Addressing pediatric healthcare gaps through targeted competency-based training

BACKGROUND AND OBJECTIVES

Most MSF settings providing paediatric and neonatal care face a healthcare workforce whose competencies are not well matched to the ever-changing local profile of acute health needs, resulting in gaps in care quality, safety, and access. With children under 15 representing 60% of MSF’s patient population, strengthening the paediatric workforce in hospital settings is crucial. This retrospective analysis, focused on 3 hospitals where 203 learners graduated, examines how a paediatric-focused intervention, supported by adapted face-to-face training from MSF Academy for Healthcare, could contribute to improved paediatric care quality through enhanced clinical decision-making, greater adherence to guidelines, and professional accountability.

METHODS/STUDY DESIGN

Using a competency-based approach, MSF Academy provided structured training, bedside clinical mentoring, and hands-on practice. Effectiveness was measured by competency gaps, quality of care, and learner satisfaction assessments at baseline, program end, and one year post-completion.

RESULTS/EXPECTED RESULTS

Key findings:

• Improved competencies: competency gap assessments showed significant improvement in technical skills (+ 34%) and knowledge (+67%) for nursing care, and technical skills (+84%) and knowledge (+45%) in midwifery care.
• Quality of care : quality-of-care assessments demonstrated an increased application of evidence-based practices in patient care (e.g., vital signs assessment, patient safety). 63% of maternity program learners reported newborn care practice changes (e.g., neonatal resuscitation; Mother-Newborn Couplet Care).
• High satisfaction: over 90% of learners expressed confidence and satisfaction with bedside mentoring by training end.

CONCLUSIONS/DISCUSSION

Key messages:

• Highlight MSF Academy’s role in pediatric care via context-adapted training and mentorship.
• Showcase MSF Academy as a key tool aligned with MSF’s medical priorities.
• Share examples of MSF Academy driving positive health worker behavior change.

Key recommendations:

• Increase focus on continuous learning and evidence-based practices.
• Foster joint efforts between project and MSF Academy, using impact assessment.
• Integrate learnings systematically into medical project strategies.

By aligning training with operations, we can systematically improve the quality of paediatric care. Understanding that desired impact occurs best when health providers are in learning situations where context-specific health issues are used to determine the desired competencies, then content.