Simulation-based low-dose, high-frequency plus mobile mentoring versus traditional group-based trainings among health workers on day of birth care in Nigeria; a cluster randomized controlled trial

Abstract

Background: The aim of this study was to compare health workers knowledge and skills competencies between those trained using the onsite simulation-based, low-dose, high frequency training plus mobile mentoring (LDHF/ m-mentoring) and the ones trained through traditional offsite, group-based training (TRAD) approach in Kogi and Ebonyi states, Nigeria, over a 12-month period. Methods: A prospective cluster randomized controlled trial was conducted by enrolling 299 health workers who provided healthcare to mothers and their babies on the day of birth in 60 health facilities in Kogi and Ebonyi states. These were randomized to either LDHF/m-mentoring (intervention, n = 30 facilities) or traditional group-based training (control, n = 30 facilities) control arm. They received Basic Emergency Obstetrics and Newborn Care (BEmONC) training with simulated practice using anatomic models and role-plays. The control arm was trained offsite while the intervention arm was trained onsite where they worked. Mentorship was done through telephone calls and reminder text messages. The multiple choice questions (MCQs) and objective structured clinical examinations (OSCEs) mean scores were compared; p-value < 0.05 was considered statistically significant. Qualitative data were also collected and content analysis was conducted.

Mobile-Social Learning for Continuing Professional Development in Low- and Middle-Income Countries: Integrative Review

“…A total of 31 articles were selected for inclusion ( Figure 2 ). Among the included articles, sub-Saharan Africa (28/31, 90%) was the most represented geographical region [ 1 , 8 , 15 - 17 , 30 - 52 ]. Countries in Southeast Asia were represented in 10% (3/31) of the studies [ 45 , 53 , 54 ], and 3% (1/31) of the studies included participants across Africa, Asia, and South America [ 1 ].…”

Development of a novel mobile application, HBB Prompt, with human factors and user-centred design for Helping Babies Breathe skills retention in Uganda

“…HBB Prompt differs from available apps because it facilitates hands-on practice and simulation, which is a core component of the HBB 2.0 curriculum. While simulated resuscitation will differ from real-life scenarios, consistent practice through simulation is an effective method to maintain competency in managing high-acuity low-occurrence events, such as apnea in a newborn [ 16 , 38 ]. Much of HBB Prompt’s design focus was to facilitate users’ ability to practise HBB skills in short, directed ways, either alone or with peers.…”

“…Much of HBB Prompt’s design focus was to facilitate users’ ability to practise HBB skills in short, directed ways, either alone or with peers. LDHF practice of specific skills such as bag-mask ventilation has been shown to be effective in enhancing skills retention after training [ 10 , 38 , 45 , 46 ]. For individuals who are unable practise skills with others, the Training mode videos serve as a guide, and the function of Simulation—alone mode provides a structure and framework whereby users can benchmark their skills and receive automated external prompts and feedback in order to retain their resuscitation skills.…”

“…Study co-investigators collectively used their knowledge and experience with the HBB program, resuscitation education, and mobile app development to create foundational features of HBB Prompt v0. In particular, we sought to leverage strategies that have previously been shown to improve skills retention, including LDHF practice, use of simulation, refresher training, and supportive supervision [ 10 , 38 , 39 ]. This provided a framework for our two software developers to build features of the app that we anticipated HBB trainers and providers would request.…”

A Multi-Modal Intervention To Improve Hand Hygiene in The Health Care Facility and Home Environment During The Peri-Natal Period in Kampong Chhnang, Cambodia: A Controlled Before-And-After Feasibility Study

“…Our study employed a one-time onsite training to midwives, delivered remotely over 3 days at the start of the 6month intervention. However, multiple targeted, repetitive short on-site training sessions delivered in appropriately spaced time periods focusing on practical skill development and application have been associated with improvements in HCW knowledge and skills competency compared to the traditional concentrated one-time training approaches and has been shown to be effective in multiple LMIC context (52)(53)(54)(55).…”