Satisfaction Clinical Trial
Official title:
A Comparative Study of Simulation-based Low-dose High Frequency (LDHF) Plus Mobile Mentoring (m-Mentoring) Versus Traditional Group-based Training Approaches Among Maternal and Newborn Healthcare Providers in Ebonyi and Kogi States, Nigeria
The aim of this study is to compare the effectiveness and cost of a simulation-based low dose
high frequency (LDHF) plus m-Mentoring training versus the traditional group-based training
approaches in improving knowledge and skill in maternal and newborn care and to determine
trainees' satisfaction with the approaches in Ebonyi and Kogi states.
The specific objectives are to:
1. Compare knowledge and skill learning outcomes between the two groups of birth attendants
trained through the simulation-based LDHF/m-Mentoring versus group-based training
approaches in Kogi and Ebonyi states over 12-months.
2. Assess the trainees' satisfaction with a simulation-based LDHF/m-Mentoring and
group-based training approaches in improving skills of birth attendants in the selected
facilities in Kogi and Ebonyi state over 12-months.
3. Determine the cost and cost-effectiveness of LDHF/m-Mentoring and group-based training
approaches in improving skills of birth attendants in the selected facilities in Kogi
and Ebonyi state over 12-months.
Simulation-based low dose high frequency (LDHF) training has emerged as a new strategy for
delivering key content and improving the competencies of health workers. In facility-based
driven simulation-based LDHF trainings, providers are not removed from clinical practice for
the extended periods of time, and a heavy emphasis is placed on simulation with practice and
feedback.
The Maternal and Child Survival Program (MCSP) in Nigeria is working in selected health
facilities in Ebonyi and Kogi States to improve the quality of care received by mothers and
newborns on the day of birth using high-impact evidence-based lifesaving interventions. The
simulation-based LDHF/m-Mentoring evaluation comparing it to the traditional group-based
training will contribute to the body of knowledge on this approach.
The study design is cluster randomized control trial. Sixty (60) health facilities will be
selected from the list of 120 facilities which are supported by MCSP and randomized to
intervention and control group. Selection will be based on caseload, level of service
delivery, and ownership. Thereafter, these will be randomly assigned to simulation-based
LDHF/m-Mentoring Group (intervention arm) or Group-Based Training Group (control arm).
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