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

NCT05866016 | Recruiting DMC

• 1 other identifier: Gandaki_MNHstudy_2022_2025
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 2

Brief Summary

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.

Conditions

Competencies of Midwives; Cost-benefit Analysis of Modular Training

Outcome Measures

Primary Outcomes (1)

• Effectiveness assessment of modular skilled birth attendant training package

  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 Outcomes (1)

• Cost-benefit analysis

  "2 years"

Study Arms (2)

Skill birth attendants who trained on new modular training package

EXPERIMENTAL

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

Skill birth attendants who trained on existing standard training package

ACTIVE COMPARATOR

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

Interventions

Skill birth attendant training 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; Skill birth attendants who trained on new modular training package

Eligibility Criteria

• Age: 21 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Ministry of Health Gandaki Province, Nepal: lead
• Ministry of Health and Population, Nepal: collaborator
• Ludwig-Maximilians - University of Munich: collaborator

Study Sites (2)

Health Directorate

Pokhara, Gandaki, 000, Nepal

RECRUITING

Khim Bahadur Khadka

Pokhara, Gandaki, 202001, Nepal

RECRUITING

Study Officials

• Khim Bahadur Khadka, MPH

  MoHP, HD, Gandaki

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Khim Bahadur Khadka, MPH

CONTACT

9856065453; khimkhadka2012@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: CARE PROVIDER, OUTCOMES ASSESSOR
• Masking Details: 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.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Model Details: The competencies of skilled birth attendants who receive modular training will be compared with those of skilled birth attendants who receive existing standard training.

Study Record Dates

• First Submitted: May 1, 2023
• First Posted: May 19, 2023
• Study Start: June 15, 2023
• Primary Completion: December 1, 2024
• Study Completion: February 1, 2025
• Last Updated: December 3, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

NE (2)