Assess Program Effectiveness Research Articles

Cultural adaptation and evaluation of a school-based positive psychology intervention among Chinese middle school students: A mixed methods program design study.

With the recognition of positive psychology within China, there is a pressing need for evidence-based positive psychology interventions (PPIs) tailored to the cultural context of Chinese schools. The goals of the present study were to (a) culturally adapt the Well-Being Promotion Program using the ecological validity model and (b) conduct a preliminary evaluation of its effectiveness. Within a randomized controlled trial, we collected data from 107 eighth-grade students randomly assigned to the intervention (n = 55) or control group (n = 52). A mixed methods approach was used, with analysis of covariance to assess program effectiveness, and content analyses of students' short-answer responses collected from the intervention group. Qualitatively, more than half of students reported having positive feelings and an increase in happiness due to the program. Quantitatively, the study found that the intervention was associated with a significant increase in adaptability, a subcategory of psychological suzhi, following the intervention. Gender breakdown revealed that the intervention had a significant positive effect on boys' cognitive quality, but not girls'. Additionally, it marginally impacted girls' self-management and boys' adaptability quality. However, caution is warranted in interpreting the quantitative results due to limitations, such as a small sample size and a relatively low response rate at Time 2. This pilot study contributes to the literature by bridging the gap between evidence-based PPIs developed in Western contexts and their culturally responsive implementation in Chinese schools. Consequently, the results should be considered as initial evidence warranting further examination of effectiveness, yet with significant potential to advance future cultural adaptations of PPIs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Evaluation of the blended public health empowerment program-basic field epidemiology in the Eastern Mediterranean Region.

The COVID-19 pandemic encouraged the shift toward technology-based learning globally, impacting education systems profoundly. In response to this emerging need, the Eastern Mediterranean Public Health Network (EMPHNET) adapted its Public Health Empowerment Program-Basic Field Epidemiology (PHEP-BFE) to a Blended Learning Model. This study evaluates the Blended PHEP-BFE program in Iraq, Egypt, and Lebanon, focusing on participant reactions and learning outcomes. A descriptive evaluation was conducted, aligned with the first two levels of Kirkpatrick's model. Online questionnaires were administered to participants and facilitators through EMPHNET's Learning Management System (LMS). Qualitative and quantitative data were analyzed to assess program effectiveness, satisfaction, and challenges. A total of 138 PHEP-BFE participants (119 (86.2%) males and 19 (13.8%) females) from Iraq (n = 61), Egypt (n = 66), and Lebanon (n = 11) responded to the questionnaire. The majority of the participants (96.4%) reported that they were satisfied with PHEP-BFE. Notably, 77.5% of participants rated the blended learning program as very good or excellent, 18.1% rated it good, and 3.6% found it average, with a minimal 0.7% expressing dissatisfaction. The majority of participants agreed that the blended PHEP-BFE enhanced their capacity to conduct, review and monitor surveillance data (95.7%), perform descriptive data analysis (94.2%), effectively communicate information with agency staff and the local community (95.7%), write summaries of surveillance findings or outbreak investigations (95.7%), use MS Excel to enter, analyze, and display public health surveillance data (91.3%), prepare and administer an oral presentation for fieldwork (94.9%), and increase their knowledge of fundamental field epidemiology (94.9%). The participants responded positively to the program's content, training duration, learning platform, facilitators and mentors, and fieldwork. The study showcases the success of the blended PHEP-BFE in diverse contexts, emphasizing positive participant reactions and improved competencies. The evaluation underscores the program's success in advancing public health training in the EMR. Blended learning models prove promising for future FETP initiatives, contributing valuable insights to public health workforce development. Positive outcomes and identified challenges, provide a roadmap for continuous improvement.

