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Helping Babies Breathe (HBB) training: What happens to knowledge and skills over time?

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dc.contributor.author Bang, Akash
dc.contributor.author Pate, Archana
dc.contributor.author Bellad, Roopa
dc.contributor.author Gisore, Peter
dc.contributor.author S. Goudar, Shivaprasad
dc.contributor.author Esamai, Fabian
dc.contributor.author A. Liechty, Edward
dc.contributor.author Meleth, Sreelatha
dc.contributor.author Goco, Norman
dc.contributor.author Niermeyer, Susan
dc.contributor.author Keenan, William
dc.contributor.author D. Kamath-Rayne, Beena
dc.contributor.author A. Little, George
dc.contributor.author B. Clarke, Susan
dc.contributor.author A. Flanagan, Victoria
dc.contributor.author Bucher, Sherri
dc.contributor.author Jain, Manish
dc.contributor.author Mujawar, Nilofer
dc.contributor.author Jain, Vinita
dc.contributor.author Rukunga, Janet
dc.contributor.author Mahantshetti, Niranjana
dc.contributor.author Dhaded, Sangappa
dc.contributor.author Bhandanka, Manisha
dc.contributor.author M. McClure, Elizabeth
dc.contributor.author A. Carlo, Waldemar
dc.contributor.author L. Wright, Linda
dc.contributor.author L. Hibberd, Patricia
dc.date.accessioned 2023-10-13T08:17:30Z
dc.date.available 2023-10-13T08:17:30Z
dc.date.issued 2016-11-01
dc.identifier.uri http://ir.mu.ac.ke:8080/jspui/handle/123456789/8142
dc.description.abstract Background: The first minutes after birth are critical to reducing neonatal mortality. Helping Babies Breathe (HBB) is a simulation-based neonatal resuscitation program for low resource settings. We studied the impact of initial HBB training followed by refresher training on the knowledge and skills of the birth attendants in facilities. Methods: We conducted HBB trainings in 71 facilities in the NICHD Global Network research sites (Nagpur and Belgaum, India and Eldoret, Kenya), with a 6:1 ratio of facility trainees to Master Trainers (MT). Because of staff turnover, some birth attendants (BA) were trained as they joined the delivery room staff, after the initial training was completed (catch-up initial training). We compared pass rates for skills and knowledge pre- and post- initial HBB training and following refresher training among active BAs. An Objective Structured Clinical Examination (OSCE) B tested resuscitation skill retention by comparing post-initial training performance with pre-refresher training performance. We identified factors associated with loss of skills in pre-refresher training performance using multivariable logistic regression analysis. Daily bag and mask ventilation practice, equipment checks and supportive supervision were stressed as part of training. Results: One hundred five MT (1.6 MT per facility) conducted initial and refresher HBB trainings for 835 BAs; 76% had no prior resuscitation training. Initial training improved knowledge and skills: the pass percentage for knowledge tests improved from 74 to 99% (p < 0.001). Only 5% could ventilate a newborn mannequin correctly before initial training but 97% passed the post-initial ventilation training test (p < 0.0001) and 99% passed the OSCE B resuscitation evaluation. During pre-refresher training evaluation, a mean of 6.7 (SD 2.49) months after the initial training, 99% passed the knowledge test, but the successful completion rate fell to 81% for the OSCE B resuscitation skills test. Characteristics associated with deterioration of resuscitation skills were BAs from tertiary care facilities, no prior resuscitation training, and the timing of training (initial vs. catch-up training). Conclusions: HBB training significantly improved neonatal resuscitation knowledge and skills. However, skills declined more than knowledge over time. Ongoing skills practice and monitoring, more frequent retesting, and refresher trainings are needed to maintain neonatal resuscitation skills en_US
dc.description.sponsorship U01 HD040636; U01 HD058322 and U10 HD078439; HD U01058326; U01 HD058326-04S1, U10 HD076461, U01 HD042372, U10 HD076457) en_US
dc.language.iso en en_US
dc.publisher BMC en_US
dc.subject Helping babies breathe en_US
dc.subject Resuscitation en_US
dc.subject Bag and mask ventilation en_US
dc.subject Perinatal mortality en_US
dc.subject Asphyxia en_US
dc.subject Stillbirth en_US
dc.subject Training en_US
dc.title Helping Babies Breathe (HBB) training: What happens to knowledge and skills over time? en_US
dc.type Article en_US


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