Figure 1
Theory of Change18
Table 1
Overview of the iterations of this project
| Iteration | Date | Location | N of Participants | Participants cadres |
|---|---|---|---|---|
| 1 | January 2024 | Bo, Sierra Leone | 80 | Nurses, Community Health Officers, Midwives |
| 2 (Refresher Training) | October 2024 | Bo, Sierra Leone | 23 | Nurses, Midwives |
| 3 | January 2025 | Kenema, Sierra Leone | 47 | Nurses, Midwives |
Table 2
Experience levels of participants
| Years of experience | Number of midwives |
|---|---|
| Less than 1 year | 3 |
| 1-5 | 20 |
| 5-10 | 12 |
| More than 10 | 4 |
Table 3
Assessment of total difference in pre- and post-tests administered during the training
| Variables | Pass rate | Mean | SD | (Min-Max) | Z | P- value |
|---|---|---|---|---|---|---|
| ENC 1 assessment (total score = 20) | ||||||
| Pre-test | 14 out of 20 | 15.95 | 2.33 | (9.00-20.00) | 3.69 | <0.001 |
| Post-test | 19 out of 20 | 18.95 | 1.28 | (15.00-20.00) | ||
| Difference | 5 out of 20 | 3.00 | 2.73 | - | ||
| ENC 2 assessment (total score = 25) | ||||||
| Pre-test | 10 out of 21 | 19.29 | 2.37 | (15.00-23.00) | 4.00 | <0.001 |
| Post-test | 21 out of 21 | 23.48 | 1.12 | (21.00-25.00) | ||
| Difference | 11 out of 21 | 4.19 | 2.44 | - | ||
| BAB assessment (total score = 39) | ||||||
| Pre-test | 0 out of 19 | 21.16 | 4.15 | (12.00-30.00) | 4.11 | <0.001 |
| Post-test | 10 out of 19 | 32.68 | 4.16 | (25.00-39.00) | ||
| Difference | 10 out of 19 | 11.52 | 5.50 | - | ||
[i] Note. Related-Samples Wilcoxon Signed Rank Tests were conducted to compare the mean scores between pre-test and post-test across the three OCSE assessments. SD refers to the Standard Deviation.
Figure 2
Clustered boxplot of correct rate by pre-and post-tests across OCSEs assessment