Evaluasi Program Pendidikan

A comprehensive evaluation aims to identify the strengths and weaknesses of the program, thus allowing for informed decision-making for improvement and development. This study aims to analyze the concepts, objectives, principles, steps, supporting factors, inhibiting factors, and solutions to overcome inhibiting factors in the implementation of educational program evaluation. The research method used is a literature review, with a focus on literature review analysis that discusses the concepts and steps of evaluating educational programs, as well as factors that need to be considered in the evaluation. The results show that the evaluation of educational programs has the goal of assessing program effectiveness, identifying areas of improvement, and encouraging improvement in the quality of education. The evaluation of educational programs should be guided by the principle of objectivity and focus on the goals of the program. The steps that must be taken in the evaluation of educational programs include the preparation and implementation as well as monitoring of the evaluation of educational programs. Supporting factors for the evaluation of educational programs include clear and firm policies from the government and educational institutions. This policy includes evaluation standards that must be met, methodologies used, and evaluation implementation schedules Factors that hinder the evaluation of educational programs include a lack of resources, both in terms of finance and competent experts.

Model Evaluasi dalam Program Pendidikan

Evaluation is a systematic process for assessing program effectiveness, identifying areas that need improvement, and ensuring the achievement of established goals. Educational program evaluation models can assist in decision making to improve the quality of education and achieve set goals. This research aims to provide a comprehensive review of various evaluation models in educational programs. This research method uses a descriptive qualitative research method through a literature study method which uses data collection techniques in the form of book and journal reviews which are then analyzed and concluded from the research cited. The results of this research are to analyze the strengths and weaknesses of each model, as well as provide recommendations regarding the choice of the appropriate model according to the program context, evaluation objectives, and available resources

Strategi Asesmen Kebutuhan Siswa di Sekolah Menengah Pertama: Perancangan Berbasis Data dan Analitik

This study aims to design a data-driven and analytical-based strategy for assessing student needs in Junior High School (JHS). A qualitative approach was employed, utilizing observation and literature review methods. The study population consisted of JHS students, with samples randomly selected from various schools. Research instruments included social media observation and literature review. Instrument validity and reliability were ensured through literature comparison. Data were analyzed through data reduction and triangulation approaches. The results indicate that JHS student needs assessment aims to measure learning achievement, provide feedback, promote active learning, adapt teaching methods, assess program effectiveness, and identify special needs. Assessment principles, types, data-driven design, and needs analytics are the main focuses. The implications of this research are to enhance the quality of education in JHS through more responsive and effective assessments. Suggestions for further research include involving more educational stakeholders to ensure program relevance and responsiveness. This study contributes to the development of better education in Indonesia.

Acceptability and feasibility of implementing the Enhanced Assess, Acknowledge, Act (EAAA) sexual assault prevention intervention on a U.S. university campus: Themes from qualitative interviews and written reflections.

Objectives: Assess the acceptability of and self-reported behavioral change from participation in a sexual assault prevention intervention on a U.S. university campus. Participants: Thirty-one undergraduate students who identified as women and opted-in to participating in both the intervention and research. Methods: In-depth interviews and written reflections were collected. Analysis was thematic with three investigators coding and reaching consensus. Results: The EAAA program was well-liked by most participants, with positive behavior changes reported. Five key themes reflecting strengths of EAAA were identified, including improved verbal communication, reduced sexual assault myths, empowerment, recognizing and responding to danger cues, and learning about healthy sexuality. Three key themes reflecting challenges were identified, including time commitment, use of outdated program materials, and a single gender focus. Conclusions: EAAA translates well, with a few adaptations, to a residential campus environment in the U.S. Research is needed to assess program effectiveness in reducing sexual assault.

A Structured Home Health and Hospice Clinical Rotation and Onboarding Model to Address the Nursing Shortage.

North Carolina home health and hospice agencies are experiencing serious shortages of registered nurses (RNs), particularly in rural areas. These shortages can negatively impact patients and families by delaying access to care and possibly resulting in avoidable hospitalizations/rehospitalizations. Many home health and hospice agencies do not hire newly graduated RNs due to limited patient care experience, limited or no opportunity for home health/hospice clinical rotations, and the autonomous nature of providing care in the home. The Hospice and Home Health Foundation of North Carolina was awarded a $468,196 3-year grant, and, in collaboration with key stakeholders, developed a model for clinical rotation experiences in home health and hospice settings for RN students as well as an onboarding model for newly graduated RNs. Seven home health and hospice project partner agencies were selected to pilot the models. This article describes program implementation and evaluation. We used a survey method and site visit interviews to assess program effectiveness. Students provided positive feedback about the clinical rotation and more than 80% indicated their clinical rotation met "most" or "almost all" of their learning needs. The focus group interviews provided substantive anecdotal examples to validate the survey results.

