Abstract:
BACKGROUND:Newborn resuscitation is a life-saving intervention for birth asphyxia, a leading cause of neonatal mortality. Improving provider newborn resuscitation skills is critical for delivering quality care, but the retention of these skills has been a challenge. Tanzania implemented a national newborn resuscitation using the Helping Babies Breathe (HBB) training program to help address this problem. Our objective was to evaluate the effectiveness of two training approaches to newborn resuscitation skills retention implemented across 16 regions of Tanzania. METHODS:An initial training approach implemented included verbal instructions for participating providers to replicate the training back at their service delivery site to others who were not trained. After a noted drop in skills, the program developed structured on-the-job training guidance and included this in the training. The approaches were implemented sequentially in 8 regions each with nurses/ midwives, other clinicians and medical attendants who had not received HBB training before. Newborn resuscitation skills were assessed immediately after training and 4-6 weeks after training using a validated objective structured clinical examination, and retention, measured through degree of skills drop, was compared between the two training approaches. RESULTS:Eight thousand, three hundred and ninety-one providers were trained and assessed: 3592 underwent the initial training approach and 4799 underwent the modified approach. Immediately post-training, average skills scores were similar between initial and modified training groups: 80.5 and 81.3%, respectively (p-value 0.07). Both groups experienced statistically significant drops in newborn resuscitation skills over time. However, the modified training approach was associated with significantly higher skills scores 4-6 weeks post training: 77.6% among the modified training approach versus 70.7% among the initial training approach (p-value < 0.0001). Medical attendant cadre showed the greatest skills retention. CONCLUSIONS:A modified training approach consisting of structured OJT, guidance and tools improved newborn resuscitation skills retention among health care providers. The study results give evidence for including on-site training as part of efforts to improve provider performance and strengthen quality of care.
journal_name
BMC Pediatrjournal_title
BMC pediatricsauthors
Drake M,Bishanga DR,Temu A,Njozi M,Thomas E,Mponzi V,Arlington L,Msemo G,Azayo M,Kairuki A,Meda AR,Isangula KG,Nelson BDdoi
10.1186/s12887-019-1419-5subject
Has Abstractpub_date
2019-02-07 00:00:00pages
51issue
1issn
1471-2431pii
10.1186/s12887-019-1419-5journal_volume
19pub_type
杂志文章相关文献
BMC Pediatrics文献大全abstract:BACKGROUND:Benign hyperplastic thymus is a rare but important differential diagnosis of anterior mediastinal lesions. Histological and radiological criteria are used to distinguish this benign condition from other malignant diseases but have their limitations, and biopsy of mediastinal masses can be risky. We report fo...
journal_title:BMC pediatrics
pub_type: 杂志文章,评审
doi:10.1186/1471-2431-13-103
更新日期:2013-07-10 00:00:00
abstract:BACKGROUND:Infant feeding practices are known to influence the child's long-term health. Studies have associated obesity and other diseases with reduced breastfeeding and early introduction of high calorie beverages (HCBs). The rising prevalence of obesity is already a problem in most developed countries, especially Au...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-017-0902-0
更新日期:2017-06-13 00:00:00
abstract:BACKGROUND:The fundamental treatment for patients with pediatric malignant mediastinal tumors is chemotherapy. Therefore, accurate diagnosis is essential for selecting the appropriate chemotherapeutic regimen. However, malignant mediastinal tumors occasionally cause respiratory distress, and biopsies under general anes...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02183-w
更新日期:2020-06-10 00:00:00
abstract:BACKGROUND:Newborn screening (NBS) for cystic fibrosis (CF) not only identifies infants with a diagnosis of CF, but also those with an uncertain diagnosis of cystic fibrosis (CF), i.e. CF transmembrane conductance regulator (CFTR)-related metabolic syndrome (CRMS) or CF screen positive inconclusive diagnosis (CFSPID). ...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-019-1756-4
更新日期:2019-10-22 00:00:00
abstract:BACKGROUND:To construct birth weight charts for the Chongqing municipality, China and to identify whether differences in birth weight exist across urban/rural populations, thereby warranting separate charts. METHODS:Secondary analysis of routinely collected data from 338,454 live infants between 2014 and 2017 in Chong...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-019-1816-9
更新日期:2019-11-11 00:00:00
abstract:BACKGROUND:There is a limited understanding of the patient and family experience of Chronic Transfusion Therapy (CTT) for prevention of complications of Sickle Cell Disease (SCD). We sought to understand patient and family experience with CTT using qualitative methods. METHODS:Fifteen parents of children < 18 years ol...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02078-w
更新日期:2020-04-18 00:00:00
abstract:BACKGROUND:Arthrogryposis multiplex congenita is an etiopathogenetically heterogeneous disorder characterised by non-progressive multiple intra-articular contractures, which can be recognised at birth. The frequency is estimated at 1 in 3,000 newborns. Etiopathogenesis of arthrogryposis is multifactorial. CASE PRESENT...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-13-184
更新日期:2013-11-11 00:00:00
abstract:BACKGROUND:Tympanic thermometry has come as a suitable alternative to traditional thermometry because of its safety and ease of use. However, it is still yet to gain wide acceptance in African settings due to conflicting results on its accuracy, thus rectal thermometry remains the gold standard in the newborn. The aim ...
