Effect of Skill Birth Attendant Training to Improve the Competency of Service Providers

NCT ID: NCT05866016

Last Updated: 2024-12-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-15

Study Completion Date

2025-02-28

Brief Summary

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This clinical trial's primary goal is to compare birth attendants' competencies. It aims to answer the questions:

* Does the new modular training package enhance the competencies of skilled birth attendants?
* Does the competencies of skilled birth attendants relates to improving maternal and neonatal health outcomes in Nepal?
* Is this training module a cost-effective intervention?

Participants' knowledge, attitude, and skills will be assessed and it will be compared with standard training groups: Researchers will compare the competencies of birth attendants who receive modular training versus standard training to see if an increment in competencies is associated with maternal and neonatal health outcomes.

Detailed Description

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Conditions

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Competencies of Midwives Cost-benefit Analysis of Modular Training

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The competencies of skilled birth attendants who receive modular training will be compared with those of skilled birth attendants who receive existing standard training.
Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Caregivers Outcome Assessors
The outcomes assessor and care provider will be masked to minimize the biases. Trainers will be outcomes assessors and trainees who complete modular training and provide maternal and child health services are considered as care providers.

Study Groups

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Skill birth attendants who trained on new modular training package

Maternal and child health service providers (skilled birth attendants) will be trained using modular training that covers both theory and practical sessions on midwifery skills.

Auxiliary nurse midwives should complete modules 1, 2, and 3 whereas nurses will get modules 1, 2, 3, and 4.

The training will be implemented in National Health Training Center-accredited training sites/ hospitals.

Group Type EXPERIMENTAL

Skill birth attendant training

Intervention Type BEHAVIORAL

It is an intervention targeted to enhance the competencies of Maternal Neonatal Health (MNH) service providers (skilled birth attendants) in Nepal. It is a capacity-building intervention that is expected to contribute to reducing maternal and neonatal morbidities and mortalities by improving the midwifery competencies (knowledge, attitudes, and skills) of MNH service providers.

Skill birth attendants who trained on existing standard training package

Maternal and child health service providers (auxiliary nurse midwives and nurses) get training based on the existing standard skilled birth attendant training curriculum of Nepal. This is a two-month-long integrated skill birth attendant package implemented in National Health Training Center-accredited training sites.

The midwifery competencies of these service providers will be assessed and compared with the competencies of experimental groups.

Group Type ACTIVE_COMPARATOR

Skill birth attendant training

Intervention Type BEHAVIORAL

It is an intervention targeted to enhance the competencies of Maternal Neonatal Health (MNH) service providers (skilled birth attendants) in Nepal. It is a capacity-building intervention that is expected to contribute to reducing maternal and neonatal morbidities and mortalities by improving the midwifery competencies (knowledge, attitudes, and skills) of MNH service providers.

Interventions

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Skill birth attendant training

It is an intervention targeted to enhance the competencies of Maternal Neonatal Health (MNH) service providers (skilled birth attendants) in Nepal. It is a capacity-building intervention that is expected to contribute to reducing maternal and neonatal morbidities and mortalities by improving the midwifery competencies (knowledge, attitudes, and skills) of MNH service providers.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Health workers should be Auxiliary Nurse Midwives and Nurses working in birthing centers where at least 10 birth managed in the last year
* Health workers (Auxiliary Nurse Midwives and Nurses) who are committed to providing maternal and neonatal health services and priority for permanent service holders.
* Who passes at least the first module (Online module) to participate in modular training

Exclusion Criteria

* Health workers (Auxiliary Nurse Midwives ad Nurses) who do not provide maternal and neonatal health service
* Health workers other than Auxiliary Nurse Midwives and Nurses though they provide maternal neonatal health services in government health facilities
* Health workers working in private health facilities
Minimum Eligible Age

21 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ministry of Health and Population, Nepal

OTHER_GOV

Sponsor Role collaborator

Ludwig-Maximilians - University of Munich

OTHER

Sponsor Role collaborator

Ministry of Health Gandaki Province, Nepal

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Khim Bahadur Khadka, MPH

Role: PRINCIPAL_INVESTIGATOR

MoHP, HD, Gandaki

Locations

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Health Directorate

Pokhara, Gandaki, Nepal

Site Status RECRUITING

Khim Bahadur Khadka

Pokhara, Gandaki, Nepal

Site Status RECRUITING

Countries

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Nepal

Central Contacts

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Khim Bahadur Khadka, MPH

Role: CONTACT

9856065453

Facility Contacts

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Khim Bahadur Khadka, MPH

Role: primary

+977 9856065453

Other Identifiers

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Gandaki_MNHstudy_2022_2025

Identifier Type: -

Identifier Source: org_study_id