Web-Based Student Internship Attendance Application System for Effective Student Attendance Monitoring

The Web-Based Student Internship Attendance Application System revolutionizes the management of internship programs in higher education institutions and companies. This innovative platform addresses the critical need for a streamlined process in handling internship attendances, a vital component of higher education that equips students with essential real-world experience. Traditional methods of managing these attendances have been fraught with complexity and inefficiency. Our system introduces a user-friendly, web-based interface that enables students to record their daily attendance effortlessly using mobile devices or computers. Beyond mere attendance tracking, the system empowers students to submit detailed reports on their daily assignments and experiences. For program organizers, the system provides instantaneous access to attendance data, thereby facilitating better management and evaluation of the internship programs. Key benefits of this system include enhanced efficiency, improved accuracy, and greater transparency in attendance recording. Its capability to minimize human error in attendance tracking and to maintain a comprehensive historical record of data is invaluable for assessing program effectiveness and informing future improvements. This advancement in internship management through web technology not only enriches the student experience but also aids educational institutions and companies in optimizing their internship programs. The Web-Based Student Internship Attendance Application System represents a significant step towards modernizing and elevating the quality of internship management

Access to Care for Adolescents and Young Adults With Cancer in the United States: State of the Literature.

Access to care remains a persistent challenge for adolescents and young adults (AYAs) with cancer. We review key findings in the science to date. (1) Location of care matters. There is survival benefit for AYAs treated either at a pediatric center or site with special status (eg, Children's Oncology Group, National Cancer Institute [NCI]-designated Comprehensive Cancer Center). (2) Socioeconomic status and insurance require further investigation. Medicaid expansion has had a moderate effect on AYA outcomes. The dependent care expansion benefit has come largely from improvements in coverage for younger populations whose parents have insurance, while some subgroups likely still face insurance gaps. (3) Clinical trial enrollment remains poor, but access may be improving. Numerous barriers and facilitators of clinical trial enrollment include those that are system level and patient level. NCI has established several initiatives over the past decade to improve enrollment, and newer collaboratives have recently brought together multidisciplinary US teams to increase clinical trial enrollment. (4) Effective AYA programs require provider and system flexibility and program reflection. With flexibility comes a need for metrics to assess program effectiveness in the context of the program model. Centers treating AYAs with cancer could submit a subset of metrics (appropriate to their program and/or services) to maintain their status; persistence would require an entity with staying power committed to overseeing the metrics and the system. Substantial clinical and biological advances are anticipated over the next 20 years that will benefit all patients with cancer. In parallel, it is crucial to prioritize research regarding access to health care and cancer care delivery; only with equitable access to care for AYAs can they, too, benefit from these advances.

The Effects of Hot Spot Policing on Community Experiences and Perceptions in a Time of COVID-19 and Calls for Police Reform

To extend the limited evidence on how hot spot policing (HSP) strategies affect community experiences, perceptions, and attitudes, police agencies in two cities participated in a randomized experiment involving 102 hot spots that were assigned to a control condition ( n = 51) or to receive a HSP program emphasizing patrol, community engagement, and problem-solving for 14–17 months during 2019 and 2020 ( n = 51). Cross-sectional surveys with hot spot community members were conducted in person before the program ( n = 1082) and, due to COVID-19, by mail and internet afterwards ( n = 768) to assess program effects on crime victimization, views of crime and disorder, and attitudes towards police. In both cities, the evaluation period overlapped with the COVID-19 pandemic and the national protests for police reform following the killing of George Floyd by police in Minneapolis during 2020; in one city, the program was ongoing during these events. Results showed the program had few effects on community experiences and views, though there were some indications it may have improved perceptions of police legitimacy and police misconduct in one city. The findings suggest that HSP strategies do not have harmful effects on community perceptions and might improve some aspects of police-community relations. However, weak program implementation, challenges to survey administration, and the occurrence of both COVID-19 and the George Floyd incident during the study period complicate interpretation of the results.

