Evaluating the impact of the Royal College of Obstetrics and Gynaecology's Excellence and Resilience in Obstetric Skills courses: the perceptions of Ugandan Master Trainers and UK-based stakeholders - a qualitative study

Evaluating the impact of the Royal College of Obstetrics and Gynaecology's Excellence and Resilience in Obstetric Skills courses: the perceptions of Ugandan Master Trainers and UK-based stakeholders - a qualitative study | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 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Data may be preliminary. 12 May 2026 V1 Latest version Share on Evaluating the impact of the Royal College of Obstetrics and Gynaecology's Excellence and Resilience in Obstetric Skills courses: the perceptions of Ugandan Master Trainers and UK-based stakeholders - a qualitative study Authors : Rebecca Aida Hakim 0000-0003-2673-3651 [email protected] , Helen Bailey [email protected] , Nishel Shah 0000-0002-5694-9915 [email protected] , and John Dalton [email protected] Authors Info & Affiliations https://doi.org/10.22541/authorea.15003208/v1 14 views 7 downloads Contents Abstract Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objective: To explore the perceptions of Ugandan Master Trainers (MTs) and UK-based stakeholders on the wider impact, benefits, and sustainability of the Royal College of Obstetricians and Gynaecologists' Excellence in Obstetric Skills (EOS) and Resilience in Obstetric Skills (ROS) courses. Design: Descriptive, cross-sectional qualitative study using semi-structured interviews. Setting: Five health facilities in Masaka District, Uganda, and UK-based institutional settings. Population or Sample: Seven participants (five Ugandan MTs and two UK-based stakeholders) identified through purposive sampling. Methods: Semi-structured interviews were conducted via Zoom, transcribed, anonymised, and analysed using inductive thematic analysis. Main Outcome Measures: Participants' perceptions of the courses' impact on clinical practice, professional development, patient care, challenges encountered, and sustainability of the training model. Results: Four overarching themes were identified: expected outcomes (improved clinical knowledge, appropriate escalation, knowledge sharing), unexpected outcomes (career development, improved patient communication, enhanced physical environments), challenges (variable skills uptake, short course duration, funding constraints, staff attrition), and sustainability considerations. Participants reported enhanced confidence in managing obstetric emergencies, with anecdotal reductions in maternal mortality in participating facilities. Key barriers included lack of formal accreditation, inconsistent funding, and understaffing. Conclusions: The EOS/ROS courses improved clinical knowledge, professional development, and patient care in Uganda. Sustainable impact requires formal government accreditation, dedicated funding, and integration into continuing professional development programmes. Information & Authors Information Version history V1 Version 1 12 May 2026 Keywords DELIVERY: CAESAREAN SECTION FETAL MEDICINE: UTEROPLACENTAL INSUFFICIENCY HAEMATOLOGY: COAGULATION IMMUNOLOGY MEDICAL DISORDERS IN PREGNANCY MISCARRIAGE MISCARRIAGE: RECURRENT OBSTETRIC HAEMORRHAGE PRE-ECLAMPSIA: CLINICAL RESEARCH PRETERM LABOUR: CLINICAL RESEARCH PRETERM LABOUR: BASIC SCIENCE EPIDEMIOLOGY: PERINATAL FETAL MEDICINE: ALLOIMMUNISATION MATERNAL MORTALITY HEALTH ECONOMISTS DELIVERY: CAESAREAN SECTION MEDICAL DISORDERS IN PREGNANCY PRE-ECLAMPSIA: BASIC SCIENCE OBSTETRIC HAEMORRHAGE DELIVERY: CAESAREAN SECTION FETAL MEDICINE: UTEROPLACENTAL INSUFFICIENCY HAEMATOLOGY: COAGULATION IMMUNOLOGY MEDICAL DISORDERS IN PREGNANCY MISCARRIAGE MISCARRIAGE: RECURRENT OBSTETRIC HAEMORRHAGE PRE-ECLAMPSIA: CLINICAL RESEARCH PRETERM LABOUR: CLINICAL RESEARCH PRETERM LABOUR: BASIC SCIENCE EPIDEMIOLOGY: PERINATAL FETAL MEDICINE: ALLOIMMUNISATION ADENOMYOSIS: BASIC SCIENCE Authors Affiliations Rebecca Aida Hakim 0000-0003-2673-3651 [email protected] View all articles by this author Helen Bailey [email protected] View all articles by this author Nishel Shah 0000-0002-5694-9915 [email protected] Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom of Great Britain and Northern Ireland, SW10 9NH View all articles by this author John Dalton [email protected] Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom of Great Britain and Northern Ireland, SW10 9NH View all articles by this author Metrics & Citations Metrics Article Usage 14 views 7 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Rebecca Aida Hakim, Helen Bailey, Nishel Shah, et al. Evaluating the impact of the Royal College of Obstetrics and Gynaecology's Excellence and Resilience in Obstetric Skills courses: the perceptions of Ugandan Master Trainers and UK-based stakeholders - a qualitative study. Authorea . 12 May 2026. DOI: https://doi.org/10.22541/authorea.15003208/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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