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Allott, Helen, Smith, Alan, White, Sarah 
ORCID: https://orcid.org/0000-0001-5535-8075, Nyaoke, Irene, Evans, Ogoti, Oduor, Michael Oriwo, Karangau, Steven, Sawe, Sheila, Shaaban, Nassir, Ephraim, Ochola and Ameh, Charles Anawo
(2025)
'Improving capacity for advanced training in obstetric surgery: evaluation of a blended learning approach'. BMC Medical Education, Vol 25, Issue 1, p. 80.
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12909_2025_Article_6660.pdf - Published Version Available under License Creative Commons Attribution Non-commercial No Derivatives. Download (898kB) | Preview |
Abstract
Background
Significant differences in outcomes for mothers and babies following obstetric surgical interventions between low- and middle-income countries and high-income settings have demonstrated a need for improvements in quality of care and training of obstetric surgical and anaesthetic providers. To address this, a five-day face-to-face training intervention was developed. When roll-out was disrupted by the COVID-19 pandemic, the course was redesigned for delivery by blended learning.
Methods
This 3-part blended-learning course (part-1: 15 h self-directed online learning, part-2: 13 h facilitated contemporaneous virtual workshops and part-3: 10 h face-to-face delivery), was conducted in Kenya. We assessed the completion rate of part-1 (21 assignments), participation rate in parts 2 and 3, participant satisfaction and change in knowledge and skills. Additionally, we compared the cost of the blended delivery to the 5-day face-to-face delivery, in GB pounds.
Results
Sixty-five doctors participated in part 1, with 53 completing at least 90% of the assignments. Sixty doctors participated in part 2, and 53 participated in part 3. All participants who completed an evaluation reported (n = 53) that the training was relevant, useful and would lead to changes in their clinical practice. Mean (SD) knowledge score improved from 64% (7%) to 80% (8%) and practical skills from 44% (14%) to 87% (7%). The blended course achieved a cost-saving of £204 per participant compared to the 5-day face-to-face delivery approach.
Conclusion
We have demonstrated that a blended learning approach to clinical training in a low-resource setting is feasible, acceptable and cost effective. More studies are required to investigate the effectiveness of this approach on health outcomes.
| Item Type: | Article |
|---|---|
| Subjects: | WY Nursing > WY 157 Obstetrical nursing. Nurse midwifery WY Nursing > WY 157.3 Maternal-child nursing. Neonatal nursing. Perinatal nursing |
| Faculty: Department: | Clinical Sciences & International Health > International Public Health Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1186/s12909-025-06660-7 |
| SWORD Depositor: | JISC Pubrouter |
| Depositing User: | JISC Pubrouter |
| Date Deposited: | 13 Feb 2025 13:59 |
| Last Modified: | 13 Feb 2025 13:59 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/26017 |
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