The Impact of Low Fidelity Simulation on Nurse Competence in Active Management of Third Stage of Labor: An Intervention Study in Primary Health Care Settings in Tanzania


      • Simulation-based training has a positive impact in improving nurse's knowledge and skills on Active management of third stage of labor management.
      • Use of low fidelity simulation mannikins have impact on improving nurses’ knowledge and skills on Active management of third stage of labor.



      Simulation-based training on obstetric management has demonstrated promising results. However, its impact has not been well documented particularly in low and middle income countries. Therefore, this study aimed to test the effectiveness of a low fidelity simulation-based training intervention in improving knowledge and skills of nurses on Active management of third stage of labor (AMTSL).


      A quasi experimental study including 172 randomly selected nurses using low fidelity simulation-based training was conducted. Baseline, immediate and retention assessments were done.


      Overall knowledge and skills on AMTSL were significantly improved after simulation training, skills retained even after six months.


      A low fidelity simulation intervention showed positive change in knowledge and skills immediately after intervention and skills were highly retained even after six months of training.


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