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Journal article
Knowledge acquisition and retention following Saving Children's Lives course for healthcare providers in Botswana: a longitudinal cohort study
BMJ open, Vol.9(8), e029575
01 Aug 2019
PMID: 31420392
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Millions 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.
76 participating centres who provide primary and secondary care in Kweneng District, Botswana.
Doctors 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.
Retrospective, 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.
211 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).
aHIT 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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Details
- Title
- Knowledge acquisition and retention following Saving Children's Lives course for healthcare providers in Botswana: a longitudinal cohort study
- Creators
- Peter Andrew Meaney - Children's Hospital of PhiladelphiaChristine Lynn Joyce - Cornell UniversitySegolame Setlhare - American Heart AssociationHannah E Smith - Children's Hospital of PhiladelphiaJanell L Mensinger - Biostatistics, Drexel University, Philadelphia, Pennsylvania, USABingqing Zhang - Children's Hospital of PhiladelphiaKitenge Kalenga - Kweneng District Health Management Team, Molepolole, Kweneng, BotswanaDavid Kloeck - University of the WitwatersrandThandie Kgosiesele - Ministry of HealthHaruna Jibril - Ministry of HealthLoeto Mazhani - University of BotswanaAllan de Caen - University of AlbertaAndrew P Steenhoff - Infectious Diseases, Global Health Center, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Publication Details
- BMJ open, Vol.9(8), e029575
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000502537200260
- Scopus ID
- 2-s2.0-85070830657
- Other Identifier
- 991021860793404721
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- Domestic collaboration
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- Web of Science research areas
- Medicine, General & Internal