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Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India
BACKGROUND: Digital learning tools have proliferated among healthcare workers in India. Evidence of their effectiveness is however minimal. We sought to examine the impact of the Safe Delivery App (SDA) on knowledge and confidence among frontline health workers (HW) in India. We also studied whether...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9480723/ https://www.ncbi.nlm.nih.gov/pubmed/36119198 http://dx.doi.org/10.4103/jfmpc.jfmpc_1531_21 |
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author | Sarin, Enisha Dastidar, Sourav Ghosh Bisht, Nitin Bajpayee, Devina Patel, Rachana Sodha, Tarun Singh Bhandari, Aditya Mohanty, Jaya Swarup Dey, Surajit Chandra, Subodh Agrawal, Ritu Saboth, Prasant Kumar, Harish |
author_facet | Sarin, Enisha Dastidar, Sourav Ghosh Bisht, Nitin Bajpayee, Devina Patel, Rachana Sodha, Tarun Singh Bhandari, Aditya Mohanty, Jaya Swarup Dey, Surajit Chandra, Subodh Agrawal, Ritu Saboth, Prasant Kumar, Harish |
author_sort | Sarin, Enisha |
collection | PubMed |
description | BACKGROUND: Digital learning tools have proliferated among healthcare workers in India. Evidence of their effectiveness is however minimal. We sought to examine the impact of the Safe Delivery App (SDA) on knowledge and confidence among frontline health workers (HW) in India. We also studied whether facilitation to address technical challenges enhanced self-learning. METHODS: Staff nurses and nurse-midwives from 30 facilities in two states were divided into control and intervention groups through randomization. Knowledge and confidence were assessed at baseline and after 6 months. Three rounds of facilitation addressing technical challenges in downloading and usage along with reminders about the next phase of learning were conducted in the intervention group. A user satisfaction scale along with qualitative interviews was conducted in the intervention group at the endline along with qualitative interviews on facilitation. RESULTS: The knowledge and confidence of the healthcare workers significantly increased from the baseline to endline by 4 percentage points (P < 0.001). The participants who received facilitation had a higher mean score difference in knowledge and confidence compared to those who did not receive facilitation (P < 0.001). The participants were highly satisfied with the app and video was the most-watched feature. They reported a positive experience of the facilitation process. CONCLUSION: The effectiveness and acceptability of the SDA indicate the applicability of mHealth learning tools at the primary healthcare level. In a time of rapid digitalization of training, facilitation or supportive supervision needs further focus while on-ground digital training could be invested in to overcome digital illiteracy among healthcare workers. |
format | Online Article Text |
id | pubmed-9480723 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-94807232022-09-17 Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India Sarin, Enisha Dastidar, Sourav Ghosh Bisht, Nitin Bajpayee, Devina Patel, Rachana Sodha, Tarun Singh Bhandari, Aditya Mohanty, Jaya Swarup Dey, Surajit Chandra, Subodh Agrawal, Ritu Saboth, Prasant Kumar, Harish J Family Med Prim Care Original Article BACKGROUND: Digital learning tools have proliferated among healthcare workers in India. Evidence of their effectiveness is however minimal. We sought to examine the impact of the Safe Delivery App (SDA) on knowledge and confidence among frontline health workers (HW) in India. We also studied whether facilitation to address technical challenges enhanced self-learning. METHODS: Staff nurses and nurse-midwives from 30 facilities in two states were divided into control and intervention groups through randomization. Knowledge and confidence were assessed at baseline and after 6 months. Three rounds of facilitation addressing technical challenges in downloading and usage along with reminders about the next phase of learning were conducted in the intervention group. A user satisfaction scale along with qualitative interviews was conducted in the intervention group at the endline along with qualitative interviews on facilitation. RESULTS: The knowledge and confidence of the healthcare workers significantly increased from the baseline to endline by 4 percentage points (P < 0.001). The participants who received facilitation had a higher mean score difference in knowledge and confidence compared to those who did not receive facilitation (P < 0.001). The participants were highly satisfied with the app and video was the most-watched feature. They reported a positive experience of the facilitation process. CONCLUSION: The effectiveness and acceptability of the SDA indicate the applicability of mHealth learning tools at the primary healthcare level. In a time of rapid digitalization of training, facilitation or supportive supervision needs further focus while on-ground digital training could be invested in to overcome digital illiteracy among healthcare workers. Wolters Kluwer - Medknow 2022-06 2022-06-30 /pmc/articles/PMC9480723/ /pubmed/36119198 http://dx.doi.org/10.4103/jfmpc.jfmpc_1531_21 Text en Copyright: © 2022 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Sarin, Enisha Dastidar, Sourav Ghosh Bisht, Nitin Bajpayee, Devina Patel, Rachana Sodha, Tarun Singh Bhandari, Aditya Mohanty, Jaya Swarup Dey, Surajit Chandra, Subodh Agrawal, Ritu Saboth, Prasant Kumar, Harish Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India |
title | Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India |
title_full | Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India |
title_fullStr | Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India |
title_full_unstemmed | Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India |
title_short | Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India |
title_sort | safe delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9480723/ https://www.ncbi.nlm.nih.gov/pubmed/36119198 http://dx.doi.org/10.4103/jfmpc.jfmpc_1531_21 |
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