Accelerating newborn survival in Ghana through a low-dose, high-frequency health worker training approach: a cluster randomized trial.

ABSTRACT:

Background

Newborn deaths comprise nearly half of under-5 deaths in Ghana, despite the fact that skilled birth attendants (SBAs) are present at 68% of births, which implies that evidence-based care during labor, birth and the immediate postnatal period may be deficient. We assessed the effect of a low-dose, high-frequency (LDHF) training approach on long-term evidence-based skill retention among SBAs and impact on adverse birth outcomes.

Methods

From 2014 to 2017, we conducted a cluster-randomized trial in 40 hospitals in Ghana. Eligible hospitals were stratified by region and randomly assigned to one of four implementation waves. We assessed the relative risks (RRs) of institutional intrapartum stillbirths and 24-h newborn mortality in months 1-6 and 7-12 of implementation

SUBMITTER: Gomez PP 

PROVIDER: S-EPMC5863807 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature