Maternal, Newborn and Child Health Emergencies
Conditions
Brief summary
The aim of this study is to test an intervention that has potential to improve acute care skills and confidence related to safe delivery and newborn care for mid-level health providers in Uganda by the development of a 'mobile' simulation package including scale-up materials based upon research evidence. In this randomized study investigators will compare the impact of a peer learning package on skills, knowledge and team work regarding newborn care among health workers in rural south western Uganda.
Detailed description
The aim of this study is to test an intervention that has potential to improve acute care skills and confidence related to safe delivery and newborn care for mid-level health providers in Uganda by the development of a 'mobile' simulation package including scale-up materials based upon research evidence. In this randomized study investigators will compare the impact of a peer learning package on skills, knowledge and team work regarding newborn care among health workers in rural south western Uganda. The cluster randomized study will have two arms; intervention arm receives peer learning program. In this program, two health workers at the same health facility teach each other using case scenarios. The case scenarios will be based on common neonatal conditions such as neonatal sepsis, hypothermia and prematurity. The two study arms will both receive training on HBB and Essential care for every baby (ECEB)
Interventions
OTHERPeer learning
Peer learning plus HBB and ECEB
Sponsors
University of Calgary
Mbarara University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
We will conduct a parallel comparison of intervention and control arms to measure study endpoints
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Health workers involved in performing deliveries of mothers at health center IVs and IIIs (i.e, county and subcounty level)
Exclusion criteria
* Health facilities based in municipalities, urban dwellings
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Skills on key maternal, newborn and child health emergency procedures | Change in skills scores at 6 and 12 months from Baseline | Ability to perform key maternal, new born and child health emergency procedures measured using Multiple choice questions (MCQs). A composite score with a maximum of 100% will be computed from these MCQs |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical teamwork scores | Change in CTS scores at 6 and 12 months from Baseline | Ability to work as a team through communication, sharing roles and completing tasks together measured using the Clinical Teamwork scale (CTS). A composite score will be computed by adding up all the items on the CTS scale. CTS has 15 items, each item with a maximum score of 10 |
Contacts
Primary ContactSantorini Data, MD
Backup ContactFrancis Bajunirwe, PhD
Outcome results
None listed