Uptake of Training on Vscan by Midlevel Providers Working in Rural Health Facilities in Tanzania: Implications for Reliability
|Selemani Mbuyita1*, Robert Tillya1, Ritha Godfrey1, Uzzell Janeen2, Kallol Mukherji2, Amon Exavery1 and Godfrey Mbaruku1|
|1Ifakara Health Institute, P.O. Box 78373, Kiko Avenue, Mikocheni, Dar Es Salaam, Tanzania|
|2GE Healthcare, 5 Roman Ridge, Accra, Ghana|
|Corresponding Author :||Selemani Mbuyita
Ifakara health Institute, P.O. Box 78373
Kiko Avenue, Mikocheni, Tanzania
Tel: +255 784 653 222
Fax: +255 232 333 487
E-mail: [email protected]
|Received June 19, 2014; Accepted November 11, 2014; Published November 25, 2014|
|Citation: Mbuyita S, Tillya R, Godfrey R, Janeen U, Mukherji K, et al. (2014) Uptake of Training on Vscan by Midlevel Providers Working in Rural Health Facilities in Tanzania: Implications for Reliability. J Biosafety Health Educ 2:123. doi:10.4172/2332-0893.1000123|
|Copyright: © 2014 Mbuyita S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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For decades now maternal mortality has remained high especially in developing countries. Reasons for these deaths are many but mainly due to health system failures such as critical shortages of health work force and limited use of appropriate technologies in service rendering among others.
New innovations are produced to reduce maternal mortality. One such innovation is the use of a hand held portable ultrasound called Vscan. However, while the Vscan is simplified to suit different contexts, availability of experts to manage and conduct scanning in rural health facilities is limited. Training of the available non clinician and midlevel health providers is one of the available options.
We conducted a study to ascertain if midlevel health providers working in rural settings in Tanzania can be trained and provide ultrasound scanning services using the Vscan in routine antenatal clinics.
We used a mix of training methods including presentations, lectures, group discussions, demonstration and hands on sessions to conduct the study.
Results showed that, despite the technology being sophisticated, the uptake of knowledge by the trainees was strongly satisfactory. Using the pre and post-tests method, there was a significant change in knowledge of the trainees when comparing their basic knowledge on radiology, sonology and pregnancy related complication detection and diagnosis that they had before training and after training. On the other hand, no statistical significant difference was noted in knowledge uptake and translating the knowledge in practice between the different cadres of the midlevel providers involved in the training. The quality of scanning using the Vscan between the trainees and those of expert sonologists was 77% compatible.
The study concludes that, it is possible to train health providers to conduct routine scanning using Vscan at primary health facility level and produce quality scans and correct diagnosis similar to that of expert sonologist.