Impact of Digital CQI Training on Health Worker CQI Knowledge in Kenya, a Case of Kwale County

Digital platforms hold promise for scalable Continuous Quality Improvement (CQI) training, yet evidence on their effectiveness in Kenya’s maternal, newborn, and child health (MNCH) workforce is limited. This quasi-experimental study evaluated a WhatsApp-delivered Kenya Quality Model for Health (KQMH) training module among 56 MNCH health workers in eight public facilities in Kwale County. A validated 20-item multiple-choice KQMH test was administered immediately before and after a two-week digital intervention. Paired t-test analysis revealed a significant increase in mean knowledge scores from 51% (CI: 48–55) at baseline to 64% (CI: 60–67) post-training (t(55) =–6.53, p<0.00000002). The large effect size (Cohen’s d=0.99) indicates that the digital format achieved substantial practical gains in CQI knowledge.