ArticleHuman resources for health2021
The effect of an mLearning application on nurses' and midwives' knowledge and skills for the management of postpartum hemorrhage and neonatal resuscitation: pre-post intervention study.
Article in Human resources for health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Effectiveness of Low-cost, Technology-enhanced Simulation Training for Healthcare Training in Low-and Middle-income Countries (LMICs): A Systematic Literature Review.Journal of general internal medicine · 2025Pooled it
- The impact of the Safe Delivery Application on knowledge and skills managing postpartum haemorrhage in a low resource setting: a cluster randomized controlled trial in West Wollega region, Ethiopia.Reproductive health · 2023Trial
- Article
- From face-to-face to e-learning: transitioning to new training models to strengthen the health system by supporting primary healthcare workers in low- and middle-income countries.BMJ global health · 2026Article
- The effectiveness of the post-caesarean section home care guide in increasing the knowledge of nurse midwives in central Tanzania.Frontiers in global women's health · 2026Article
- Digital Health Interventions in Emergency Obstetric and Newborn Care Services in Low- and Middle-Income Countries: Scoping Review.Journal of medical Internet research · 2025Article
- Informatics Interventions for Maternal Morbidity: Scoping Review.Interactive journal of medical research · 2025Review
- Evaluation of discharge training given by nurses to postpartum mothers to artificial intelligence: an alternative approach to health care.BMC nursing · 2025Article
- Transforming Postpartum Care: The Efficacy of Simulation Training in Hemorrhage Management Among Nurses.Healthcare (Basel, Switzerland) · 2025Article
- The effect of using case-based educational program on clinical knowledge of early postpartum hemorrhage among novice midwives in 2024.Journal of education and health promotion · 2025Article
- The impact of educational interventions on the competence of nurses and midwives in neonatal resuscitation in sub-Saharan Africa: A systematic review.Journal of public health in Africa · 2025Review
- Evaluation of The Utilization of The iPosyandu Application in Enhancing Midwives' Competence in Early Pregnancy Detection Services: Mixed Methods Study.International journal of women's health · 2025Article
- Quantitative prediction of postpartum hemorrhage in cesarean section on machine learning.BMC medical informatics and decision making · 2024Article
- Using eLearning to improve and retain the knowledge of community health workers in maternal and neonatal health in Rwanda: A cohort study.Public health challenges · 2024Article
- Use of digital technologies for staff education and training programmes on newborn resuscitation and complication management: a scoping review.BMJ paediatrics open · 2024Article
- Quality assessment of mobile applications on postpartum hemorrhage management.Revista da Escola de Enfermagem da U S P · 2024Article
- An E-Learning Program for Continuing Midwifery Education on Handling High-Risk Abuse Cases: A Pretest-Posttest Design.International journal of environmental research and public health · 2023Article
- Training a Continent: A Process Evaluation of Virtual Training on Infection Prevention and Control in Africa During COVID-19.Global health, science and practice · 2023Article
- The impact of training chemotherapy safety standards with a smartphone application on the knowledge, attitude, and performance of nurses.BMC nursing · 2023Article
- Healthcare Workers' Perspectives of mHealth Adoption Factors in the Developing World: Scoping Review.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 4 countries.
Funding
Abstract
backgroundGlobally, mobile learning (mLearning) tools have attracted considerable attention as a means of continuous training for healthcare workers. Rwanda like other low-resource settings with scarce in-service training opportunities requires innovative approaches that adapt technology to context to improve healthcare workers' knowledge and skills. One such innovation is the safe delivery application (SDA), a smartphone mLearning application for Basic Emergency Obstetric and Neonatal Care (BEmONC) content. This study assessed the effect of the SDA intervention on nurses' and midwives' knowledge and skills for the management of postpartum hemorrhage (PPH) and neonatal resuscitation (NR).
methodsThe study used a pre-post test design to compare knowledge and skills of nurses and midwives in the management of PPH and NR at two measurement points: immediately prior to SDA intervention and after 6 months of SDA intervention. The intervention took place in two district hospitals in Rwanda and included 54 participants. A paired-sample t-test was used to measure the pre-post intervention, mean knowledge and skills scores differences. Confidence intervals (CIs) and effect size were calculated. A t-test and a one-way Anova were used to test for potential confounders.
resultsThe analysis included 54 participants. Knowledge scores and skills scores on PPH management and NR increased significantly from baseline to endline measurements. The mean difference for PPH knowledge is 17.1 out of 100; 95% CI 14.69 to 19.49 and 2.6% for PPH skills; 95% CI 1.01 to 4.25. The mean difference for NR knowledge is 19.1 out of 100; 95% CI 16.31 to 21.76 and 5.5% for NR skills; 95% CI 3.66 to 7.41. Increases were unaffected by participants' attendance to in-service training 6 months prior and during SDA intervention and previous smartphone use. However, pre- and post-intervention skills scores were significantly different by years of experience in obstetric care.
conclusionThe SDA intervention improved the knowledge and skills of nurses and midwives on the management of PPH and NR as long as 6 months after SDA introduction. The results are highly relevant in low-income countries like Rwanda, where quality of delivery care is challenged by a lack of in-service continuous training for healthcare providers.
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Registered trials
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.