Assessing HIV-infected patient retention in a program of differentiated care in sub-Saharan Africa: a G-estimation approach.

Differentiated care delivery aims to simplify care of people living with HIV, reflect their preferences, reduce burdens on the healthcare system, maintain care quality and preserve resources. However, assessing program effectiveness using observational data is difficult due to confounding by indication and randomized trials may be infeasible. Also, benefits can reach patients directly, through enrollment in the program, and indirectly, by increasing quality of and accessibility to care. Low-risk express care (LREC), the program under evaluation, is a nurse-centered model which assigns patients stable on ART to a nurse every two months and a clinician every third visit, reducing annual clinician visits by two thirds. Study population is comprised of 16,832 subjects from 15 clinics in Kenya. We focus on patient retention in care based on whether the LREC program is available at a clinic and whether the patient is enrolled in LREC. We use G-estimation to assess the effect on retention of two "strategies": (i) program availability but no enrollment; (ii) enrollment at an available program; versus no program availability. Compared to no availability, LREC results in a non-significant increase in patient retention, among patients not enrolled in the program (indirect effect), while enrollment in LREC is associated with a significant extension of the time retained in care (direct effect). G-estimation provides an analytical framework useful to the assessment of similar programs using observational data.

Assessing Online Doctoral Student Research Competencies

The purpose of this study was to investigate online education doctoral students’ perceptions of their research competencies. The researchers utilized the Scholar-Practitioner Research Development Scale (Rockinson-Szapkiw, 2018) which consisted of 24 Likert-based items to assess research competency in five areas: attitude toward or value of research, critical evaluation and application of research, research knowledge, research skills, and research dissemination. For each of the five research competencies students reported their competency at 4.0 or above (on a scale of 1- 5) each year, with students most strongly agreeing with statements related to the value of research, evaluation and application skills, and research knowledge. This study illuminates the development of research competencies in online doctoral students. Recommendations include using the Scholar-Practitioner Research Scale to assess program effectiveness, track program improvements, and identify gaps in the curriculum.

Pemberdayaan Masyarakat Lokal Melalui Produksi Virgin Coconut Oil Di Dusun Nyama

Geographically, Nyama Yang Hamlet is located on Moa Island, Southwest Maluku Regency, which has very rich natural resource potential, with the potential for coconut plantations. The right skills training can help increase productivity and create jobs. Answering these problems, the main purpose of this community service activity is to provide education and knowledge to the public about the benefits and process of making VCO. This service activity uses a descriptive method whose implementation begins with a preliminary study, mentoring and guidance, processing and production training, marketing, promotion, and evaluation using pretest and posttest to assess program effectiveness. The results of the questionnaire showed that 20 Nyama hamlet residents who participated in the training activities did not know how to process VCO. 3 people or 15% of residents do not know the benefits of VCO. However, after the activity ended, the results of the questionnaire showed that 100% of the residents of Nyama Hamlet were skilled in processing VCO and understood the various benefits of VCO both in daily life and having a high selling value.

D.A.R.E./keepin' it REAL elementary curriculum: Substance use outcomes.

In response to a need to implement an evidence-based prevention program, D.A.R.E. America adopted keepin' it REAL. The program was previously developed and tested in middle school settings. As part of its adoption, an elementary version of the program was developed. This study tests the effectiveness of keepin' it REAL when delivered to fifth graders. The intervention was delivered to two cohorts of students, the first in the 2019-2020 school year, the second in the 2020-2021 school year. Pretest surveys were completed by 6,122 students. The COVID-19 pandemic interfered with posttest and follow-up data collection. At immediate posttest, 2,049 students (33.5%) completed analyzable posttest surveys. One year after the pretest, 1,486 (24.3%) students completed usable follow-up surveys. We used algorithmically generated cases (virtual controls) that use treatment cases' pretest psychosocial scores to assess program effectiveness. When compared to virtual control cases, the program had identifiable improvements in both a key psychosocial measure and in terms of deterring the onset of 30-day alcohol use, drunkenness, and vaping. Outcomes suggest that the delivery of elementary school keepin' it REAL by D.A.R.E. officers is having a positive effect in terms of deterring the onset of alcohol use and vaping.

