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dc.contributor.authorVinayak, Sudhir
dc.contributor.authorTemmerman, Marleen
dc.contributor.authorVilleirs, Geert
dc.contributor.authorBrownie, Sharon M
dc.date.accessioned2021-11-02T06:08:40Z
dc.date.available2021-11-02T06:08:40Z
dc.date.issued2021
dc.identifier.issn1178-2390
dc.identifier.doi10.2147/JMDH.S331371
dc.identifier.urihttp://hdl.handle.net/10072/409689
dc.description.abstractIn many low-resource settings, less than 5% of pregnant women can access ultrasound during pregnancy. Thus, gestational age is often difficult to determine, multiple pregnancies are diagnosed late and foetal and pregnancy-related anomalies can go undetected. A pilot solution was designed beyond the traditional approach of increasing numbers of qualified radiologists, gynaecologists and sonographers. An innovative Human Resource for Health (HRH) task sharing, and maternal child health (MCH) workforce training and capacity building initiative was designed, involving development and testing of a curriculum to train midwife sonographers via a teleradiology innovation platform and a partnership between specialist radiologists, sonographers and midwives. The setting was a tertiary-level private university hospital in Nairobi with implementation in three outreach locations. Direct oversight, support and supervision of specialist radiologists and ultrasonographers effectively addressed issues of quality and safety across the 3-week training period and project implementation. Concepts from sociocultural learning theory informed an initial interactive e-learning module for each midwife at their respective site. Midwives were introduced to ultrasound equipment with a series of didactic and interactive lectures delivered by an expert sonographer at the tertiary hospital teaching site. Lectures were supported by hands-on practical experience, role modelling and mentoring over a four-week period. Assessments included both written examination and practical assessment with an exit examination requiring demonstration of competency in both written and practical format. Final confirmation of scanning accuracy was confirmed with post-delivery verification of results. The pilot was highly successful with an image interpretation accuracy of 99.63% for the midwives. Lessons from this initiative provides guidance in the curriculum development process along with a curriculum outline; pedagogical framework; teaching methods; assessment processes; credentialing; resourcing; and other considerations in scaling up the program. Importantly, the paper details processes for maintaining a high level of quality control and patient safety.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherInforma UK Limited
dc.relation.ispartofpagefrom2833
dc.relation.ispartofpageto2844
dc.relation.ispartofjournalJournal of Multidisciplinary Healthcare
dc.relation.ispartofvolume14
dc.subject.fieldofresearchMidwifery
dc.subject.fieldofresearchSpecialist studies in education
dc.subject.fieldofresearchcode4204
dc.subject.fieldofresearchcode3904
dc.subject.keywordsKenya
dc.subject.keywordscurriculum
dc.subject.keywordseducation
dc.subject.keywordsmaternal health services
dc.subject.keywordsmidwifery
dc.titleA Curriculum Model for Multidisciplinary Training of Midwife Sonographers in a Low Resource Setting
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationVinayak, S; Temmerman, M; Villeirs, G; Brownie, SM, A Curriculum Model for Multidisciplinary Training of Midwife Sonographers in a Low Resource Setting, Journal of Multidisciplinary Healthcare, 2021, 14, pp. 2833-2844
dcterms.dateAccepted2021-09-08
dcterms.licensehttps://creativecommons.org/licenses/by-nc/3.0/
dc.date.updated2021-10-25T21:52:44Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s) 2021. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.
gro.hasfulltextFull Text
gro.griffith.authorBrownie, Sharon M.


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