Bergh, Anne-MarieBaloyi, ShisanaPattinson, Robert Clive2016-02-122015-11Bergh, AM, Baloyi, S & Pattinson, RC 2015, 'What is the impact of multi-professional emergency obstetric and neonatal care training?, Best Practice and Research : Clinical Obstetrics and Gynaecology, vol. 29, no. 8, pp. 1028-1043.1521-6934 (print)1532-1932 (online)10.1016/j.bpobgyn.2015.03.017http://hdl.handle.net/2263/51334This paper reviews evidence regarding change in health-care provider behaviour and maternal and neonatal outcomes as a result of emergency obstetric and neonatal care (EmONC) training. A refined version of the Kirkpatrick classification for programme evaluation was used to focus on change in efficiency and impact of training (levels 3 and 4). Twenty-three studies were reviewed e five randomised controlled trials, two quasi-experimental studies and 16 before-and-after observational studies. Training programmes had all been developed in high-income countries and adapted for use in low- and middle-income countries. Nine studies reported on behaviour change and 13 on process and patient outcomes. Most showed positive results. Every maternity unit should provide EmONC teamwork training, mandatory for all health-care providers. The challenges are as follows: scaling up such training to all institutions, sustaining regular in-service training, integrating training into institutional and health-system patient safety initiatives and ‘thinking out of the box’ in evaluation research.en© 2015 Elsevier Ltd. All rights reserved. All rights reserved. Notice : this is the author’s version of a work that was accepted for publication in Best Practice & Research Clinical Obstetrics and Gynaecology. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Best Practice & Research Clinical Obstetrics and Gynaecology, vol. 29, no. 8, pp.1028-1043, 2015. doi : 10.1016/j.bpobgyn.2015.03.017.Maternal mortality and morbidityNeonatal mortality and morbidityEmergency obstetric careTeam trainingPatient outcomesKirkpatrick levels of programme evaluationPostprint Article