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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Use of Objective Structured Clinical Examination (OSCE) in a hybrid digital / in-person training for hormonal IUD in Nigeria: findings and applications of the approach
Gates Open Research, Volume 7, Article 120, Year 2023
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Description
Background: The hormonal intrauterine device, a long-acting reversible contraceptive method, is being introduced to pilot sites in the private and public sector in Nigeria by the Nigerian Federal Ministry of Health since 2019. To inform training of health care providers, a study was conducted on a hybrid digital and in-person training which utilized Objective Structured Clinical Examination (OSCE) to assess competency of provider trainees. This study represents one of few documented experiences using OSCE to assess the effectiveness of a digital training. Methods: From September – October 2021, in Enugu, Kano and Oyo states of Nigeria, 62 health care providers from public and private sector health facilities were trained in hormonal IUD service provision using a hybrid digital / in-person training approach. Providers, who were skilled in provision of copper IUD, underwent a didactic component using digital modules, followed by an in-person practicum, and finally supervised service provision in the provider trainee’s workplace. Skills were assessed using OSCE during the one-day practicum. Results: Use of the OSCE to assess skills provided valuable information to study team. The performance of provider trainees was high (average 94% correct completion of steps in the OSCE). Conclusions: OSCE was used as a research methodology as part of this pilot study; to date, OSCE has not been integrated into the training approach to be scaled up by FMOH. Uniformly high performance of provider trainees was seen on the OSCE, unsurprising since provider trainees were experienced in providing copper IUD. If and when training is rolled out to providers inexperienced with copper IUD, OSCE may have a more important role to assess skills before service provision. The role of OSCE in design of hybrid digital / in-person training approaches should be further explored in rollout of hormonal IUD and other contraceptive technologies. Copyright: © 2023 Nwokoma E et al.
Authors & Co-Authors
Anyasi, Helen I.
United States, Durham
Fhi 360
Archie, Samantha
United States, Durham
Fhi 360
Onyezobi, Chinedu E.
Nigeria, Abuja
Society for Family Health Nigeria
OlaOlorun, Funmilola Morinoye
Nigeria, Ibadan
University of Ibadan
Anyanti, Jennifer
Nigeria, Abuja
Society for Family Health Nigeria
Nwala, Anthony Adindu
Nigeria, Abuja
Society for Family Health Nigeria
Afolabi, Kayode Abel
Nigeria, Abuja
Federal Ministry of Health Nigeria
Demise, Eden G.
United States, Washington, D.c.
Population Services International
Danna, Kendal
United States, Washington, D.c.
Population Services International
Rademacher, Kate H.
United States, Durham
Fhi 360
Plotkin, Marya K.
United States, Durham
Fhi 360
Statistics
Authors: 11
Affiliations: 5
Identifiers
Doi:
10.12688/gatesopenres.14695.1
ISSN:
25724754
Research Areas
Sexual And Reproductive Health
Study Locations
Nigeria