TY - JOUR T1 - Possible Reasons for Limited Effectiveness of a Skills and Drills Intervention to Improve Emergency Obstetric and Newborn Care JF - Global Health: Science and Practice JO - GLOB HEALTH SCI PRACT SP - 175 LP - 176 DO - 10.9745/GHSP-D-17-00055 VL - 5 IS - 1 AU - Helen A Allott AU - Helen Smith AU - Terry Kana AU - Mselenge Mdegela AU - Sarah Bar-Zeev AU - Charles Ameh Y1 - 2017/03/24 UR - http://www.ghspjournal.org/content/5/1/175.abstract N2 - See related article by Varghese.We read with interest the paper by Varghese et al.1 regarding the limited effectiveness of a skills and drills intervention to improve emergency obstetric and newborn care and the accompanying editorial by Ricca.2Ricca discussed some possible reasons as to why the intervention had limited effect when it came to improved diagnosis and management of maternal and newborn complications, including systems weaknesses, provider motivation and behavior, and barriers to teamwork in the workplace.We would like to draw attention to a further possible reason for the limited effectiveness in translating the training into demonstrable improvements in … ER -