title: 'Helping babies breathe' training in sub-saharan Africa: educational impact and learner impressions.
abstract: BACKGROUND
  Poor resuscitation contributes significantly to neonatal deaths globally. Helping Babies Breathe (HBB) is a new evidence-based neonatal resuscitation curriculum for low-resource settings.
  
  
  OBJECTIVE
  We sought to characterize knowledge changes after national-level HBB training in Ethiopia, factors correlated with successful training, resuscitation skills and trainees' perceptions.
  
  
  METHODS
  Trainees completed multiple-choice questionnaires (MCQ) before and after a 2-day course. After training, bag-mask ventilation (BMV) skills were assessed and feedback questionnaires completed.
  
  
  RESULTS
  Resuscitation knowledge improved from 8.7/10 (SD 1.4) to 9.4/10 (SD 1.1; p = 0.003). Correct MCQ responses relating to essential aspects of resuscitation increased 68-79%. Pre-training knowledge differences between physicians and non-physicians disappeared. MCQ scores increased as trainer:trainee ratio decreased (p = 0.004). Mean post-HBB BMV scores [5.7/7 (SD 1.6)] were not impacted by trainer:trainee ratio.
  
  
  CONCLUSIONS
  Ethiopian HBB training improved neonatal resuscitation knowledge and was well received. Lower trainer:trainee ratio was associated with increased MCQ scores. HBB eliminated baseline knowledge differences between Ethiopian healthworker cadres.
authors: Division of Neonatology, Department of Pediatrics, Rush University Medical Center, Chicago, IL 60612, USA. Rebecca.hoban@gmail.com
authors: Rebecca
authors: R
authors: Hoban
authors: Sherri
authors: S
authors: Bucher
authors: Ida
authors: I
authors: Neuman
authors: Minghua
authors: M
authors: Chen
authors: Neghist
authors: N
authors: Tesfaye
authors: Jonathan M
authors: JM
authors: Spector
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D004521:Educational Measurement; D005002:Ethiopia; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007223:Infant; D007407:Interviews as Topic; D008297:Male; D036301:Qualitative Research; D012151:Resuscitation / Q000193:education*; D011795:Surveys and Questionnaires
keywords: developing countries; educational intervention; international child health; neonatal mortality; neonatal resuscitation