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Adding video-debriefing to Helping-Babies-Breathe training enhanced retention of neonatal resuscitation knowledge and skills among health workers in Uganda: a cluster randomized trial.
Odongkara, Beatrice; Tylleskär, Thorkild; Pejovic, Nicola; Achora, Vincentina; Mukunya, David; Ndeezi, Grace; Tumwine, James K; Nankabirwa, Victoria.
Afiliação
  • Odongkara B; Department of Paediatrics and Child Health, Gulu University Faculty of Medicine , Gulu, Uganda.
  • Tylleskär T; Center for International Health, University of Bergen , Bergen, Norway.
  • Pejovic N; College of Health Sciences, School of Medicine, Department of Paediatrics and Child Health, Makerere University , Kampala, Uganda.
  • Achora V; Center for International Health, University of Bergen , Bergen, Norway.
  • Mukunya D; Center for International Health, University of Bergen , Bergen, Norway.
  • Ndeezi G; Department of Neonataology, Sachs' Children and Youth Hospital , Stockholm, Sweden.
  • Tumwine JK; Department of Paediatrics and Child Health, Gulu University Faculty of Medicine , Gulu, Uganda.
  • Nankabirwa V; College of Health Sciences, School of Medicine, Department of Paediatrics and Child Health, Makerere University , Kampala, Uganda.
Glob Health Action ; 13(1): 1743496, 2020 12 31.
Artigo em Inglês | MEDLINE | ID: mdl-32524895
ABSTRACT

BACKGROUND:

Skilled birth attendants must be competent to provide prompt resuscitation to save newborn lives at birth. Both knowledge and skills (competence) decline with time after training but the optimal duration for refresher training among frontline-skilled birth attendants in low-resource settings is unknown.

OBJECTIVES:

We assessed the effect of an innovative Helping-Babies-Breathe simulation-based teaching method using video-debriefing compared to standard Helping-Babies-Breathe training on 1) neonatal resuscitation knowledge and skills attainment and 2) competence retention among skilled birth attendants in Northern Uganda.

METHODS:

A total of 26 health facilities with 86 birth attendants were equally randomised to intervention and control arms. The 2nd edition of the American Association of Pediatrics Helping-Babies-Breathe curriculum was used for training and assessment. Knowledge and skills were assessed pre- and post-training, and during follow-up at 6 months. A mixed effects linear regression model for repeated measures was used to assess the short and long-term effects of the intervention on neonatal resuscitation practices while accounting for clustering.

RESULTS:

Eighty-two (95.3%) skilled birth attendants completed follow-up at 6 months. Approximately 80% of these had no prior Helping-Babies-Breathe training and 75% reported practicing neonatal resuscitation routinely. Standard Helping-Babies-Breathe training with video-debriefing improved knowledge and skills attainment post-training [adjusted mean difference 5.34; 95% CI 0.82-10.78] and retention [adjusted mean difference 2.97; 95% CI 1.52-4.41] over 6 months post-training compared to standard training after adjusting for confounding and clustering. Factors that reduced knowledge and skills retention among birth attendants were monthly resuscitation of one neonate or more and being in service for more than 5 years.

CONCLUSION:

Adding video-debriefing to standard Helping-Babies-Breathe training had an effect on birth attendants' competence attainment and retention over 6 months in Uganda. However, more research is needed to justify the proposed intervention in this context.
Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Tema em saúde: Objetivo 3: Recursos humanos em saúde Base de dados: MEDLINE Tipo de estudo: Ensaio clínico controlado / Estudo prognóstico Idioma: Inglês Revista: Glob Health Action Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Uganda

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Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Tema em saúde: Objetivo 3: Recursos humanos em saúde Base de dados: MEDLINE Tipo de estudo: Ensaio clínico controlado / Estudo prognóstico Idioma: Inglês Revista: Glob Health Action Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Uganda
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