Impact of the Dakshata structured training module on healthcare professionals' knowledge and practices in intrapartum care: a study in a South Indian tertiary care institute

Priya M.; Vijayan Sharmila; Vandana Kamatham; Danasu R.; Thirunavukkarasu Arun Babu; Rajeswari M.

doi:10.18203/2320-1770.ijrcog20254265

Authors

Priya M. College of Nursing, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India
Vijayan Sharmila Department of Obstetrics and Gynecology, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India
Vandana Kamatham Department of Obstetrics and Gynecology, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India
Danasu R. College of Nursing, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India
Thirunavukkarasu Arun Babu Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India
Rajeswari M. Department of Biostatistics, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20254265

Keywords:

Dakshata programme, Healthcare training, Intrapartum care, Knowledge assessment, Maternal care, Neonatal care, Practical skills

Abstract

Background: Despite the high rate of institutional deliveries in India, maternal and neonatal mortality rates remain concerning. The Dakshata programme was introduced to enhance the quality of maternal and newborn care through structured training for healthcare professionals. This study evaluates the effectiveness of the Dakshata structured training module on knowledge and practices regarding intrapartum care among healthcare workers in a tertiary care institute.

Methods: A one-group pre test - post test design was used, involving 27 healthcare professionals. A self-developed 15-item multiple-choice questionnaire assessed knowledge, while Objective Structured Clinical Examination (OSCE) stations evaluated practical skills before and after the training intervention. Data were analyzed using IBM Software version 26, employing the Mann-Whitney U test and Spearman correlation for non-normally distributed data.

Results: The intervention significantly improved knowledge scores from a median of 14.00 pre-intervention to 17.00 post-intervention (p<0.001). OSCE scores also showed substantial increases across all stations. The correlation analysis revealed a significant positive relationship between pre-test knowledge and OSCE4 performance (r=0.490, p=0.009), but no significant correlation was found between post-test knowledge and OSCE scores.

Conclusions: The Dakshata structured training module effectively enhanced healthcare workers' knowledge and practical skills in intrapartum care. Continued investment in targeted training programs is essential to improve maternal and newborn care quality.

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