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Telementoring initiative for newborn care providers in Kenya, Pakistan and Tanzania
Hasan S Merali1, Maryam Hemed2, Andrew M Fernando3
1Department of Pediatrics, McMaster Children's Hospital, Hamilton, ON, Canada.
Insights
Telementoring significantly improved newborn care knowledge in Kenya, Pakistan, and Tanzania. Successful programs require local support, existing structures, and appropriate technology for neonatal health education.
Area of Science:
- Global Health
- Medical Education
- Neonatal Care
Background:
- Neonatal mortality remains a significant global health challenge.
- Limited access to specialized training hinders effective neonatal care in many regions.
- UNICEF and the American Academy of Pediatrics initiated a telementoring project to address these gaps.
Purpose of the Study:
- To evaluate the effectiveness of a telementoring program in improving neonatal care knowledge and practices.
- To identify key factors contributing to the success of telementoring initiatives in resource-limited settings.
Main Methods:
- Development of a 12-session individualized telementoring curriculum based on site visits and needs assessments.
- Implementation of the program in Kenya, Pakistan, and Tanzania.
- Post-program surveys and focus group discussions with participants, administrators, and UNICEF staff.
Main Results:
- Participants reported enhanced knowledge and improved newborn care skills.
- Qualitative analysis revealed critical success factors: strong local buy-in, integration with existing training frameworks, and attention to technological requirements.
- Telementoring demonstrated flexibility and accessibility compared to traditional in-person training.
Conclusions:
- Telementoring is a potent tool for neonatal education, offering greater flexibility and accessibility.
- The project's success factors provide a model for scaling telementoring initiatives, especially relevant during periods of physical distancing.
- This approach holds significant potential for global neonatal mortality reduction efforts.
Objectives:
To support governments' efforts at neonatal mortality reduction, UNICEF and the American Academy of Pediatrics launched a telementoring project in Kenya, Pakistan and Tanzania.
Methods:
In Fall 2019, an individualised 12-session telementoring curriculum was created for East Africa and Pakistan after site visits that included care assessment, patient data review and discussion with faculty and staff. After the programme, participants, administrators and UNICEF staff were surveyed and participated in focus group discussions.
Results:
Participants felt the programme improved knowledge and newborn care. Qualitative analysis found three common themes of successful telementoring: local buy-in, use of existing training or clinical improvement structures, and consideration of technology needs.
Conclusions:
Telementoring has potential as a powerful tool in newborn education. It offers more flexibility and easier access than in-person sessions. This project has the potential for scale-up, particularly when physical distancing and travel restrictions are the norm.
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