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

Ministry of Health Gandaki Province, Nepal

Status: Enrolling

Conditions: Cost-benefit Analysis of Modular Training; Competencies of Midwives

Treatments: Behavioral: Skill birth attendant training

Study type: Interventional

Funder types: Other

Identifiers

NCT05866016

Gandaki_MNHstudy_2022_2025

Details and patient eligibility

About

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.

Enrollment: 200 estimated patients

Sex: All

Ages: 21 to 60 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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200 participants in 2 patient groups

Skill birth attendants who trained on new modular training package

Experimental group

Description:

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.

Treatment:

Behavioral: Skill birth attendant training

Skill birth attendants who trained on existing standard training package

Active Comparator group

Description:

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.

Treatment:

Behavioral: Skill birth attendant training