Clinical trial NCT03252275: Peer Learning and HBB in Managing Maternal Newborn and Child Health Emergencies in Rural Uganda
Official title: Use of Simulation Based Education With Peer Learning to Enhance HBB Training for Managing Maternal Newborn and Child Health Emergencies in Rural Uganda: A Cluster-randomized Trial
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Maternal, Newborn and Child Health Emergencies
Lead sponsor: Mbarara University of Science and Technology
Sponsor class: OTHER
Collaborators: name: University of Calgary
First posted: 2017-08-17
Enrollment: 77
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: We will conduct a parallel comparison of intervention and control arms to measure study endpoints
Primary purpose: OTHER

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)

Eligibility criteria: 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

Primary outcomes:
measure: Skills on key maternal, newborn and child health emergency procedures
timeFrame: Change in skills scores at 6 and 12 months from Baseline
Secondary outcomes:
measure: Clinical teamwork scores
timeFrame: Change in CTS scores at 6 and 12 months from Baseline
Other outcomes:
Locations:
Study officials:
affiliation: Mbarara University of Science and Technology
name: Santorini Data, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Data S, Mirette D, Cherop M, Bajunirwe F, Kyakwera C, Robinson T, Josephine NN, Abesiga L, Namata T, Brenner JL, Singhal N, Twine M, Wishart I, McIntosh H, Cheng A. Peer Learning and Mentorship for Neonatal Management Skills: A Cluster-Randomized Trial. Pediatrics. 2022 Aug 1;150(2):e2021054471. doi: 10.1542/peds.2021-054471.