Mixed methods analysis of factors influencing change in clinical behaviours of non‐physician anaesthetists in Kenya following obstetric anaesthesia training

Summary Maternal mortality rates in low‐middle income countries remain high, with sub‐Saharan Africa accounting for two‐thirds of global maternal deaths. Inadequate staff training is one of the main contributors to anaesthesia‐related deaths and the Association of Anaesthetists developed the Safe Anaesthesia from Education course in collaboration with the World Federation of Societies of Anaesthesiologists to address this training gap. We aimed to evaluate the impact of this course among Kenyan participants. Mixed methodologies and secondary analyses of anonymised data were used to study translation of learning into practice. In total, 103 participants from 66 facilities who attended courses between 2016 and 2017 were analysed. Ninety (87%) participants who were followed up completed knowledge tests. Baseline median (IQR [range]) knowledge test score was 41 (37–43 [21–46]). There was a significant improvement in median (IQR [range]) knowledge test score immediately post‐course (43 (41–45 [33–48]); p