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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
Main Authors: ME Arabi, Ali, Ibrahim, Salah A, Ahmed, Sami E, MacGinnea, Finn, Hawkes, Gavin, Dempsey, Eugene, Anthony Ryan, C
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container_issue 5
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container_title Archives of disease in childhood
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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
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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&lt;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&lt;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. 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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&lt;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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