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A pre-post study of a multi-country scale up of resuscitation training of facility birth attendants: does Helping Babies Breathe training save lives

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dc.contributor.author M. Bellad, Roopa
dc.contributor.author Bang, Akash
dc.contributor.author A. Carlo, Waldemar
dc.contributor.author M. McClure, Elizabeth
dc.contributor.author Meleth, Sreelatha
dc.contributor.author Goco, Norman
dc.contributor.author S. Goudar, Shivaprasad
dc.contributor.author J. Derman, Richard
dc.contributor.author L. Hibberd, Patricia
dc.contributor.author Patel, Archana
dc.contributor.author Esamai, Fabian
dc.contributor.author Bucher, Sherri
dc.contributor.author Gisore, Peter
dc.contributor.author L. Wright, Linda
dc.date.accessioned 2023-10-12T09:35:31Z
dc.date.available 2023-10-12T09:35:31Z
dc.date.issued 2016-06-29
dc.identifier.uri http://ir.mu.ac.ke:8080/jspui/handle/123456789/8136
dc.description.abstract Background: Whether facility-based implementation of Helping Babies Breathe (HBB) reduces neonatal mortality at a population level in low and middle income countries (LMIC) has not been studied. Therefore, we evaluated HBB implementation in this context where our study team has ongoing prospective outcome data on all pregnancies regardless of place of delivery. Methods: We compared outcomes of birth cohorts in three sites in India and Kenya pre-post implementation of a facility-based intervention, using a prospective, population-based registry in 52 geographic clusters. Our hypothesis was that HBB implementation would result in a 20 % decrease in the perinatal mortality rate (PMR) among births ≥1500 g. Results: We enrolled 70,704 births during two 12-month study periods. Births within each site did not differ pre- post intervention, except for an increased proportion of <2500 g newborns and deliveries by caesarean section in the post period. There were no significant differences in PMR among all registry births; however, a post-hoc analysis stratified by birthweight documented improvement in <2500 g mortality in Belgaum in both registry and in HBB- trained facility births. No improvement in <2500 g mortality measures was noted in Nagpur or Kenya and there was no improvement in normal birth weight survival. Conclusions: Rapid scale up of HBB training of facility birth attendants in three diverse sites in India and Kenya was not associated with consistent improvements in mortality among all neonates ≥1500 g; however, differential improvements in <2500 g survival in Belgaum suggest the need for careful implementation of HBB training with attention to the target population, data collection, and ongoing quality monitoring activities. en_US
dc.language.iso en en_US
dc.publisher BMC en_US
dc.subject Helping babies breathe (HBB) en_US
dc.subject Facility birth attendants en_US
dc.subject Neonatal mortality en_US
dc.title A pre-post study of a multi-country scale up of resuscitation training of facility birth attendants: does Helping Babies Breathe training save lives en_US
dc.type Article en_US


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