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Rwanda like other low-resource settings with scarce in-service training opportunities requires innovative approaches that adapt technology to context to improve healthcare workers\u2019 knowledge and skills. One such innovation is the safe delivery application (SDA), a smartphone mLearning application for Basic Emergency Obstetric and Neonatal Care (BEmONC) content. This study assessed the effect of the SDA intervention on nurses\u2019 and midwives\u2019 knowledge and skills for the management of postpartum hemorrhage (PPH) and neonatal resuscitation (NR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study used a pre\u2013post test design to compare knowledge and skills of nurses and midwives in the management of PPH and NR at two measurement points: immediately prior to SDA intervention and after 6\u00a0months of SDA intervention. The intervention took place in two district hospitals in Rwanda and included 54 participants. A paired-sample t-test was used to measure the pre\u2013post intervention, mean knowledge and skills scores differences. Confidence intervals (CIs) and effect size were calculated. A t-test and a one-way Anova were used to test for potential confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis included 54 participants. Knowledge scores and skills scores on PPH management and NR increased significantly from baseline to endline measurements. The mean difference for PPH knowledge is 17.1 out of 100; 95% CI\u200914.69 to 19.49 and 2.6% for PPH skills; 95% CI\u20091.01 to 4.25. The mean difference for NR knowledge is 19.1 out of 100; 95% CI\u200916.31 to 21.76 and 5.5% for NR skills; 95% CI\u20093.66 to 7.41. Increases were unaffected by participants\u2019 attendance to in-service training 6 months prior and during SDA intervention and previous smartphone use. However, pre- and post-intervention skills scores were significantly different by years of experience in obstetric care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The SDA intervention improved the knowledge and skills of nurses and midwives on the management of PPH and NR as long as 6\u00a0months after SDA introduction. The results are highly relevant in low-income countries like Rwanda, where quality of delivery care is challenged by a lack of in-service continuous training for healthcare providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12960-021-00559-2","type":"journal-article","created":{"date-parts":[[2021,1,26]],"date-time":"2021-01-26T05:03:36Z","timestamp":1611637416000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["The effect of an mLearning application on nurses\u2019 and midwives\u2019 knowledge and skills for the management of postpartum hemorrhage and neonatal resuscitation: pre\u2013post intervention study"],"prefix":"10.1186","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8019-2561","authenticated-orcid":false,"given":"Aurore","family":"Nishimwe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Latifat","family":"Ibisomi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Nyssen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daphney Nozizwe","family":"Conco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,1,26]]},"reference":[{"key":"559_CR1","unstructured":"World Health Organization, United NationsChildren\u2019s Fund, United Nations Population Fund,World Bank Group, United Nations PopulationDivision. 2019 Trends in maternal mortality: 2000 to2017: estimates by WHO, UNICEF, UNFPA, WorldBank Group and the United Nations Population Division. 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Written consent was obtained from each participant. Confidentiality of the participants was maintained at all times. Questionnaires were number-coded, thereby keeping the identity of the participants anonymous.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"14"}}