Helping babies breathe (HBB) is a neonatal resuscitation training program for low-resource settings to health care workers to provide prompt respiratory support to save babies at birth. Despite massive roll-out, new-born mortality reduction has stagnated over the years. Innovative teaching methods with existing technology such as video-debriefing needs to be tested to promote competence (skills and knowledge) attainment and retention.
In this study we will randomize both public and private delivery facilities in Lira district northern Uganda to receive either standard HBB with video-debriefing (intervention) or standard training alone (control). We hope video-debriefing will improve competence among the health workers and promote skills and knowledge retention over time, hence reduction in neonatal mortality. The result of the study may also contribute to shaping refresher training program policy in low-resource settings.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
QUADRUPLE
Enrollment
96
We will use the AAP training curriculum for the HBB 2nd edition through out the training and course assessments pre-and post- training and during follow-up period. Both intervention arms will a 2 days training consisting of: lectures, neonatal resuscitation demonstrations using NeoNatali mannequin, and practical skills s sessions. Pre- and post-tests knowledge (MCQs) and skills (bag mask ventilation, OSCE A, \& OSCE B) will be given to all participants. In the intervention arm, in addition to standard training, participants will work in teams of three (birth attendant, mother, and an assistant) to perform different HBB case scenarios. These will be filmed and used for subsequent debriefing after each case scenarios. After all participants in the intervention have had the opportunity to participate in the debriefing, then a post test is done to assess performance. Analysis is done to compare the intervention and control arms performances.
All public and Private delivery facilities (hospitals, health centers, maternity homes, and clinics) in Lira district
Lira, Northern Region, Uganda
RECRUITINGHealth workers knowledge scores in percentage
The scores from HBB multiple choice questions (MCQs) will be used.
Time frame: 6 months
Health workers skills scores in percentages
The scores from bag mask ventilation, OSCE A and B skills sessions will be used.
Time frame: 6 months
Knowledge and skills retention at 1, 3 and 6 months
The knowledge and skills scores as described above will be used to assess retention at different time points
Time frame: 6 months
Neonatal mortality at health facilities pre- and post training
We will determine the mortality at all the birth facilities from maternity registers to determine the effect of our training on birth outcomes
Time frame: 6 months
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