Competencies of Midwives, Cost-benefit Analysis of Modular Training
Conditions
Brief summary
This clinical trial's primary goal is to compare birth attendants' competencies. It aims to answer the questions: * Does the new modular training package enhance the competencies of skilled birth attendants? * Does the competencies of skilled birth attendants relates to improving maternal and neonatal health outcomes in Nepal? * Is this training module a cost-effective intervention? Participants' knowledge, attitude, and skills will be assessed and it will be compared with standard training groups: Researchers will compare the competencies of birth attendants who receive modular training versus standard training to see if an increment in competencies is associated with maternal and neonatal health outcomes.
Interventions
BEHAVIORALSkill birth attendant training
It is an intervention targeted to enhance the competencies of Maternal Neonatal Health (MNH) service providers (skilled birth attendants) in Nepal. It is a capacity-building intervention that is expected to contribute to reducing maternal and neonatal morbidities and mortalities by improving the midwifery competencies (knowledge, attitudes, and skills) of MNH service providers.
Sponsors
Ministry of Health and Population, Nepal
Ludwig-Maximilians - University of Munich
Ministry of Health Gandaki Province, Nepal
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Masking description
The outcomes assessor and care provider will be masked to minimize the biases. Trainers will be outcomes assessors and trainees who complete modular training and provide maternal and child health services are considered as care providers.
Intervention model description
The competencies of skilled birth attendants who receive modular training will be compared with those of skilled birth attendants who receive existing standard training.
Eligibility
Sex/Gender
ALL
Age
21 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Health workers should be Auxiliary Nurse Midwives and Nurses working in birthing centers where at least 10 birth managed in the last year * Health workers (Auxiliary Nurse Midwives and Nurses) who are committed to providing maternal and neonatal health services and priority for permanent service holders. * Who passes at least the first module (Online module) to participate in modular training
Exclusion criteria
* Health workers (Auxiliary Nurse Midwives ad Nurses) who do not provide maternal and neonatal health service * Health workers other than Auxiliary Nurse Midwives and Nurses though they provide maternal neonatal health services in government health facilities * Health workers working in private health facilities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness assessment of modular skilled birth attendant training package | 1 year | The health workers who get new modular skill birth attendant training are expected to be more competent to provide midwifery services. Hence, this training is specifically targeted to improve midwifery knowledge, attitudes, and skills. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cost-benefit analysis | 2 years | The associated cost (monetary value) of the new modular and standard training will be calculated and compared with the effect (maternal and neonatal death reduction). |
Countries
Nepal
Contacts
Primary ContactKhim Bahadur Khadka, MPH
Outcome results
None listed