepsis and labour and resuscitation
Drills were done on the labour ward board, management of PPH and eclampsia
Resuscitation of the new born and breech delivery
Prioritization on the labour ward and situational awareness
Training methods of Lectures and Dills were used during which each participant had the opportunity to take part during the different drills which made the training more meaningful to practice real life situations. The ZCBC Health Commission provided emergency boxes for the hospitals with printed and laminated algorithms for each box.
Feedback from participants for the emergency boxes included:
Essential - should always be available
Worth introducing to 'our' institutions
Whilst for Labour Ward Board the participants felt:
Helpful for prioritisation of care
Necessary to identify risk factors promptly.
Feedback for the Modified Obstetric Early Warning Charts:
Easy to identify high risk patients and those needing immediate attention.
User friendly It alerts the nurse about the patient at danger.
A vital tool
More roll out of the PROMPT training will take place in 2016 and we look forward to receiving a further update from the team in Zimbabwe.
PROMPT training has been successfully adapted and adopted at Mpilo Central Hospital, Bulawayo, Zimbabwe following a train-the-trainers course held at the Hospital in November 2011. Since then the midwives and doctors at Mpilo have run six PROMPT courses and have trained 136 members of their staff. The hospital are currently monitoring the effect that instigating training has had on the clinical outcomes at Mpilo.
A roll out of PROMPT training across Zimbabwe is now planned, with the next train-the-trainers course being held in Gweru in November 2012. PROMPT training is particularly suitable for low-resource settings; because training is held within the hospital staff there are no accommodation, travel or venue costs. Training is run locally, for local staff, by local staff. This project has been kindly supported by Laerdal Medical, Limbs and Things Ltd, The Bristol University Alumni Fund and a THET/UK Department for International Development (DfID) Health Partnership Grant
- Thabani Sibanda