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Basic emergency care course and longitudinal mentorship completed in a rural Neno District, Malawi: A feasibility, acceptability, and impact study

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  • Brown David Khongo
  • Kelly Schmiedeknecht
  • Moses Banda Aron
  • Prisca Nelisa Nyangulu
  • Wellington Mazengera
  • Enoch Ndarama
  • Andrea G Tenner
  • Kimberly Baltzell
  • Emilia Connolly

Abstract

Background: Frontline providers mostly outside specific emergency areas deliver emergency care around the world, yet often they do not receive dedicated training in managing emergency conditions. When designed for low-resource settings, emergency care training has been shown to improve provider skills, facilitate efficient use of available resources, and reduce death and disability by ensuring timely access to life-saving care. Methods: The WHO/ICRC Basic Emergency Care (BEC) Course with follow up longitudinal mentorship for 6 months was implemented in rural Neno District Malawi from September 2019-April 2020. We completed a mixed-methods analysis of the course and mentorship included mentor and participant surveys and feedback, mentorship quantification, and participant examination results. Simple descriptive statistics and boxplot visuals were used to describe participant demographics and mentorship quantification with a Wilcoxon signed-rank test to evaluate pre- and post-test scores. Qualitative feedback from participants and mentors were inductively analyzed using Dedoose. Results: The median difference of BEC course examination percentage score between participants before the BEC course and immediately following the course was 18.0 (95% CI 14.0–22.0; p

Suggested Citation

  • Brown David Khongo & Kelly Schmiedeknecht & Moses Banda Aron & Prisca Nelisa Nyangulu & Wellington Mazengera & Enoch Ndarama & Andrea G Tenner & Kimberly Baltzell & Emilia Connolly, 2023. "Basic emergency care course and longitudinal mentorship completed in a rural Neno District, Malawi: A feasibility, acceptability, and impact study," PLOS ONE, Public Library of Science, vol. 18(2), pages 1-17, February.
    • Handle: RePEc:plo:pone00:0280454
    DOI: 10.1371/journal.pone.0280454
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    References listed on IDEAS

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    1. Andrea G Tenner & Hendry R Sawe & Stas Amato & Joseph Kalanzi & Muhumpu Kafwamfwa & Heike Geduld & Nikki Roddie & Teri A Reynolds, 2019. "Results from a World Health Organization pilot of the Basic Emergency Care Course in Sub Saharan Africa," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-11, November.
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