Safer Birth Package

Evaluation of neonatal resuscitation training on health workers’ performance on neonatal resuscitation public hospitals of Nepal: a simulated trial

Helping Babies Breathe (HBB) training program roll out has been fundamental in making improvements in the uptake of neonatal resuscitation protocol in the low and middle-income settings. The training program has been successful in improving the performance both in simulated and clinical settings, on initiating the ventilation in non-breathing manikin and babies within first minutes of life. Thus, HBB program has been successful in bringing a global momentum on importance of ventilation in the Golden Minute^TM. Evidence from several studies in high income setting has shown that to ensure adequate and effective ventilation, maintaining the rate of ventilation at 30-50/minutes and adequate chest rise (adequate tidal volume) is important. Therefore, further improvement in the HBB training needs to be done in terms of building the competency on continuous ventilation of babies within first minute after birth at 40-60/minutes and ensuring adequacy of ventilation. There is a need to develop tools to provide reinforcement in the trainings of HBB for adequate and effective ventilation.

Laerdal Global Health and Laerdal Medical have developed a bundle of products in order to improve the quality of neonatal resuscitation health workers are able to provide There are three novel interventions that will be tested during the study period.

1. To develop, certify, pilot and research a novel newborn heart rate meter (NeoBeat) that will help birth attendants to use heart rate for assessment of newborns and guide treatment of birth asphyxia in compliance with the 2015 ILCOR guidelines for treatment.
2. To develop, prototype, pilot and research a novel realistic newborn heart and lung simulator to facilitate improved in-situ low-dose-high-frequency training to increase competency, skills and confidence of health workers.
3. To develop, prototype, pilot and research a novel performance data management system to capture and report performance during newborn resuscitation and training for local quality improvement.