journal_title:BMC pediatrics
pub_type: 临床试验,杂志文章
doi:10.1186/1471-2431-12-86
更新日期:2012-06-25 00:00:00
abstract:BACKGROUND:Clinical factors that affect the likelihood of abuse in children with femur fractures have not been well elucidated. Consequently, specifying which children with femur fractures warrant an abuse evaluation is difficult. Therefore the purpose of this study is to estimate the proportion of femur fractures in y...
journal_title:BMC pediatrics
pub_type: 杂志文章,评审
doi:10.1186/1471-2431-14-169
更新日期:2014-07-02 00:00:00
abstract:BACKGROUND:For treatment of Graf class IIb dysplastic hips at walking onset a treatment concept with abduction splints allowing patterns as walking and crawling under constant abduction control was investigated. However, as the splint still incapacitates child movements the research question remains whether the physiol...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-5-17
更新日期:2005-06-15 00:00:00
abstract:BACKGROUND:Attention-Deficit/Hyperactivity Disorder (ADHD) has a significant impact on child and adolescent development, especially in relation to school functioning and academic outcomes. Despite the transition to high school being a potentially critical period for children with ADHD, most research in this period has ...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-016-0555-4
更新日期:2016-01-28 00:00:00
abstract:BACKGROUND:Children born at low gestational ages face a range of risks and number of neonates surviving very preterm birth is increasing. We present the objectives and methods of a French national cohort of very and moderately preterm children, the EPIPAGE 2 study. It aims to examine short- and long-term outcomes of ve...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-14-97
更新日期:2014-04-09 00:00:00
abstract:BACKGROUND:HIV is a leading cause of morbidity and mortality in Zambia. Like many other African nations with high HIV burden, heterosexual intercourse is the commonest mode of HIV spread. The estimation of prevalence and factors associated with sexual intercourse among in-school adolescents has potential to inform publ...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-8-6
更新日期:2008-02-11 00:00:00
abstract:BACKGROUND:Congenital adrenal hyperplasia (CAH) is an autosomal recessive disorder associated with inborn errors of steroid metabolism. 21-hydroxylase enzyme deficiency occurs in 90 to 95% of all cases of CAH, with accumulation of 17 hydroxyprogesterone (17-OHP). Early diagnosis of CAH based on newborn screening is pos...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-016-0772-x
更新日期:2017-01-17 00:00:00
abstract:BACKGROUND:Dyslipidemia is reported in 27 - 43% of children and adolescents with overweight/obesity and tracks into adulthood, increasing the risk of cardiovascular morbidity. Cut-off values for fasting plasma lipid concentrations are typically set at fixed levels throughout childhood. The objective of this cross-secti...
journal_title:BMC pediatrics
pub_type: 临床试验,杂志文章
doi:10.1186/s12887-017-0868-y
更新日期:2017-04-28 00:00:00
abstract:BACKGROUND:Identification of deafness before 3 months of age substantially improves the socio-linguistic and cognitive development of deaf children. Existing studies demonstrating the feasibility of newborn hearing screening in South Africa have used small samples unrepresentative of general population characteristics....
