Evidence map›Paper›PMID 26658095›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2016

Improvement and retention of emergency obstetrics and neonatal care knowledge and skills in a hospital mentorship program in Lilongwe, Malawi.

Jennifer H Tang, Charlotte Kaliti, Angela Bengtson, Sumera Hayat, Eveles Chimala, Rachel MacLeod, Stephen Kaliti, Fanny Sisya, Mwawi Mwale, Jeffrey Wilkinson

Abstract readEvaluation Study
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jennifer H TangDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA; University of North Carolina Project-Malawi, Lilongwe, Malawi. Electronic address: jennifer_tang@med.unc.edu.
Charlotte KalitiDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA; Maternity Unit, Bwaila Hospital, Lilongwe, Malawi.
Angela BengtsonUniversity of North Carolina Project-Malawi, Lilongwe, Malawi; Department of Epidemiology, University of North Carolina, Chapel Hill, NC, USA.
Sumera HayatDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.
Eveles ChimalaMaternity Unit, Bwaila Hospital, Lilongwe, Malawi.
Rachel MacLeodMaternity Unit, Bwaila Hospital, Lilongwe, Malawi; The Rose Project, Dublin, Ireland.
Stephen KalitiDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA; Maternity Unit, Bwaila Hospital, Lilongwe, Malawi.
Fanny SisyaMaternity Unit, Bwaila Hospital, Lilongwe, Malawi.
Mwawi MwaleMaternity Unit, Bwaila Hospital, Lilongwe, Malawi; Lilongwe District Health Office, Lilongwe, Malawi.
Jeffrey WilkinsonDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA; University of North Carolina Project-Malawi, Lilongwe, Malawi.

Funding

SUPPORTING THE SCALE-UP HIGH QUALITY HIV CARE AND TREATMENT PROGRAMS IN MALAWI U2GPS001965 · PS · UNIVERSITY OF MALAWI · PI KAMIZA, DR. STEVE · 2009 to 2014
$12.9M
Fogarty Global Health Fellows Coordinating CenterR25TW009340 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHI, BENJAMIN H. · 2012 to 2016
$6.9M
FIC NIH HHS 1R25TW09340-01FIC NIH HHS R25 TW009340NCHHSTP CDC HHS U2G PS001965PHS HHS CDC 3U2GPS001965-04
6 · The paper itself

Abstract

objectiveTo evaluate whether a hospital-based mentoring program could significantly increase short- and longer-term emergency obstetrics and neonatal care (EmONC) knowledge and skills among health providers.

methodsIn a prospective before-and-after study, 20 mentors were trained using a specially-created EmONC mentoring and training program at Bwaila Hospital in Lilongwe, Malawi. The mentors then trained an additional 114 providers as mentees in the curriculum. Mentors and mentees were asked to complete a test before initiation of the training (Pre-Test), immediately after training (Post-Test 1), and at least 6 months after training (Post-Test 2) to assess written and practical EmONC knowledge and skills. Mean scores were then compared.

resultsScores increased significantly between the Pre-Test and Post-Test 1 for both written (n=134; difference 22.9%, P<0.001) and practical (n=125; difference 29.5%, P<0.001) tests. Scores were still significantly higher in Post-Test 2 than in the Pre-Test for written (n=111; difference 21.0%, P<0.001) and practical (n=103; difference 29.3%, P<0.001) tests.

conclusionA hospital-based mentoring program can result in both short- and longer-term improvement in EmONC knowledge and skills. Further research is required to assess whether this leads to behavioral changes that improve maternal and neonatal outcomes.

Indexed as

AdultClinical CompetenceCurriculumEmergency Medical ServicesEmergency MedicineFemaleHospitalsHumansInfant, NewbornMalawiMaleMentorsObstetricsPerinatal CarePregnancyProgram EvaluationEmergency obstetricsMalawiMentoringSub-Saharan AfricaTraining

Identifiers

PMID26658095
PMCPMC4747673

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.