Skills retention in Sudanese village midwives 1 year following Helping Babies Breathe training

BackgroundOver 80% of deliveries in Sudan occur in isolated villages, attended by village midwives (VMWs). Upgrading newborn resuscitation skills with the Helping Babies Breathe (HBB) programme could improve newborn survival rates.ObjectiveTo describe the competencies in newborn resuscitation of sel...

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Bibliographic Details
Published in:Archives of disease in childhood 2016-05, Vol.101 (5), p.439-442
Main Authors: ME Arabi, Ali, Ibrahim, Salah A, Ahmed, Sami E, MacGinnea, Finn, Hawkes, Gavin, Dempsey, Eugene, Anthony Ryan, C
Format: Article
Language:English
Subjects:
Adult
Analysis
Attrition (Research Studies)
Babies
Basic Skills
Births
Child Health
Clinical Competence - standards
Curriculum
Developing Countries
Ethics
Evidence-based medicine
Female
Formative Evaluation
Functional Literacy
Humans
Illiteracy
Infant
Infant, Newborn
Interrater Reliability
Interviews
Manikins
Masks
Middle Aged
Midwifery - education
Mortality
Neonates
Obstetrics
Prospective Studies
Reading Skills
Research ethics
Research Tools
Resuscitation - education
Simulated Environment
Sudan
Survival
Teaching Methods
Towns
Training
Ventilation
Ventilators
Video Technology
Writing Instruction
Writing Skills
Young Children
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Summary:BackgroundOver 80% of deliveries in Sudan occur in isolated villages, attended by village midwives (VMWs). Upgrading newborn resuscitation skills with the Helping Babies Breathe (HBB) programme could improve newborn survival rates.ObjectiveTo describe the competencies in newborn resuscitation of selected VMWs pre-HBB and post-HBB training.MethodsIn a prospective intervention study, the VMWs’ performances in the HBB Objective Structured Clinical Examination B simulated scenario (manikin requiring face-mask ventilation (FMV)) were digitally recorded and analysed prior to and 3 and 12 months following HBB training. Regular manikin-based practice was encouraged following training.ResultsPre-HBB training, 42% of 71 VMWs (of whom 61% were functionally illiterate) stimulated the non-breathing manikin by holding it by the legs and either stimulated/slapped (30.4%) or shook (12.7%) it, while 25% (18/71) provided manikin mouth-to-mouth ventilation. The low scorings on the ‘preparation for birth’ (0% and 3.1% at 3 and 12 months, respectively) were mainly due to failure to demonstrate the subitem of ‘cleans hands’. The percentage of VMWs providing manikin FMV within the Golden Minute increased from 37.3% (25/67) to 72.3% (47/65) (p
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2015-309190