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

October 29, 2023 updated by: Khim Bahadur Khadka, Ministry of Health Gandaki Province, Nepal

Effectiveness of Modular Skilled Birth Attendant Training to Improve the Competencies of Service Providers and Maternal Newborn Health in Nepal: A Randomized Control Pilot Trial

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.

Study Overview

Status

Active, not recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

200

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • Nepal
    • Gandaki
      • Pokhara, Gandaki, Nepal, 202001
        • Khim Bahadur Khadka

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: 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.
Behavioral: 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.
Active Comparator: 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.
Behavioral: 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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Effectiveness assessment of modular skilled birth attendant training package
Time Frame: "1 year"
The health workers who get new modular skill birth attendant training are expected to be more competent to provide midwifery services. Hence, this training is specifically targeted to improve midwifery knowledge, attitudes, and skills.
"1 year"

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cost-benefit analysis
Time Frame: "2 years"
The associated cost (monetary value) of the new modular and standard training will be calculated and compared with the effect (maternal and neonatal death reduction).
"2 years"

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Ministry of Health Gandaki Province, Nepal

Collaborators

Ludwig-Maximilians - University of Munich
Ministry of Health and Population, Nepal
Ministry of Social Development and Health, Gandaki Province, Nepal

Investigators

  • Principal Investigator: Khim Bahadur Khadka, MPH, MoHP, HD, Gandaki

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 15, 2023

Primary Completion (Estimated)

December 1, 2024

Study Completion (Estimated)

February 1, 2025

Study Registration Dates

First Submitted

May 1, 2023

First Submitted That Met QC Criteria

May 9, 2023

First Posted (Actual)

May 19, 2023

Study Record Updates

Last Update Posted (Actual)

October 31, 2023

Last Update Submitted That Met QC Criteria

October 29, 2023

Last Verified

October 1, 2023

More Information

Terms related to this study

Other Study ID Numbers

  • Gandaki_MNHstudy_2022_2025

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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