Low-dose High-frequency Training of Facility Health Care Providers in Mali

Summary

This 3-arm cluster randomized trial (C-RCT) has the following objectives:

Primary Aim

To evaluate the effectiveness of an on-site case-based focused low-dose high-frequency training strategy in a primary health care facility labour room, during the provision of care to mothers and newborns, through childbirth and within seven days post-partum for the healthcare providers and the community health workers linked to the health facility in decreasing perinatal mortality.

Secondary Aims

To determine if introduction of an on-site case-based focused low-dose high-frequency training methodology in comparison to MNCH refresher training in a classroom setting reduces:

* Perinatal morbidity incidence
* Post-partum Hemorrhage

To determine if introduction of an on-site case-based focused low-dose high-frequency training methodology in comparison to MNCH refresher training in a classroom setting increases ENC practices:

* Early initiation and exclusive breast feeding
* Thermal protection (prevention of hypothermia)
* Clean cord care
* Delayed bathing
* Resuscitation-Initiation of breathing

To determine if introduction of a case-based focused low-dose high-frequency training methodology in comparison to MNCH refresher training in a classroom setting for CHWs decreases:

* Delayed Identification of danger signs during pregnancy, labour and perinatal period
* Delayed referral of complicated cases during pregnancy, labour and perinatal period

To determine the cost effectiveness of a case-based focused low-dose high-frequency training methodology in comparison to MNCH refresher training in a classroom setting

Conditions

• Perinatal Mortality

Interventions

OTHER

Usual Training

Training in a classroom setting of health care providers

OTHER

Audits + LDHF Training

Clinical audits followed by case-based low-dose high-frequency training

Sponsors & Collaborators

• Canadian Red Cross

  collaborator OTHER

• Global Affairs Canada

  collaborator OTHER

• Croix Rouge Malienne

  collaborator UNKNOWN

• University of the Sciences, Techniques and Technologies of Bamako

  collaborator OTHER

• Direction Nationale de la Santé Mali

  collaborator UNKNOWN

• The Hospital for Sick Children

  lead OTHER

Principal Investigators

• Diego G Bassani, Ph.D. · The Hospital for Sick Children

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2019-07-15

Primary Completion

2020-09-30

Completion

2020-10-30

Countries

• Mali

Study Locations