Implementing Extension of Community Healthcare Outcomes (ECHO) Framework to Educate Rural Populations in Complex Parkinson Disease Management (P12-2.001)

<h3>Objective:</h3> To determine if a teleconferencing didactic and case presentation model could build the capacity of clinicians to diagnose and treat PD and its complications <h3>Background:</h3> The ECHO framework is an educational tele-mentoring intervention designed to transfer specialized knowledge from expert centers to outlying clinicians, thereby increasing access to care. This ‘hub-and-spoke’ approach aims to reduce health disparities in under-served areas. <h3>Design/Methods:</h3> We recruited 28 primary care providers and other allied health professionals through the Oregon Rural Practice-based Research Network (ORPRN) under an IRB-exempt protocol, with 33% coming from rural or frontier communities. We developed a 10-week program; each session consisted of a 20-minute expert-led didactic followed by a real-life case presented by a participant. They were broadcast via teleconferencing software to promote discussion among all attendees. Participants were surveyed following each session as a measure of quality control. Each participant also completed a pre- and post-curriculum survey to assess program effectiveness. <h3>Results:</h3> We averaged 18 unique participants per session with 12 weekly post-session survey responses. We had 18 participants complete the pre-course evaluation. Of those, 12 completed the post-course evaluation. With respect to weekly questions about meeting objectives, pace, organization, relevance, and opportunity to ask questions, there were consistently high scores with no outliers (5.5 out of 6). Overall, there was an increase in confidence in diagnosis and treatment and a report in direct change in care. Three participants led a didactic on PD in their community and two enacted policy changes to better care for PD patients at their institution. <h3>Conclusions:</h3> Improving access to specialist care for PwP is a priority and we demonstrate that Parkinson ECHO can deliver the content effectively to rural and frontier clinicians who practice in counties without access to neurology care. Future work is needed to evaluate the long-term knowledge retention of clinicians and patient-level outcomes. <b>Disclosure:</b> Dr. Neilson has received research support from VA ORD - Clinical Science Research and Development. Jennifer Wilhelm has nothing to disclose. Lisa Mann has nothing to disclose. Dr. Neukam has nothing to disclose. The institution of Dr. Kraakevik has received research support from Parkinson Foundation.

Impact of the CARE Tipping Point Program in Nepal on adolescent girls’ agency and risk of child, early, or forced marriage: Results from a cluster-randomized controlled trial

BackgroundGirl child, early, and forced marriage (CEFM) persists in South Asia, with long-term effects on well-being. CARE's Tipping Point Initiative (TPI) sought to address the gender norms and inequalities underlying CEFM by engaging participant groups on programmatic topics and supporting community dialogue to build girls' agency, shift power relations, and change norms. We assessed impacts of the CARE TPI on girls' multifaceted agency and risk of CEFM in Nepal. MethodsThe quantitative evaluation was a three-arm, cluster-randomized controlled trial (control; Tipping Point Program [TPP]; Tipping Point Plus Program [TPP+] with emphasized social-norms change). Fifty-four clusters of ∼200 households each were selected from two districts (27:27) with probability proportional to size and randomized evenly to study arms. A pre-baseline census identified unmarried girls 12–16 years (1,242) and adults 25 years or older (540). Questionnaires covered marriage; agency; social networks/norms; and discrimination/violence. Baseline participation was 1,140 girls and 540 adults. Retention was 1,124 girls and 531 adults. Regression-based difference-in-difference models assessed program effects on 15 agency-related secondary outcomes. Cox-proportional hazard models assessed program effects on time to marriage. Sensitivity analyses assessed the robustness of findings. ResultsAt follow-up, marriage was rare for girls (<6.05%), and 10 secondary outcomes had increased. Except for sexual/reproductive health knowledge (coef.=.71, p=.036) and group membership (coef.=.48, p=.026) for TPP + versus control, adjusted difference-in-difference models showed no program effects on secondary outcomes. Results were mostly unmoderated by community mean: gender norms, household poverty, or women's schooling attainment. Cox proportional hazard models showed no program effect on time-to-marriage. Findings were robust. DiscussionNull findings of the Nepal TPI may be attributable to low CEFM rates at follow-up, poor socio-economic conditions, COVID-19-related disruptions, and concurrent programming in control areas. As COVID-19 abates, impacts of TPP/TPP + on girls’ agency and marriage, alone and with complementary programming, should be assessed. Trial registration numberNCT04015856.

