Helping Babies Breathe implementation in Zanzibar, Tanzania.
نویسندگان
چکیده
AIM To assess the efficacy and feasibility of implementing Helping Babies Breathe, a neonatal resuscitation programme for resource-limited environments. BACKGROUND This quality improvement project focused on training midwives on Helping Babies Breathe to address high rates of neonatal mortality secondary to birth asphyxia. METHODS The convenience sample was 33 midwives in Zanzibar, Tanzania. The train-the-trainer strategy with repeated measures design was used to assess knowledge and skills at 3 time points. Observations were completed during "real-time" deliveries, and a focused interview generated feedback regarding satisfaction and sustainability. RESULTS Knowledge scores and resuscitation skills significantly improved and were sustained, P < .05. Of the 62 birth observations, 19% needed intervention. All were appropriately resuscitated and survived. CONCLUSION Results indicate that participants retained knowledge and skills and used them in clinical practice. Observations demonstrated that participants took appropriate actions when presented with a baby who was not breathing.
منابع مشابه
Cost analysis of large-scale implementation of the ‘Helping Babies Breathe’ newborn resuscitation-training program in Tanzania
BACKGROUND Helping Babies Breathe (HBB) has become the gold standard globally for training birth-attendants in neonatal resuscitation in low-resource settings in efforts to reduce early newborn asphyxia and mortality. The purpose of this study was to do a first-ever activity-based cost-analysis of at-scale HBB program implementation and initial follow-up in a large region of Tanzania and evalua...
متن کاملImplementation of "Helping Babies Breathe": A 3-Year Experience in Tanzania.
OBJECTIVES This first-ever country-level study assesses the implementation of the Helping Babies Breathe (HBB) program in 15 of Tanzania's mainland regions by measuring coverage, adoption and retention of provider skills, acceptability among providers, and barriers and challenges to at-scale implementation. METHODS Longitudinal facility-level follow-up visits assessed provider resuscitation k...
متن کاملNewborn mortality and fresh stillbirth rates in Tanzania after helping babies breathe training.
BACKGROUND Early neonatal mortality has remained high and unchanged for many years in Tanzania, a resource-limited country. Helping Babies Breathe (HBB), a novel educational program using basic interventions to enhance delivery room stabilization/resuscitation, has been developed to reduce the number of these deaths. METHODS Master trainers from the 3 major referral hospitals, 4 associated re...
متن کاملCost-Effectiveness of the “Helping Babies Breathe” Program in a Missionary Hospital in Rural Tanzania
OBJECTIVE The Helping Babies Breathe" (HBB) program is an evidence-based curriculum in basic neonatal care and resuscitation, utilizing simulation-based training to educate large numbers of birth attendants in low-resource countries. We analyzed its cost-effectiveness at a faith-based Haydom Lutheran Hospital (HLH) in rural Tanzania. METHODS Data about early neonatal mortality and fresh still...
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ورودعنوان ژورنال:
- International journal of nursing practice
دوره 23 4 شماره
صفحات -
تاریخ انتشار 2017