HC One uses a training-of-trainers model in which HC One staff provide a three-day training for leadership of the implementing agency. Topics presented during the training include key components of the program, program development, case management, supervision, adult learning, culture and communication, evaluation, and program funding. The trainers use the popular education approach that connects participants’ personal experiences with the content of the training in the context of a supportive, introspective group process.
The implementing agency’s leadership then conducts a 20-session training course (which includes some tailoring to the implementing site’s context) with their agency’s doulas.
The doula training covers the doula’s role and limitations, including recognizing when to refer the mother to health care providers; cultural aspects of pregnancy and birth; normal pregnancy; labor and delivery; breastfeeding; maternal health; infant health and development; safety; loss; parenting skills; assessment and documentation; and standards of practice.
Doulas are also required to observe prenatal and postpartum home and medical visits, labor and delivery, and parent childbirth education and breastfeeding classes.
Doulas must achieve the following core competencies, which are assessed during training through in-class practice, role-playing and discussion, homework assignments, and journaling:
- Demonstrates active listening, uses three-step counseling techniques
- Uses informal language of clients in one-on-one interactions
- Uses language and reflects culture of participants in group discussions
- Engages in nondirective counseling
- Refers appropriately and follows up
- Demonstrates an understanding of how personal beliefs and values affect work
- Completes all written homework assignments
- Demonstrates development of personal relationships within training
- Demonstrates ability to use basic knowledge of core content in role-plays and discussions
