Author Contributions: Drs Zamora and Plana had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: Kulier, Gülmezoglu, Carroli, Cecatti, Germar, Pisake, Mittal, Pattinson, Wolomby-Molondo, Bergh, May, Koppenhoefer, Khan.
Acquisition of data: Kulier, Carroli, Cecatti, Germar, Pisake, Mittal, Pattinson, Wolomby-Molondo, Souza.
Analysis and interpretation of data: Kulier, Gülmezoglu, Zamora, Plana, Carroli, Pisake, Mittal, Bergh, Souza, Khan.
Drafting of the manuscript: Kulier, Gülmezoglu, Zamora, Plana, May, Khan.
Critical revision of the manuscript for important intellectual content: Kulier, Gülmezoglu, Zamora, Plana, Carroli, Cecatti, Germar, Pisake, Mittal, Pattinson, Wolomby-Molondo, Bergh, Souza, Koppenhoefer, Khan.
Statistical analysis: Kulier, Zamora, Plana, Khan.
Obtained funding: Gülmezoglu.
Administrative, technical, or material support: Kulier, Gülmezoglu, Carroli, Cecatti, Germar, Pisake, Pattinson, Bergh, May, Souza, Koppenhoefer.
Study supervision: Kulier, Gülmezoglu, Carroli, Cecatti, Germar, Mittal, Pattinson, Wolomby-Molondo.
Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.
Funding/Support: This trial was funded by the UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, World Health Organization. The initial development and piloting of the e-learning course was funded by the European Union Leonardo da Vinci Vocational Training Action Programme (project grant UK/05/B/F/PP-162_349). Drs Zamora and Khan used funding from European Union made available to the EBM-CONNECT Collaboration through its Seventh Framework Programme, Marie Curie Actions, International Staff Exchange Scheme (proposal 101377; grant agreement 247613) for data analysis and drafting the manuscript. The EBM-CONNECT (Evidence-Based Medicine COllaboratioN: NEtwork for systematic reviews and guideline development researCh and disseminaTion) Collaboration (in alphabetical order by country): L. Mignini, Centro Rosarino de Estudios Perinatales, Argentina; P. von Dadelszen, L. Magee, D. Sawchuck, University of British Columbia, Canada; E. Gao, Shanghai Institute of Planned Parenthood Research, China; B. W. Mol, K. Oude Rengerink, Academic Medical Centre, the Netherlands; J. Zamora, Ramón y Cajal, Spain; C. Fox, J. Daniels, University of Birmingham; and K. S. Khan, S. Thangaratinam, C. Meads, Barts and the London School of Medicine, Queen Mary University of London, United Kingdom. The EBM-CONNECT Canadian Collaborators receive funding from the Canadian Institutes of Health Research.
Role of Sponsor: The funding sources had no role in the design and conduct of the study; the collection, management, analysis, or interpretation of the data; or the preparation, review, or approval of the manuscript.
Additional Resources: The educational environment tool is available from the authors (firstname.lastname@example.org).
Additional Contributions: We would like to thank the EBM Unity project team for initially developing and piloting the e-learning course. We would also like to thank the facilitators in each country: Argentina: Yanina Sguassero (CREP); Hernán Garnica, (Sanatorio de la Mujer, Rosario, Argentina); Juan Manuel Nardin, (Maternidad Martin, Rosario, Argentina), Luciano Mignini, MD (Hospital Escuela Eva Peron, Rosario, Argentina); Marcelo Raffagnini, MD (Hospital Roque Saenz Peña, Rosario, Argentina). Brazil: Denis Jose Nascimento, Adriani Galao, Maria Laura Costa, Adriana Gomes Luz, Gustavo Lobato, Vera Terezinha Medeiros Borges, Ione Rodrigues Brum, Carlos Augusto Menezes, Everardo Macedo Guanabara, Joaquim Luiz Castro Moreira, Aurelio Ribeiro Costa, Ana Maria Feitosa Porto, Elias Melo Jr, Claudio Sergio Paiva, Maria Leticia Sperandeo Macedo, Ricardo Carvalho Cavalli, Marcia Maria Aquino. India: Sudha Salhan, Aruna Batra (Vardhman Medical College & Safdarjang Hospital, New Delhi); Neelam B. Vaid, Rachna Agarwal, Amita Suneja (Guru Teg Bahadur Hospital, Delhi); Swaraj Batra, Reva Tripathi, Deepti Goswami, (Maulan Azad Medical College, New Delhi); Vatsla Dadhwal; Sunesh Kumar (All India Institute of Medical Sciences, New Delhi); Vinita Das, Anjoo Agarwal, Amita Pandey (King Jorge Medical University, Lucknow); Veena Agarwal (Government Medical College, Gwalior). Philippines: Enrico Gil Oblepias (Ospital ng Maynila), Mario Bautista (Makati Medical Center), Christine Dobles Dizon (The Medical City), Joselito Santiago (Manila Doctors Hospital), Emmanuel Ganal (Jose Fabella Memorial Hospital), Carolyn Zalameda Castro (Philippine General Hospital), Christine Joy Garcia (Cardinal Santos Medical Center), Anna Lynn Alvarado Matignas (Jose R. Reyes Memorial Medical Center). South Africa: Sarah Jackson, Wilhelm Steyn, Sue Fawcus, Athol Kent, Louise Smith, Hopolang Maise. Thailand: Krasean Panyakhamlerd (King Chulalongkorn Memorial Hospital), Thitiporn Siriwachirachai (Khon Kaen Hospital), Kritsada Srithana (Pramongkutglao Hospital), Karicha Mairaing (Thammasart University Hospital), Suvanna Asavapiriyanont (Rajvithi Hospital), Chompilas Chongsomchai (Srinagarind Hospital, Khon Kaen University), Vitaya Titapant (Siriraj Hospital, Mahidol University).