ArticleBMJ open2019
Knowledge acquisition and retention following Saving Children's Lives course for healthcare providers in Botswana: a longitudinal cohort study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- WhatsApp-Supported Teledentistry to Reinforce Oral Health Promotion Among Older Adults Residing in Rural and Urban Areas: Randomized Controlled Trial.JMIR mHealth and uHealth · 2026Trial
- Educational Animation Video Improves Knowledge and Health-Seeking Behavior in Women With Urinary Incontinence: A Randomized Controlled Trial.Neurourology and urodynamics · 2026Trial
- Effects of a Menstrual Health Education Intervention on Female Athletes' Knowledge and Communication.Sports (Basel, Switzerland) · 2026Article
- Development and implementation of a modified IMEGH Paediatric Advanced Life Support course in a low-resource setting.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- The Impact of integrated management of childhood illness training on knowledge levels of healthcare workers in Botswana.PLOS global public health · 2025Article
- Implementing adaptive e-learning for newborn care in Tanzania: an observational study of provider engagement and knowledge gains.BMJ open · 2024Observational
- Health-related reasons patients transfer from a clinic or health post to the Emergency Department in a District Hospital in Botswana.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Unresolved Issues in Implementing Integrated Management of Childhood Illness (IMCI) Approach.International journal of health policy and management · 2021Article
- Knowledge acquisition and retention after a high flow training programme in Peru: a quasi-experimental single group pre-post design.BMJ open · 2020Article
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Authors and funding
13 authors.
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Abstract
objectivesMillions of children die every year from serious childhood illnesses. Most deaths are avertable with access to quality care. Saving Children's Lives (SCL) includes an abbreviated high-intensity training (SCL-aHIT) for providers who treat serious childhood illnesses. The objective of this study was to examine the impact of SCL-aHIT on knowledge acquisition and retention of providers.
setting76 participating centres who provide primary and secondary care in Kweneng District, Botswana.
participantsDoctors and nurses expected by the District Health Management Team to provide initial care to seriously ill children, completed SCL-aHIT between January 2014 and December 2016, submitted demographic data, course characteristics and at least one knowledge assessment.
methodsRetrospective, cohort study. Planned and actual primary outcome was adjusted acquisition (change in total knowledge score immediately after training) and retention (change in score at 1, 3 and 6 months), secondary outcomes were pneumonia and dehydration subscores. Descriptive statistics and linear mixed models with random intercept and slope were conducted. Relevant institutional review boards approved this study.
results211 providers had data for analysis. Cohort was 91% nurses, 61% clinic/health postbased and 45% pretrained in Integrated Management of Childhood Illness (IMCI). A strong effect of SCL-aHIT was seen with knowledge acquisition (+24.56±1.94, p<0.0001), and loss of retention was observed (-1.60±0.67/month, p=0.018). IMCI training demonstrated no significant effect on acquisition (+3.58±2.84, p=0.211 or retention (+0.20±0.91/month, p=0.824) of knowledge. On average, nurses scored lower than physicians (-19.39±3.30, p<0.0001). Lost to follow-up had a significant impact on knowledge retention (-3.03±0.88/month, p=0.0007).
conclusionsaHIT for care of the seriously ill child significantly increased provider knowledge and loss of knowledge occurred over time. IMCI training did not significantly impact overall knowledge acquisition nor retention, while professional status impacted overall score and lost to follow-up impacted retention.
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