A Training Program for Obstetrics Point-of-Care Ultrasound to 514 Rural Healthcare Providers in Kenya

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dc.contributor.authorWachira, James
dc.contributor.authorMatheka, Duncan Mwangangi
dc.contributor.authorMasheti, Sheila Ayesa
dc.contributor.authorGithemo, Grace Kirigo
dc.contributor.authorShah, Sachita
dc.contributor.authorHaldeman, Matthew S.
dc.contributor.authorRamos, Mena
dc.contributor.authorBergman, Kevin
dc.date.accessioned2024-01-10T12:32:38Z
dc.date.available2024-01-10T12:32:38Z
dc.date.issued2023
dc.descriptionArticleen_US
dc.description.abstractBackground Ultrasound is a crucial and efective diagnostic tool in medicine. Recent advancements in technology have led to increased use of point-of-care ultrasound (POCUS). Access to ultrasound equipment and training programs in low-and middle-income countries (LMICs) is limited. Despite the World Health Organization (WHO) recommendations for universal antenatal ultrasounds, POCUS for reproductive health applications has not been widely used in LMICs. We describe here the feasibility of implementation of a training of obstetrics point-of-care ultrasound (OB POCUS) for high-risk conditions in rural public healthcare facilities in Kenya with partnership from Butterfy Network, Global Ultrasound Institute, and Kenyatta University. Methods As part of the initiation of a large-scale implementation study of OB POCUS, clinician trainees were recruited from rural Kenyan hospitals for participation in a series of fve-day POCUS workshops held between September and December 2022. Trainers provided brief didactic lessons followed by hands-on training with live models and at regional clinical sites for 5 OB POCUS applications. Instructor-observed assessment of students’ scanning and image interpretation occurred over the training period. Assessment of knowledge and confdence was performed via an online pre-test and post-test as well as Objective Structured Clinical Examination (OSCE) was administered at course completion. Results Five hundred and fourteen mid-level Health Care Providers (HCPs) in Kenya were trained over a threemonth period through in-person didactic sessions, bedside instruction, and clinical practice over a 5-day period with a trainer: trainee ratio of approximately 1:5. Out of the 514 trained HCPs, 468 were from 8 rural counties with poor maternal and neonatal outcomes, while the remaining 46 were from nearby facilities. OB POCUS topics covered included: malpresentation, multiple gestation, fetal cardiac activity, abnormalities of the placenta and amniotic fuid volume. There was marked improvement in the post training test scores compared to the pretest scores. Conclusion Our implementation description serves as a guide for successful rapid dissemination of OB POCUS training for mid-level providers. Our experience demonstrates the feasibility of a short intensive POCUS training to rapidly establish specifc POCUS skills in eforts to rapidly scale POCUS access and services. There is a widespread need for expanding access to ultrasound in pregnancy through accessible OB POCUS training programs. An implementation study is currently underway to assess the patient and systems-level impact of the training.en_US
dc.description.sponsorshipThe Bill & Melinda Gates Foundationen_US
dc.identifier.citationWachira, J., Matheka, D. M., Masheti, S. A., Githemo, G. K., Shah, S., Haldeman, M. S., ... & Bergman, K. (2023). A training program for obstetrics point-of-care ultrasound to 514 rural healthcare providers in Kenya. BMC Medical Education, 23(1), 922.en_US
dc.identifier.urihttps://doi.org/10.1186/s12909-023-04886-x
dc.identifier.urihttps://ir-library.ku.ac.ke/handle/123456789/27253
dc.language.isoenen_US
dc.publisherBMC Medical Educationen_US
dc.subjectReproductive healthen_US
dc.subjectUltrasounden_US
dc.subjectEducationen_US
dc.subjectButterfy IQ probesen_US
dc.subjectOB POCUSen_US
dc.subjectHand-held ultrasounden_US
dc.titleA Training Program for Obstetrics Point-of-Care Ultrasound to 514 Rural Healthcare Providers in Kenyaen_US
dc.typeArticleen_US
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