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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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Published in: | Archives of disease in childhood 2016-05, Vol.101 (5), p.439-442 |
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creator | ME Arabi, Ali Ibrahim, Salah A Ahmed, Sami E MacGinnea, Finn Hawkes, Gavin Dempsey, Eugene Anthony Ryan, C |
description | 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 |
doi_str_mv | 10.1136/archdischild-2015-309190 |
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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<0.005), but there were no significant differences in the number of VMWs producing at least five FMVs at 3 months (73%, 49/67) and 12 months (58%, 38/65), respectively.ConclusionsVMWs, despite a high illiteracy rate, absorbed and sustained HBB skills for at least a year. Regular, low intensity, manikin-based skills training with peers may have helped sustain FMV, but not hand-cleansing skills.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/archdischild-2015-309190</identifier><identifier>PMID: 26826172</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>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</subject><ispartof>Archives of disease in childhood, 2016-05, Vol.101 (5), p.439-442</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b425t-dbe3afc2a8ed3ce6beca118b5649d28da10c56a76345509cb3bce931bec4ae3a3</citedby><cites>FETCH-LOGICAL-b425t-dbe3afc2a8ed3ce6beca118b5649d28da10c56a76345509cb3bce931bec4ae3a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1833938989/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1833938989?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21378,21394,27924,27925,33611,33612,33877,33878,43733,43880,74221,74397</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26826172$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ME Arabi, Ali</creatorcontrib><creatorcontrib>Ibrahim, Salah A</creatorcontrib><creatorcontrib>Ahmed, Sami E</creatorcontrib><creatorcontrib>MacGinnea, Finn</creatorcontrib><creatorcontrib>Hawkes, Gavin</creatorcontrib><creatorcontrib>Dempsey, Eugene</creatorcontrib><creatorcontrib>Anthony Ryan, C</creatorcontrib><title>Skills retention in Sudanese village midwives 1 year following Helping Babies Breathe training</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>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<0.005), but there were no significant differences in the number of VMWs producing at least five FMVs at 3 months (73%, 49/67) and 12 months (58%, 38/65), respectively.ConclusionsVMWs, despite a high illiteracy rate, absorbed and sustained HBB skills for at least a year. Regular, low intensity, manikin-based skills training with peers may have helped sustain FMV, but not hand-cleansing skills.</description><subject>Adult</subject><subject>Analysis</subject><subject>Attrition (Research Studies)</subject><subject>Babies</subject><subject>Basic Skills</subject><subject>Births</subject><subject>Child Health</subject><subject>Clinical Competence - standards</subject><subject>Curriculum</subject><subject>Developing Countries</subject><subject>Ethics</subject><subject>Evidence-based medicine</subject><subject>Female</subject><subject>Formative Evaluation</subject><subject>Functional Literacy</subject><subject>Humans</subject><subject>Illiteracy</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Interrater Reliability</subject><subject>Interviews</subject><subject>Manikins</subject><subject>Masks</subject><subject>Middle Aged</subject><subject>Midwifery - education</subject><subject>Mortality</subject><subject>Neonates</subject><subject>Obstetrics</subject><subject>Prospective Studies</subject><subject>Reading Skills</subject><subject>Research ethics</subject><subject>Research Tools</subject><subject>Resuscitation - education</subject><subject>Simulated Environment</subject><subject>Sudan</subject><subject>Survival</subject><subject>Teaching Methods</subject><subject>Towns</subject><subject>Training</subject><subject>Ventilation</subject><subject>Ventilators</subject><subject>Video Technology</subject><subject>Writing Instruction</subject><subject>Writing Skills</subject><subject>Young