Citation
Jennings Mayo-Wilson, Larissa; Yebadokpo, André S.; Affo, Jean; Agbogbe, Marthe; & Tankoano, Aguima (2011). Task Shifting in Maternal and Newborn Care: A Non-Inferiority Study Examining Delegation of Antenatal Counseling to Lay Nurse Aides Supported by Job Aids in Benin. Implementation Science, 6, 2. PMCID: PMC3024964Abstract
BACKGROUND: Shifting the role of counseling to less skilled workers may improve efficiency and coverage of health services, but evidence is needed on the impact of substitution on quality of care. This research explored the influence of delegating maternal and newborn counseling responsibilities to clinic-based lay nurse aides on the quality of counseling provided as part of a task shifting initiative to expand their role.METHODS: Nurse-midwives and lay nurse aides in seven public maternities were trained to use job aids to improve counseling in maternal and newborn care. Quality of counseling and maternal knowledge were assessed using direct observation of antenatal consultations and patient exit interviews. Both provider types were interviewed to examine perceptions regarding the task shift. To compare provider performance levels, non-inferiority analyses were conducted where non-inferiority was demonstrated if the lower confidence limit of the performance difference did not exceed a margin of 10 percentage points.
RESULTS: Mean percent of recommended messages provided by lay nurse aides was non-inferior to counseling by nurse-midwives in adjusted analyses for birth preparedness (
URL
http://dx.doi.org/10.1186/1748-5908-6-2Reference Type
Journal ArticleYear Published
2011Journal Title
Implementation ScienceAuthor(s)
Jennings Mayo-Wilson, LarissaYebadokpo, André S.
Affo, Jean
Agbogbe, Marthe
Tankoano, Aguima