Outcome evaluation of WASH intervention in rural households at Jawi district, Northwest Ethiopia: Mixed method design, goal based evaluation

BackgroundThe government of Ethiopia revealed that GTP II and SDG were achieved through one Water Sanitation and Hygiene (WASH) program. According to the 2016 Ethiopian Demographic and Health survey, the rural population was more affected by poor sanitation and hygiene. To address this Ethiopian government ratified Rural WASH sanitation and hygiene promotion through a community-centered approach, and to improve WASH service evidence on the effectiveness of an intervention at the household level is needed in developing countries. However, in our country one WASH in rural areas called community centered approach intervention was planned and delivered for 3 years (2018–2020) Nevertheless, as to our review and researchers knowledge, the outcome of this intervention is not evaluated yet in our country as well as in this evaluation study area. MethodThe evaluation was conducted in rural households of Jawi district by a Quasi-experimental design supplemented with a qualitative in-depth interview, from 01/14/2021–3/28/2021 and 4/22/2021–5/25/2021 for quanitative and qualitative study, respectively. Intervention groups were households that took WASH intervention while the controls did not. The evaluation approach was summative and counterfactual plus participatory and focuses on program outcome. A total of 1280 households were selected using two stage sampling with lottery method simple random sampling. We collected quantitative data through survey and structured observational checklist, while qualitative data through key informant interviews using a semi-structured questionnaire. We assessed program effectiveness and also the analytical study was conducted through propensity score matching to assess program effect through Stata 14.1. Qualitative data were transcribed and translated to English and thematic analysis was done using Atlas.ti.9. ResultThe overall program effectiveness was very good but the effectiveness in handwashing before eating using soap and water was poor. Also, this intervention increased water treatment utilization in 41.7% point (ATT=0.417, 95% CI= 0.356, 0.478), 24.3% point (ATT =0.243, 95%CI=0.180, 0.300) in exclusive latrine utilization, 41.9% point (ATT=0.419, 95%CI = 0.376, 0.470) in handwashing using water and soap before eating, 50.2% point(ATT=0.502, 95%CI=0.450, 0.550) in handwashing after defecation by using water and soap in intervention households. Our qualitative finding revealed that unable to afford soap and their working place far away from their home were the most frequent reason reported by the respondent for not using soap for hand washing and latrine utilization respectively ConclusionsThis intervention should be scale-up and pay greater attention and deliver innovative strategies to the improvement of handwashing practice and exclusive latrine utilization. Availability of data and materialsThe data sets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Uptake of pharmacist recommendations by patients after discharge: Implementation study of a patient-centered medicines review service

