Jonathan Reisman1, Narra Martineau2, Allan Kairuki2, Victor Mponzi3, Amunga R Meda4, Kahabi G Isangula5, Erica Thomas3, Marya Plotkin3, Grace J Chan6, Leila Davids7, Georgina Msemo8, Mary Azayo8, Brett D Nelson9. 1. Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA. Electronic address: reisman.jonathan@gmail.com. 2. Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA. 3. Jhpiego, Dar es Salaam, Tanzania. 4. Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA; Muhimbili National Hospital, Dar es Salaam, Tanzania. 5. Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA; Triangle Solutions, Dar es Salaam, Tanzania. 6. Department of Pediatrics, Harvard Medical School, Boston, MA, USA; Division of Medical Critical Care, Boston Children's Hospital, Boston, MA, USA. 7. The Children's Investment Fund Foundation, London, UK. 8. Ministry of Health and Social Welfare, Dar es Salaam, Tanzania. 9. Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Abstract
OBJECTIVE: To validate a simplified objective structured clinical examination (OSCE) tool for evaluating the competency of birth attendants in low-resource countries who have been trained in neonatal resuscitation by the Helping Babies Breathe (HBB) program. METHODS: A prospective cross-sectional study of the OSCE tool was conducted among trained birth attendants working at dispensaries, health centers, or hospitals in five regions of Tanzania between October 1, 2013, and May 1, 2014. A 13-item checklist was used to assess clinical competency in a simulated newborn resuscitation scenario. The OSCE tool was simultaneously administered by HBB trainers and experienced external evaluators. Paired results were compared using the Cohen κ value to measure inter-rater reliability. Participant performance was rated by health cadre, region, and facility type. RESULTS: Inter-rater reliability was moderate (κ = 0.41-0.60) or substantial (κ = 0.61-0.80) for eight of the OSCE items; agreement was fair (κ = 0.21-0.41) for the remaining five items. The best OSCE performances were recorded among nurses and providers from facilities with high annual birth volumes. CONCLUSION: The simplified OSCE tool could facilitate efficient implementation of national-level HBB programs. Limitations in inter-rater reliability might be improved through additional training.
OBJECTIVE: To validate a simplified objective structured clinical examination (OSCE) tool for evaluating the competency of birth attendants in low-resource countries who have been trained in neonatal resuscitation by the Helping Babies Breathe (HBB) program. METHODS: A prospective cross-sectional study of the OSCE tool was conducted among trained birth attendants working at dispensaries, health centers, or hospitals in five regions of Tanzania between October 1, 2013, and May 1, 2014. A 13-item checklist was used to assess clinical competency in a simulated newborn resuscitation scenario. The OSCE tool was simultaneously administered by HBB trainers and experienced external evaluators. Paired results were compared using the Cohen κ value to measure inter-rater reliability. Participant performance was rated by health cadre, region, and facility type. RESULTS: Inter-rater reliability was moderate (κ = 0.41-0.60) or substantial (κ = 0.61-0.80) for eight of the OSCE items; agreement was fair (κ = 0.21-0.41) for the remaining five items. The best OSCE performances were recorded among nurses and providers from facilities with high annual birth volumes. CONCLUSION: The simplified OSCE tool could facilitate efficient implementation of national-level HBB programs. Limitations in inter-rater reliability might be improved through additional training.
Authors: Sumona Chaudhury; Lauren Arlington; Shelby Brenan; Allan Kaijunga Kairuki; Amunga Robson Meda; Kahabi G Isangula; Victor Mponzi; Dunstan Bishanga; Erica Thomas; Georgina Msemo; Mary Azayo; Alice Molinier; Brett D Nelson Journal: BMC Health Serv Res Date: 2016-12-01 Impact factor: 2.655
Authors: Mary Drake; Dunstan R Bishanga; Akwila Temu; Mustafa Njozi; Erica Thomas; Victor Mponzi; Lauren Arlington; Georgina Msemo; Mary Azayo; Allan Kairuki; Amunga R Meda; Kahabi G Isangula; Brett D Nelson Journal: BMC Pediatr Date: 2019-02-07 Impact factor: 2.125
Authors: Elaine L Sigalet; Dismas Matovelo; Jennifer L Brenner; Maendeleo Boniphace; Edgar Ndaboine; Lusako Mwaikasu; Girles Shabani; Julieth Kabirigi; Jaelene Mannerfeldt; Nalini Singhal Journal: BMJ Paediatr Open Date: 2020-12-07
Authors: Marya Plotkin; John George; Felix Bundala; Gaudiosa Tibaijuka; Lusekelo Njonge; Ruth Lemwayi; Mary Drake; Dunstan Bishanga; Barbara Rawlins; Rohit Ramaswamy; Kavita Singh; Stephanie Wheeler Journal: Int J Environ Res Public Health Date: 2020-03-16 Impact factor: 3.390
Authors: Kimberly P Brathwaite; Fiona Bryce; Laurel B Moyer; Cyril Engmann; Nana A Y Twum-Danso; Beena D Kamath-Rayne; Emmanuel K Srofenyoh; Sebnem Ucer; Richard O Boadu; Medge D Owen Journal: Resusc Plus Date: 2020-05-21