Helping Babies Breathe (2nd edition) implementation on a shoestring budget in Zanzibar, Tanzania.

ABSTRACT: Background:To assess the efficacy and viability of implementing Helping Babies Breathe, a neonatal resuscitation program for resource-limited environments on a small budget in two of the largest delivery centers in Zanzibar, Tanzania. The quality improvement initiative concentrated on training midwives, who directly care for neonates at birth on Helping Babies Breathe to address high rates of neonatal mortality secondary to birth asphyxia. Methods:The convenience sample was 59 midwives working in the two delivery centers of interest in Zanzibar, Tanzania. The train-the-trainer implementation strategy with repeated measures design was used to assess knowledge and skills at three time points. Observations were completed through supportive supervision of deliveries in both facilities. A budget was kept throughout the implementation. Results:Knowledge scores and resuscitation skills significantly improved and were sustained over a 6-month period of time, Ps?

SUBMITTER: Wilson GM 

PROVIDER: S-EPMC7268599 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature