Training Zambian traditional birth attendants to reduce neonatal mortality in the Lufwanyama Neonatal Survival Project (LUNESP)
Training Zambian traditional birth attendants to reduce neonatal mortality in the Lufwanyama Neonatal Survival Project (LUNESP)
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DOI：
10.1016/j.ijgo.2012.02.012
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发表时间：
2012-07-01
影响因子：
3.8
通讯作者：
Hamer, Davidson H.
中科院分区：
文献类型：
--
作者：
Gill, Christopher J.;Guerina, Nicholas G.;Hamer, Davidson H.
目的：提供有关详细资料，说明如何制定Lufwanyama新生儿生存项目的干预措施，以及如何培训赞比亚传统助产士进行这些干预。研究方法：该研究测试了2种干预措施：美国儿科学会新生儿复苏方案（NRP）的简化版本;以及抗生素与促进转诊（AFR）。结果如下：取得积极研究结果的关键因素是：关注常见和可纠正的死亡原因;选择公共卫生需求未得到满足的人群;早期动员社区建立认识和支持;强调干预技术和算法的简单性;使用适合低识字率学生的传统培训方法;要求传统助产士在完成每个讲习班之前证明他们的能力;在整个研究期间定期对传统助产士进行再培训和重新评估，以尽量减少技能的流失。结论：创建了一个有效的NRP培训模式，适合于以社区为基础的新生儿干预措施，在研究或规划环境中，并由产科技能有限和识字率低的从业者。Clinicaltrials.gov NCT00518856。(C)2012年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: To provide relevant details on how interventions in the Lufwanyama Neonatal Survival Project (LUNESP) were developed and how Zambian traditional birth attendants (TBAs) were trained to perform them. Methods: The study tested 2 interventions: a simplified version of the American Academy of Pediatrics' neonatal resuscitation protocol (NRP); and antibiotics with facilitated referral (AFR). Results: Key elements that enabled the positive study result were: focusing on common and correctible causes of mortality; selecting a study population with high unmet public health need; early community mobilization to build awareness and support; emphasizing simplicity in the intervention technology and algorithms; using a traditional training approach appropriate to students with low literacy rates; requiring TBAs to demonstrate their competence before completing each workshop; and minimizing attrition of skills by retraining and reassessing the TBAs regularly throughout the study. Conclusion: An effective NRP training model was created that is suitable for community-based neonatal interventions, in research or programmatic settings, and by practitioners with limited obstetric skills and low rates of literacy. Clinicaltrials.gov NCT00518856. (C) 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.