scholarly journals Cost analysis of large-scale implementation of the ‘Helping Babies Breathe’ newborn resuscitation-training program in Tanzania

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Sumona Chaudhury ◽  
Lauren Arlington ◽  
Shelby Brenan ◽  
Allan Kaijunga Kairuki ◽  
Amunga Robson Meda ◽  
...  
PEDIATRICS ◽  
2020 ◽  
Vol 146 (Supplement_2) ◽  
pp. S194-S207 ◽  
Author(s):  
Jeffrey M. Perlman ◽  
Sithembiso Velaphi ◽  
Augustine Massawe ◽  
Robert Clarke ◽  
Hasan S. Merali ◽  
...  

Helping Babies Breathe (HBB) was piloted in 2009 as a program targeted to reduce neonatal mortality (NM). The program has morphed into a suite of programs termed Helping Babies Survive that includes Essential Care for Every Baby. Since 2010, the HBB and Helping Babies Survive training programs have been taught to >850 000 providers in 80 countries. Initial HBB training is associated with a significant improvement in knowledge and skills. However, at refresher training, there is a knowledge-skill gap evident, with a falloff in skills. Accumulating evidence supports the role for frequent refresher resuscitation training in facilitating skills retention. Beyond skill acquisition, HBB has been associated with a significant reduction in early NM (<24 hours) and fresh stillbirth rates. To evaluate the large-scale impact of the growth of skilled birth attendants, we analyzed NM rates in sub-Saharan Africa (n = 11) and Nepal (as areas of growing HBB implementation). All have revealed a consistent reduction in NM at 28 days between 2009 and 2018; a mean reduction of 5.34%. The number of skilled birth attendants, an indirect measure of HBB sustained rollout, reveals significant correlation with NM, fresh stillbirth, and perinatal mortality rates, highlighting HBB’s success and the need for continued efforts to train frontline providers. A novel live newborn resuscitation trainer as well as a novel app (HBB Prompt) have been developed, increasing knowledge and skills while providing simulation-based repeated practice. Ongoing challenges in sustaining resources (financial and other) for newborn programming emphasize the need for innovative implementation strategies and training tools.


PEDIATRICS ◽  
2016 ◽  
Vol 138 (2) ◽  
pp. e20154490 ◽  
Author(s):  
Jonathan Reisman ◽  
Lauren Arlington ◽  
Lloyd Jensen ◽  
Henry Louis ◽  
Daniela Suarez-Rebling ◽  
...  

Author(s):  
Sarah Morris ◽  
Ellie Fratt ◽  
Jessica Rodriguez ◽  
Anna Ruman ◽  
Brett Nelson

PEDIATRICS ◽  
2020 ◽  
Vol 146 (3) ◽  
pp. e20193938 ◽  
Author(s):  
Sarah M. Morris ◽  
Ellie M. Fratt ◽  
Jessica Rodriguez ◽  
Anna Ruman ◽  
Leah Wibecan ◽  
...  

Author(s):  
John T. Rowell ◽  
Eugene R. Streich

This article describes the development and implementation of a program to train a large-scale, semi-automatic data processing system known as SAGE (Semi-Automatic Ground Environment). Particular attention is given to describing the the air defense system, the methodology used to satisfy the training requirements, the conduct of the training program in operational settings, and results of various studies of training effectiveness. Of significance was the emergence of a unique conceptual formulation of system training principles and of associated simulation techniques.


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