Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India
Background: Digital learning tools have proliferated among healthcare workers in India. Evidence of their effectiveness is however minimal. We sought to examine the impact of the Safe Delivery App (SDA) on knowledge and confidence among frontline health workers (HW) in India. We also studied whether...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=2695;epage=2708;aulast=Sarin |
| _version_ | 1818509374786633728 |
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| author | Enisha Sarin Sourav Ghosh Dastidar Nitin Bisht Devina Bajpayee Rachana Patel Tarun Singh Sodha Aditya Bhandari Jaya Swarup Mohanty Surajit Dey Subodh Chandra Ritu Agrawal Prasant Saboth Harish Kumar |
| author_facet | Enisha Sarin Sourav Ghosh Dastidar Nitin Bisht Devina Bajpayee Rachana Patel Tarun Singh Sodha Aditya Bhandari Jaya Swarup Mohanty Surajit Dey Subodh Chandra Ritu Agrawal Prasant Saboth Harish Kumar |
| author_sort | Enisha Sarin |
| collection | DOAJ |
| description | Background: Digital learning tools have proliferated among healthcare workers in India. Evidence of their effectiveness is however minimal. We sought to examine the impact of the Safe Delivery App (SDA) on knowledge and confidence among frontline health workers (HW) in India. We also studied whether facilitation to address technical challenges enhanced self-learning. Methods: Staff nurses and nurse-midwives from 30 facilities in two states were divided into control and intervention groups through randomization. Knowledge and confidence were assessed at baseline and after 6 months. Three rounds of facilitation addressing technical challenges in downloading and usage along with reminders about the next phase of learning were conducted in the intervention group. A user satisfaction scale along with qualitative interviews was conducted in the intervention group at the endline along with qualitative interviews on facilitation. Results: The knowledge and confidence of the healthcare workers significantly increased from the baseline to endline by 4 percentage points (P < 0.001). The participants who received facilitation had a higher mean score difference in knowledge and confidence compared to those who did not receive facilitation (P < 0.001). The participants were highly satisfied with the app and video was the most-watched feature. They reported a positive experience of the facilitation process. Conclusion: The effectiveness and acceptability of the SDA indicate the applicability of mHealth learning tools at the primary healthcare level. In a time of rapid digitalization of training, facilitation or supportive supervision needs further focus while on-ground digital training could be invested in to overcome digital illiteracy among healthcare workers. |
| first_indexed | 2024-12-10T22:44:40Z |
| format | Article |
| id | doaj.art-cc1cd7f8220046668827f4552f9d9a99 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-12-10T22:44:40Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-cc1cd7f8220046668827f4552f9d9a992022-12-22T01:30:38ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-011162695270810.4103/jfmpc.jfmpc_1531_21Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in IndiaEnisha SarinSourav Ghosh DastidarNitin BishtDevina BajpayeeRachana PatelTarun Singh SodhaAditya BhandariJaya Swarup MohantySurajit DeySubodh ChandraRitu AgrawalPrasant SabothHarish KumarBackground: Digital learning tools have proliferated among healthcare workers in India. Evidence of their effectiveness is however minimal. We sought to examine the impact of the Safe Delivery App (SDA) on knowledge and confidence among frontline health workers (HW) in India. We also studied whether facilitation to address technical challenges enhanced self-learning. Methods: Staff nurses and nurse-midwives from 30 facilities in two states were divided into control and intervention groups through randomization. Knowledge and confidence were assessed at baseline and after 6 months. Three rounds of facilitation addressing technical challenges in downloading and usage along with reminders about the next phase of learning were conducted in the intervention group. A user satisfaction scale along with qualitative interviews was conducted in the intervention group at the endline along with qualitative interviews on facilitation. Results: The knowledge and confidence of the healthcare workers significantly increased from the baseline to endline by 4 percentage points (P < 0.001). The participants who received facilitation had a higher mean score difference in knowledge and confidence compared to those who did not receive facilitation (P < 0.001). The participants were highly satisfied with the app and video was the most-watched feature. They reported a positive experience of the facilitation process. Conclusion: The effectiveness and acceptability of the SDA indicate the applicability of mHealth learning tools at the primary healthcare level. In a time of rapid digitalization of training, facilitation or supportive supervision needs further focus while on-ground digital training could be invested in to overcome digital illiteracy among healthcare workers.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=2695;epage=2708;aulast=Sarinfrontline healthcare workersindiamaternal and newborn healthmhealthsafe delivery app |
| spellingShingle | Enisha Sarin Sourav Ghosh Dastidar Nitin Bisht Devina Bajpayee Rachana Patel Tarun Singh Sodha Aditya Bhandari Jaya Swarup Mohanty Surajit Dey Subodh Chandra Ritu Agrawal Prasant Saboth Harish Kumar Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India Journal of Family Medicine and Primary Care frontline healthcare workers india maternal and newborn health mhealth safe delivery app |
| title | Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India |
| title_full | Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India |
| title_fullStr | Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India |
| title_full_unstemmed | Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India |
| title_short | Safe Delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in India |
| title_sort | safe delivery application with facilitation increases knowledge and confidence of obstetric and neonatal care among frontline health workers in india |
| topic | frontline healthcare workers india maternal and newborn health mhealth safe delivery app |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=2695;epage=2708;aulast=Sarin |
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