Children</subject><issn>0003-9888</issn><issn>1468-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>CJNVE</sourceid><sourceid>M0P</sourceid><recordid>eNqNkUtv1DAUhS1URIfCX6gssekm4Efi2Mt21FKkSl0U1saPOzOeJs5gJ33s2PBH-SV4lIJQV11d6fo7R-f6IIQp-UgpF59MchsfstuEzleM0KbiRFFFXqEFrYUsq7o-QAtCCK-UlPIQvc15SwhlUvI36JAJyQRt2QJ9v7kNXZdxghHiGIaIQ8Q3kzcRMuC78mbWgPvg78MdZEx___z1CCbh1dB1w32Ia3wJ3W4_z4wNhThLYMYN4DGZEMv-HXq9Ml2G90_zCH27OP-6vKyurj9_WZ5eVbZmzVh5C9ysHDMSPHcgLDhDqbSNqJVn0htKXCNMK3jdNEQ5y60DxWnhalOk_AidzL67NPyYII-6Lx8EJX-EYcqatpJz3gpJCvrhGbodphRLOk0LpLhUUhWqmqm16UCH6IY4wsPoyuGwBl3CL6_1ad20nDaK7V3lzLs05JxgpXcp9CY9akr0vjX9f2t635qeWyvS46dAk-3B_xP-rakAfAZsv3257R-wYajc</recordid><startdate>201605</startdate><enddate>201605</enddate><creator>ME Arabi, Ali</creator><creator>Ibrahim, Salah A</creator><creator>Ahmed, Sami E</creator><creator>MacGinnea, Finn</creator><creator>Hawkes, Gavin</creator><creator>Dempsey, Eugene</creator><creator>Anthony Ryan, C</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88I</scope><scope>8A4</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201605</creationdate><title>Skills retention in Sudanese village midwives 1 year following Helping Babies Breathe training</title><author>ME Arabi, Ali ; Ibrahim, Salah A ; Ahmed, Sami E ; MacGinnea, Finn ; Hawkes, Gavin ; Dempsey, Eugene ; Anthony Ryan, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b425t-dbe3afc2a8ed3ce6beca118b5649d28da10c56a76345509cb3bce931bec4ae3a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Analysis</topic><topic>Attrition (Research Studies)</topic><topic>Babies</topic><topic>Basic Skills</topic><topic>Births</topic><topic>Child Health</topic><topic>Clinical Competence - standards</topic><topic>Curriculum</topic><topic>Developing Countries</topic><topic>Ethics</topic><topic>Evidence-based medicine</topic><topic>Female</topic><topic>Formative Evaluation</topic><topic>Functional Literacy</topic><topic>Humans</topic><topic>Illiteracy</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Interrater Reliability</topic><topic>Interviews</topic><topic>Manikins</topic><topic>Masks</topic><topic>Middle Aged</topic><topic>Midwifery - education</topic><topic>Mortality</topic><topic>Neonates</topic><topic>Obstetrics</topic><topic>Prospective Studies</topic><topic>Reading Skills</topic><topic>Research ethics</topic><topic>Research Tools</topic><topic>Resuscitation - education</topic><topic>Simulated Environment</topic><topic>Sudan</topic><topic>Survival</topic><topic>Teaching Methods</topic><topic>Towns</topic><topic>Training</topic><topic>Ventilation</topic><topic>Ventilators</topic><topic>Video Technology</topic><topic>Writing Instruction</topic><topic>Writing Skills</topic><topic>Young Children</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ME Arabi, Ali</creatorcontrib><creatorcontrib>Ibrahim, Salah A</creatorcontrib><creatorcontrib>Ahmed, Sami E</creatorcontrib><creatorcontrib>MacGinnea, Finn</creatorcontrib><creatorcontrib>Hawkes, Gavin</creatorcontrib><creatorcontrib>Dempsey, Eugene</creatorcontrib><creatorcontrib>Anthony Ryan, C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>ProQuest Education Journals</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Science Journals</collection><collection>ProQuest Biological Science Journals</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of disease in childhood</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ME Arabi, Ali</au><au>Ibrahim, Salah A</au><au>Ahmed, Sami E</au><au>MacGinnea, Finn</au><au>Hawkes, Gavin</au><au>Dempsey, Eugene</au><au>Anthony Ryan, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Skills retention in Sudanese village midwives 1 year following Helping Babies Breathe training</atitle><jtitle>Archives of disease in childhood</jtitle><addtitle>Arch Dis Child</addtitle><date>2016-05</date><risdate>2016</risdate><volume>101</volume><issue>5</issue><spage>439</spage><epage>442</epage><pages>439-442</pages><issn>0003-9888</issn><eissn>1468-2044</eissn><coden>ADCHAK</coden><abstract>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<0.005), but there were no significant differences in the number of VMWs producing at least five FMVs at 3 months (73%, 49/67) and 12 months (58%, 38/65), respectively.ConclusionsVMWs, despite a high illiteracy rate, absorbed and sustained HBB skills for at least a year. Regular, low intensity, manikin-based skills training with peers may have helped sustain FMV, but not hand-cleansing skills.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>26826172</pmid><doi>10.1136/archdischild-2015-309190</doi><tpages>4</tpages></addata></record> |
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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 |
title | Skills retention in Sudanese village midwives 1 year following Helping Babies Breathe training |
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