scholarly journals Helping babies breathe: Building capacity and sustainability through education and training of Ethiopian healthcare workers in neonatal resuscitation to decrease neonatal mortality

2015 ◽  
Vol 81 (1) ◽  
pp. 36
Author(s):  
A. Lai ◽  
K. Perry ◽  
T. Bhatia ◽  
M. Tadros
Keyword(s):  
Neonatal Mortality ◽  
Healthcare Workers ◽  
Neonatal Resuscitation ◽  
Education And Training ◽  
Building Capacity ◽  
Helping Babies Breathe ◽  
And Training

scholarly journals Evaluating Neonatal Resuscitation Skills of Practicing Nurses and Midwives in Selected Hospitals in Central Uganda​

2020 ◽  
Author(s):  
Mary Namuguzi ◽  
Karen Drake ◽  
Elizabeth Namukombe Ekong ◽  
Ekaete FRANCIS Asuquo
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Neonatal Resuscitation ◽  
The State ◽  
Neonatal Mortality Rate ◽  
Successful Resuscitation ◽  
Knowledge And Skills ◽  
Helping Babies Breathe ◽  
Regulatory Policies ◽  
Nurses And Midwives

Abstract Background: Uganda has a high neonatal mortality rate (27 per 1,000 live births), with birth asphyxia as one of the major contributor. Helping babies breathe (HBB) is an evidence-based program that aims to reduce neonatal mortality in resource-limited settings. Successful resuscitation depends on nurses’ and midwives’ knowledge and skills in neonatal resuscitation, and access to functional neonatal resuscitation equipment. This study aimed to evaluate knowledge and skills retention in neonatal resuscitation after HBB training among nurses and midwives, and the state/availability of neonatal resuscitation equipment. Methods: This study used a cross sectional design. Participants were 75 nurses and midwives from two hospitals in Central Uganda. Data were collected using questionnaires and observation checklists. Ethics approval was obtained from the Uganda Christian University and the research and ethics committees of the two hospital hospitals. Results: Nurses and midwives showed a high level of knowledge (92%). However, neonatal resuscitation skills among 44 observed participants were poor, as 68.2% failed to check equipment and select the correct mask and 45.5% did not make a firm seal when applying the mask. In addition, about 72% of participants did not ventilate at a rate of 40 breaths per minute, and 18.2% failed to assess chest movement. Observation of 44 resuscitations to evaluate the state/availability of neonatal resuscitation equipment showed that 27.3% did not have a suction device, 59.1% did not have a heat source/pre-warmed towels to warm the babies, 50% did not have appropriate self-inflating bags and masks for term and preterm babies, 72.7% had no clock/watch to count heart rate and determine the length of time ventilation was required, and 36.4% did not document that resuscitation was performed. Conclusions: To address Uganda’s neonatal mortality rate, it is necessary to implement regulatory policies for neonatal resuscitation, building nurses and midwives skills for active interventions during neonatal resuscitation as well as regular refresher courses to enhance skills. Key words: helping babies breathe (HBB), neonatal resuscitation, knowledge, skills and equipment

scholarly journals Revisiting: “A pre-post study of a multi-country scale up of resuscitation training of facility birth attendants: does helping babies breathe training save lives?”

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sara Berkelhamer ◽  
Nalini Singhal
Keyword(s):  
Neonatal Mortality ◽  
Low Cost ◽  
Scale Up ◽  
Neonatal Resuscitation ◽  
Population Level ◽  
Helping Babies Breathe ◽  
Birth Attendants ◽  
Resuscitation Training ◽  
Facility Birth ◽  
The Impact

Abstract Background Helping Babies Breathe (HBB) is a low cost, skills-based neonatal resuscitation education program designed specifically for use in low resource settings. Studies from Tanzania, India and Nepal have demonstrated that HBB training results in decreased rates of fresh still birth and/or neonatal mortality. However, less is known regarding the impact of training on neonatal mortality at a population level. Bellad et al. utilized (BMC Pregnancy Childbirth. 2016;16 (1):222) utilized population based registries to evaluate outcomes before and after training of facility birth attendants. Their study entitled “A pre-post study of a multi-country scale up of resuscitation training of facility birth attendants: Does Helping Babies Breathe training save lives?” suggested facility based training was not associated with consistent improvements in neonatal mortality on a population level. Discussion Combining outcomes from three diverse settings may have under-estimated the impact of HBB training. We remain concerned that the modest benefits observed in the Kenyan site were lost with compiling of data. Summary The statement that HBB “was not associated with consistent improvements in mortality” may lead to the mistaken conclusion that improvements in neonatal mortality were not seen, when in fact, they were in selected cohorts. With numerous studies demonstrating potential for reduced neonatal mortality as a result of HBB training, we encourage interpretation of these findings in the context of local care.

Impact of education and training on neonatal resuscitation practices in 14 teaching hospitals in India

2001 ◽  
Vol 21 (1) ◽  
pp. 29-33 ◽  
Author(s):  
A. K. Deorari ◽  
V. K. Paul ◽  
M. Singh ◽  
D. Vidyasagar ◽  
Keyword(s):  
Neonatal Resuscitation ◽  
Education And Training ◽  
Teaching Hospitals ◽  
And Training

The Role of Simulation in Health Education Globally: A Review of the Neonatal Resuscitation Program and Helping Babies Breathe

2018 ◽  
pp. 201-217
Author(s):  
Beena D. Kamath-Rayne ◽  
Michael K. Visick ◽  
Sara K. Berkelhamer
Keyword(s):  
Neonatal Mortality ◽  
Professional Education ◽  
Life Support ◽  
Teaching Strategy ◽  
Low Cost ◽  
Neonatal Resuscitation ◽  
Helping Babies Breathe ◽  
Refresher Training ◽  
Simulation Based ◽  
Neonatal Resuscitation Program

In 2010, the Neonatal Resuscitation Program became the first life support resuscitation program to formally incorporate simulation- based training with debriefing as an educational methodology. Concurrently, a simplified simulation-based neonatal resuscitation program called Helping Babies Breathe (HBB) was created, with the goal of providing low-cost, portable programming to teach basic neonatal resuscitation to birth attendants in low- and middle-income countries. Early studies evaluating the efficacy of HBB demonstrated that facility- based implementation has the potential to reduce rates of early (<24 hour) neonatal mortality and stillbirth. Subsequent investigations that have coupled HBB training with quality improvement efforts, ongoing practice, and refresher training have shown even greater effect on neonatal mortality and stillbirth rates. However, the ideal frequency of skills practice and refresher training required to retain resuscitation skills remains poorly defined. Challenges exist in defining optimal practices, as recommendations may vary by the cadre of health care professional, education level, and access to ongoing delivery room experience. While simulation-based strategies have been shown to be effective at improving educational and clinical outcomes, the use of simulation in global health settings is challenged by hurdles such as resource limitations (complex equipment, supply chain, and expense), time intensity, dependence on skilled educators, and acceptance of simulation as a teaching strategy.

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