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-016-0574-1
更新日期:2016-03-22 00:00:00
abstract:BACKGROUND:Detection of a heart murmur in healthy children is common, but may generate anxiety among parents. Many parents believe a heart murmur is a sign of heart disease, although the majority of heart murmurs are innocent. The purpose of this study was to assess anxiety and concerns in parents of children referred ...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-015-0507-4
更新日期:2015-11-21 00:00:00
abstract:BACKGROUND:The nature and magnitude of adverse drug events (ADEs) among hospitalized children in low-income countries is not well described. The aim of this study was thus, to assess the incidence and nature of ADEs in hospitalized children at a teaching hospital in Ethiopia. METHODS:We used prospective observational ...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-015-0401-0
更新日期:2015-07-15 00:00:00
abstract:BACKGROUND:Meconium peritonitis is defined as aseptic chemical inflammation caused by intrauterine bowel perforation. The underlying causes of bowel perforation include intestinal atresia, midgut volvulus, intussusception, congenital bands, and meconium ileus. CASE PRESENTATION:Siblings with prenatally diagnosed mecon...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-2016-3
更新日期:2020-03-05 00:00:00
abstract:BACKGROUND:Asthma is the most common chronic childhood disease. Imbalance of cytokines released from T helper cells and environmental factors, such as exposure to poly-aromatic hydrocarbon (PAH), play pivotal roles in the pathogenesis of asthma. The aim of this study was to compare the mRNA expression patterns of Inter...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-14-17
更新日期:2014-01-23 00:00:00
abstract:BACKGROUND:Poor sleep contributes to the developmental problems seen in preterm infants. We evaluated sleep problems in preterm infants 6 months of post-gestational age using the subjective Brief Infant Sleep Questionnaire (BISQ) and objective sleep tests. We also compared the sleep of premature infants with that of fu...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-014-0303-6
更新日期:2014-12-16 00:00:00
abstract:BACKGROUND:Today, approximately one in five United States adolescents age 12 to 19 years is obese and just over a third are either overweight or obese. This study examines how parents and peers influence diet and physical activity behaviors of older adolescents (14-18 years) with overweight or obesity to inform weight ...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02038-4
更新日期:2020-03-27 00:00:00
abstract:BACKGROUND:The Pediatric Quality of Life Inventory (PedsQL) is a modular instrument, designed to integrate generic and disease specific measures, and includes both self- and proxy-reports. The aim of the study was to assess the reliability and limited validity of the Swedish version of the disease specific Pediatric Qu...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02387-0
更新日期:2020-10-28 00:00:00
abstract:BACKGROUND:Coronavirus disease 2019 (COVID-19) has impacted the provision of health services in all specialties. We aim to study the impact of COVID-19 on the utilization of pediatric hospital services including emergency department (ED) attendances, hospitalizations, diagnostic categories and resource utilization in S...
journal_title:BMC pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/s12887-020-02469-z
更新日期:2020-12-23 00:00:00
abstract:BACKGROUND:Low birth weight (Birth weight < 2500 g) is a leading cause of prenatal and neonatal deaths. The early identification of Low birth weight (LBW) neonates is essential for any comprehensive initiative to improve their chance of survival. However, a large proportion of births in developing countries take place ...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-017-0866-0
更新日期:2017-04-21 00:00:00
abstract:BACKGROUND:The emerging field of Information and Communications Technology (ICT) has brought about new interaction styles. Its excessive use may lead to addictive behaviours. The objective is to determine the prevalence of the problematic use of ICT such as Internet, mobile phones and video games, among adolescents enr...
journal_title:BMC pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/s12887-016-0674-y
更新日期:2016-08-22 00:00:00
abstract:BACKGROUND:Premedication before neonatal intubation is heterogeneous and contentious. The combination of a short acting, rapid onset opioid with a muscle relaxant is considered suitable by many experts. The purpose of this study was to describe the tolerance and conditions of intubation following anaesthesia with atrop...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-14-120
更新日期:2014-05-07 00:00:00
abstract:BACKGROUND:Pediatric non-adherence to antiretroviral therapy (ART), loss to follow-up, and HIV drug resistance (HIVDR) are challenges to achieving UNAIDS' targets of 90% of those diagnosed HIV-positive receiving treatment, and 90% of those receiving treatment achieving viral suppression. In Kenya, the pediatric populat...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-018-1209-5
更新日期:2018-07-25 00:00:00
abstract:BACKGROUND:Children with longstanding use of antiepileptic drugs (AEDs) are susceptible to developing low bone mineral density and an increased fracture risk. However, the literature regarding the effects of AEDs on growth in epileptic children is limited. The aim of this study was to investigate the potential effects ...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-016-0597-7
更新日期:2016-05-03 00:00:00
abstract:BACKGROUND:Invasive S. pyogenes diseases are uncommon, serious infections with high case fatality rates (CFR). There are few publications on this subject in the field of pediatrics. This study aimed at characterizing clinical and laboratory aspects of this disease in Chinese children. PATIENTS AND METHODS:A retrospect...
journal_title:BMC pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/s12887-019-1536-1
更新日期:2019-06-05 00:00:00