(Monrovia, Liberia, March 31, 2025) In line with the Ministry of Health’s mandate to reduce pregnancy-related deaths and complications, the Family Health Division recently conducted a Low-Dose High-Frequency (LDHF) Emergency Obstetric Care (EmOC) training in Liberia’s three highest-burden counties: Montserrado, Margibi, and Nimba. These counties account for approximately 80% of Liberia’s maternal mortality cases. The training aimed to strengthen the capacity of skilled birth attendants through a competency-based approach that enhances knowledge retention and clinical skills. A total of 68 healthcare providers, along with 11 facilitators—including maternal ward administrators and county reproductive health officers—participated in the initiative.   The LDHF training methodology is designed not only to build critical skills but also to ensure long-term competency through repeated practice and continuous improvement. Unlike traditional training models, this approach reinforces learning in shorter, more frequent sessions, maximizing participants’ ability to retain and apply life-saving obstetric emergency skills. The inclusion of both public and private high-volume health facilities marked a step toward expanding access to quality maternal care.

Among the facilities represented were the John F. Kennedy Hospital, Redemption Hospital, and Benson Hospital, as well as Refuge Palace and other key clinics.   Pre- and post-training assessments revealed a notable improvement in participants’ knowledge and clinical proficiency, demonstrating the effectiveness of the LDHF approach. Participants expressed confidence in their enhanced ability to manage obstetric emergencies, including postpartum hemorrhage, eclampsia, and incomplete abortions. The hands-on nature of the training allowed healthcare workers to identify their limitations while gaining practical experience in high-risk scenarios.   Feedback from participants highlighted the transformative impact of the training.

Sonie, a midwife at Benson Hospital, affirmed that her team was now better equipped to handle emergency obstetric cases. Similarly, Ms. Dukuly, an MCH supervisor at Refuge Palace, shared that the training was her first exposure to Manual Vacuum Aspiration (MVA), enabling her to manage incomplete abortions safely. Tina Koie, a midwife at Bensonville Hospital, emphasized how the program boosted her hands-on skills and self-awareness in clinical practice.   To ensure sustainability, each participating facility received a set of Manual Vacuum Aspirators (MVAs) upon completion of the training.