None listed
Conditions
Brief summary
A cluster-randomised pilot trial with qualitative research in four district hospitals in Lao PDR. The trial aims to test how a novel educational intervention for healthcare providers improves knowledge and skills on essential newborn care. The intervention was designed to provide continuous access to learning opportunities for district healthcare providers using a low-dose, high-frequency approach (repeated short self-practice sessions), combined with access to mobile-based supportive supervision. This study will also evaluate feasibility and acceptability of the intervention among district healthcare providers and central, and provincial facilitators. This study will generate evidence to support educational interventions that can improve quality of newborn care and newborn health outcomes in resource-limited settings.
Interventions
Both groups will receive the initial Early Essential Newborn Care (EENC) coaching provided by provincial facilitators. This is a two-day coaching session that includes inductive lectures, practical exercises, and knowledge and skill assessments on the management of breathing and non-breathing babies. After the initial coaching, participating district healthcare providers in the intervention group will: • Receive an explanation of how to implement self-practice and receive mobile-based supportive supervision. • Join a group social networking service (SNS) via WhatsApp to share videos with central and provincial facilitators, • Conduct bi-weekly practice on the EENC (management of breathing and non-breathing babies) using mannikins alongside their clinical duties for three months. There is no minimum or maximum duration for each practice. • Send videos of their performance during the practice sessions to provincial facilitators bi-weekly, using the SNS. The SNS service will be available for 3 months. • Receive feedback from provincial facilitators via the group SNS. • Recieve bi-weekly automated message reminders to repeat the above process. As central facilitators are also members of this group, they can also provide individual feedback to the provincial facilitators, regarding the comments they provided to district staff. A study-specific self-report questionnaire will be sent to district staff and facilitators bi-weekly to monitor adherence to the intervention, and WhatsApp logs will be reviewed to ensure regular interaction within the SNS,
Sponsors
Study design
Eligibility
Inclusion criteria
Healthcare providers who are responsible for providing newborn care, who have attended the initial EENC coaching and who can be present throughout the study period.
Exclusion criteria
No exclusion criteria.