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Peer Learning and HBB in Managing Maternal Newborn and Child Health Emergencies in Rural Uganda

Not Applicable
Conditions
Maternal, Newborn and Child Health Emergencies
Interventions
Other: Peer learning
Registration Number
NCT03252275
Lead Sponsor
Mbarara University of Science and Technology
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)

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
77
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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
InterventionPeer learningStandard HBB and ECEB training with peer learning
Primary Outcome Measures
NameTimeMethod
Skills on key maternal, newborn and child health emergency proceduresChange 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 Outcome Measures
NameTimeMethod
Clinical teamwork scoresChange 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

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