An interventional study of Low dose high frequency health worker training approach and Active Comparison in Stillbirth and Neonatal Death, sponsored by Jhpiego. Completed. Per ClinicalTrials.gov, last updated 2017-09-25.
Sponsored by Jhpiego · Not applicable, Interventional, and Health services research
This study assesses the effect of a low-dose, high-frequency training approach on long-term evidence-based skill retention among skilled birth attendants and impact on adverse birth outcomes at hospitals in Ghana.
In-service training for skilled birth attendants (SBAs) is one of the most common interventions to address lack of knowledge and skills. However, these training interventions are seldom evaluated for effectiveness in improving learning or performance.
This study study is a cluster-randomized waitlist trial implemented in 40 public and mission hospitals in Ghana. It assesses the effect of a low-dose, high-frequency (LDHF) training approach to update hospital-based SBAs in key evidence-based intrapartum and immediate newborn care practices, using current global guidelines.The LDHF approach includes two 4-day onsite sessions (low dose) with weekly practice sessions, SMS quizzes and reminders, and mentoring via mobile phone and onsite visits between trainings (high frequency). The low-dose sessions include competency acquisition through simulation, case-based learning, and small content packages spread over short time intervals.
Eligible hospitals will be stratified by geographic region and caseload, and then randomly assigned to one of four implementation waves. The pipeline randomization allows for rigorous evaluation while the program is rolled out to all facilities.
121 studies on the registry are indexed under Stillbirth; 34 are open to participants now.
This study's enrollment of 40 is below the median of 476 across 65 interventional studies indexed under Stillbirth.
Browse Stillbirth studies →Jhpiego is the lead sponsor of 32 studies on the registry; 1 is open to participants now.
Counted across the registry records on this site, refreshed daily.
INCLUSION CRITERIA - FACILITIES:
EXCLUSION CRITERIA - FACILITIES:
INCLUSION CRITERIA - SERVICE PROVIDERS:
* Health providers who attend births in participating health facilities and consent to be assessed at the time of enrollment and at several points in time over the study period
EXCLUSION CRITERIA - SERVICE PROVIDERS:
* Health providers who decline to participate
Low-dose high-frequency health worker training approach to update skilled birth attendants in key evidence-based intrapartum and immediate newborn care practices
Behavioral: Low dose high frequency health worker training approach
Training on data collection and reporting
Behavioral: Active Comparison
* Two 4-day training sessions for skilled birth attendants * 1-day peer practice coordinator training after first training session * Weekly, peer-led practice sessions using MamaNatalie® and NeoNatalie™ anatomic models * SMS reminder messages and quizzes * Routine telephone calls between master mentors and peer practice coordinators, and between project staff and master mentors * Health information officer training * Data collection and use training * Supply of simulators, newborn resuscitation equipment, and delivery sets
Training on data collection and reporting
institutional twenty-four hour newborn mortality rate
death within 24 hours, or before discharge, of a newborn who breathed at birth
Time frame: 1 day
institutional intrapartum stillbirth rate
proportion of all facility births that resulted in intrapartum stillbirth
Time frame: 1 day
skilled birth attendant knowledge and skills
score on written and practical examinations on routine and emergency obstetric and newborn care
Time frame: Pre-test (before training) - post-test (immediately after training) - endline (12 months)
No study locations are listed for this record.
Plan to share: No
Ran from Sep 2014 to primary completion in Feb 2017, 29 months.
Of 25 interventional studies with no phase under Stillbirth, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 31. This study's 29 months is above that.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Sep 2017. You cannot join it, but the record below documents what was studied.
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