BackgroundPolypharmacy and potentially inappropriate medicine use is common in older people, resulting in harm increased by lack of patient-centred care. Hospital clinical pharmacy services may reduce such harm, particularly prevalent at transitions of care. An implementation program to achieve such services can be a complex long-term process.ObjectivesTo describe an implementation program and discuss its application in the development of a patient-centred discharge medicine review service; to assess service impact on older patients and their caregivers.MethodAn implementation program was begun in 2006. To assess program effectiveness, 100 patients were recruited for follow-up after discharge from a private hospital between July 2019 and March 2020. There were no exclusion criteria other than age less than 65 years. Medicine review and education were provided for each patient/caregiver by a clinical pharmacist, including recommendations for future management, written in lay language. Patients were asked to consult their general practitioner to discuss those recommendations important to them. Patients were followed-up after discharge.ResultsOf 368 recommendations made, 351 (95%) were actioned by patients, resulting in 284 (77% of those actioned) being implemented, and 206 regularly taken medicines (19.7 % of all regular medicines) deprescribed. ConclusionImplementation of a patient-centred medicine review discharge service resulted in patient-reported reduction in potentially inappropriate medicine use and hospital funding of this service. This study was registered retrospectively on 12th July 2022 with the ISRCTN registry, ISRCTN21156862, https://www.isrctn.com/ISRCTN21156862.

Implementation of Faculty Learning Communities to Support Medical Education Scholarship in a Regional Campus System

Introduction: Medical educators need targeted faculty development programs to give them the skills necessary to produce educational scholarship for promotion and tenure. At the Indiana University School of Medicine, which encompasses a large regional campus system, we implemented Faculty Learning Communities (FLCs) to provide a platform for medical educators to engage in a collaborative, year-long educational research project facilitated by a faculty member well-versed in educational research. Methods: 18 faculty participants were assigned to one of 4 FLC groups, which met monthly from 2019 to 2020. The participants also attended a series of one-hour monthly educational seminars designed to build foundational skills in educational research. To assess program effectiveness, participants were surveyed at 6 months and 18 months after the start of the program. Results: 94% of participants completed the 6-month survey and 56% completed the 18-month survey. A majority of respondents at both time-points (88% and 60%, respectively) agreed or strongly agreed that the FLC process met their professional development needs to help move their educational scholarship forward. At the time of the 18-month survey, 50% of respondents had submitted their work for presentation at a regional or national conference or for publication in a peer-reviewed journal, with the remainder intending to do so. Discussion: The inaugural offering of this FLC program has established a successful and sustainable model for developing medical educators. By employing the Plan-Do-Study-Act cycle for process improvement, several changes to the program have already been instituted that should further bolster the scholarly productivity of our medical educators.

Scale-Up of a Newborn Resuscitation Capacity-Building and Skill Retention Program Associated With Improved Neonatal Outcomes in Gandaki Province, Nepal.

Intrapartum events leading to asphyxia at birth are a leading cause of neonatal morbidity and mortality in Nepal. In response, the Nepal Ministry of Health and Population adopted the Helping Babies Breathe (HBB) training curriculum in 2015 as a tool to improve neonatal resuscitation and outcomes. Although the effectiveness of HBB training has been well documented, challenges remain in maintaining skills over time. Safa Sunaulo Nepal (SSN) designed an evidence-based intervention for scaling up newborn resuscitation training and skill retention. We report on its implementation and the changes in newborn outcomes during the program period. The program empowered facility-based trainers in newborn resuscitation and skill retention at 12 facilities in Gandaki Province. Seven of 14 level I hospitals and 5 of 6 level II hospitals were selected. A single external mentor coached the facility-based trainers, provided general support, and monitored progress. Program evaluation tracked changes in newborn metrics over 21 Nepali months (March 2018-November 2019). All deliveries occurring in the health facilities during the program period were included in the evaluation. We assessed program effectiveness by analyzing time trends of neonatal mortality, morbidity, and stillbirths. We gathered data on neonatal health outcomes of 33,417 deliveries, including 23,820 vaginal deliveries and 9,597 cesarean deliveries. During the program, 43 facility-based trainers taught resuscitation skills to 425 medical personnel and supported skill retention. Neonatal deaths within 24 hours of birth (incidence rate ratio [IRR]=0.993, P=.044) and newborn morbidities (IRR=0.996, P<.001) showed a significantly declining trend. Our findings suggest that the SSN program had a substantial influence on critical neonatal outcomes. Future neonatal resuscitation capacity-building and skill retention efforts may benefit from incorporating elements of the program.