Using a peer mentorship approach improved the use of neonatal continuous positive airway pressure and related outcomes in Malawi
Abstract
Aim: This study evaluated whether peer mentorship was an effective and sustainable way of improving and maintaining knowledge and skills on neonatal continuous positive airway pressure (CPAP) in a low‐resource setting with a high turnover of healthcare providers. Methods: The Malawi Ministry of Health recruited five nurses with considerable CPAP experience and provided them with mentorship training from July to August 2014. The mentors then provided 1‐week on‐site mentorship for 113 colleagues at 10 secondary and one tertiary hospital where gaps in neonatal CPAP use had been identified. CPAP competencies and outcomes were compared 3 months before and after each mentorship. Results: In the 3 months before and after mentorship, the average CPAP competency score increased from 32 ± 4% to 97 ± 2%, while CPAP usage increased from 7% to 23% among eligible neonates. Survival following CPAP mentorship increased from 23% to 35%, but this was not significant due to the small sample size. Both mentees and mentors reported useful transfers of knowledge and skills when using CPAP. Conclusion: Mentorship effectively bridged the knowledge and skills gaps among health workers and increased CPAP use, competency scores and survival rates.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A guided mentorship by experienced clinical staff has been introduced in Malawi district hospitals to help with identifying and treating eligible newborns.
“Currently, a guided mentorship by experienced clinical staff has been introduced in Malawi district hospitals in order to help with identifying and treating eligible newborns [13,26].”
From Barriers and enablers of implementing bubble Continuous Positive Airway Pressure (CPAP): Perspectives of health professionals in Malawi (2020) · cites this paper as [26]
Cites
Liu, L., Oza, S., Hogan, D., Perin, J., Rudan, I., Lawn, J. E., Cousens, S., Mathers, C., & Black, R. E. (2015) · The Lancet · doi:10.1016/s0140-6736(14)61698-6 · Cited by 3,167 · see citing works
Bailey, C., Blake, C., Schriver, M., Cubaka, V. K., Thomas, T., & Hilber, A. M. (2015) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2015.10.004 · Cited by 183 · see citing works
Epidemiology of respiratory distress of newborns
Kumar, A., & Bhat, B. V. (1996) · The Indian Journal of Pediatrics · doi:10.1007/bf02823875 · Cited by 161 · see citing works
Magge, H., Manzi, A., Cyamatare, F. R., Mezzacappa, C., Nkikabahizi, F., Niyonzima, S., Drobac, P. C., Ngabo, F., & Hirschhorn, L. R. (2014) · Archives of Disease in Childhood · doi:10.1136/archdischild-2013-305863 · Cited by 94 · see citing works
Evaluating Helping Babies Breathe: training for healthcare workers at hospitals in Rwanda
Musafili, A., Essén, B., Baribwira, C., et al. (2012) · Acta Paediatrica · doi:10.1111/apa.12034 · Cited by 90 · see citing works
Nyamtema, A., Mwakatundu, N., Dominico, S. A., Mohamed, H., Pemba, S., Rumanyika, R. N., Kairuki, C., Kasiga, I., Shayo, A., Issa, O., et al. (2016) · PLoS ONE · doi:10.1371/journal.pone.0151419 · Cited by 82 · see citing works
Manzi, A., Magge, H., Hedt‐Gauthier, B., Michaelis, A. P., Cyamatare, F. R., Nyirazinyoye, L., Hirschhorn, L. R., & Ntaganira, J. (2014) · BMC Health Services Research · doi:10.1186/1472-6963-14-275 · Cited by 80 · see citing works
Parkash, A., Haider, N., Khoso, Z. A., et al. (2015) · PubMed · Cited by 73 · see citing works
Tochie, J. N., Choukem, S.-P., Langmia, R. N., et al. (2016) · Pan African Medical Journal · doi:10.11604/pamj.2016.24.152.7066 · Cited by 66 · see citing works
Health Technologies and Innovation in the Global Health Arena
Sinha, S. R., & Barry, M. (2011) · New England Journal of Medicine · doi:10.1056/nejmp1108040 · Cited by 63 · see citing works
Achieving appropriate design and widespread use of health care technologies in the developing world
Free, M. J. (2004) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2004.01.009 · Cited by 54 · see citing works
Policy talk: incentives for rural service among nurses in Ghana
Kwansah, J., Dzodzomenyo, M., Mutumba, M., et al. (2012) · Health Policy and Planning · doi:10.1093/heapol/czs016 · Cited by 53 · see citing works
Bubble CPAP to support preterm infants in rural Rwanda: a retrospective cohort study
Nahimana, E., Ngendahayo, M., Magge, H., Odhiambo, J., Amoroso, C. L., Muhirwa, E., Uwilingiyemungu, J. N., Nkikabahizi, F., Habimana, R., & Hedt-Gauthier, B. L. (2015) · BMC Pediatrics · doi:10.1186/s12887-015-0449-x · Cited by 43 · see citing works
Tang, J. H., Kaliti, C., Bengtson, A. M., Hayat, S., Chimala, E. B., MacLeod, R. B. A. H., Kaliti, S., Sisya, F., Mwale, M., & Wilkinson, J. (2015) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2015.06.062 · Cited by 36 · see citing works
Incidence of respiratory distress syndrome.
Ghafoor, T., Mahmud, S., Ali, S., & Dogar, S. A. (2003) · PubMed · Cited by 34 · see citing works
Hendriks, H. J., Kirsten, G. F., Voss, M., & Conradie, H. (2014) · Journal of Tropical Pediatrics · doi:10.1093/tropej/fmu025 · Cited by 18 · see citing works
Kawaza, K., Machen, H. E., Brown, J., Mwanza, Z., Iniguez, S., Gest, A., Smith, E. O., Odén, M., Richards-Kortum, R. R., & MOLYNEUX, E. M. (2016) · Malawi Medical Journal · Cited by 18 · see citing works
Self-citationGupta, R. (2014) · International Journal of Integrated Care · doi:10.5334/ijic.1653 · Cited by 5 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Nyondo-Mipando, A. L., Woo Kinshella, M.-L., Bohne, C., Suwedi-Kapesa, L. C., Salimu, S., Banda, M., Newberry, L., Njirammadzi, J., Hiwa, T., Chiwaya, B., et al. (2020) · PLOS ONE · doi:10.1371/journal.pone.0228915 · Cited by 54 · see citing works
Self-citation
- Authors
- Asibon, A., Lufesi, N., Choudhury, A., Olvera, S., Molyneux, E., Oden, M., Richards‐Kortum, R., & Kawaza, K.
- Affiliations
- Rice University (US)
- Ministry of Health (MW)
- Queen Elizabeth Central Hospital (MW)
- Rice 360 Institute for Global Health Houston Texas
- Corresponding author
- Asibon, Aba
- Venue
- Acta Paediatrica
- Publisher
- Wiley
- Published
- 2019-10-16
- Volume
- 109
- Issue
- 4
- Pages
- 705-710
- ISSN
- 0365-1436 (ISSN-L)
- 0803-5253
- 1651-2227
- OpenAlex
- W2974610292
- Cited by
- 20
- References
- 18
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 9 · 2020: 1 · 2019: 1
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Paediatrica (publishedVersion)
- PubMed (publishedVersion)
- Funders
- United States Agency for International Development (AID‐OAA‐A‐13‐00014)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- peer mentoring, neonatal resuscitation, nursing competencies, knowledge transfer, resource-limited settings, neonatal survival, Malawi
- MeSH terms
- Health Personnel, Humans, Infant, Newborn, Malawi, Mentors, Continuous Positive Airway Pressure, Tertiary Care Centers
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
