Implementation and evaluation of the Helping Babies Breathe curriculum in three resource limited settings: does Helping Babies Breathe save lives? A study protocol.
Implementation and evaluation of the Helping Babies Breathe curriculum in three resource limited settings: does Helping Babies Breathe save lives? A study protocol.
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DOI：
10.1186/1471-2393-14-116
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发表时间：
2014-03-26
影响因子：
3.1
通讯作者：
Wright LL
中科院分区：
文献类型：
--
作者：
Bang A;Bellad R;Gisore P;Hibberd P;Patel A;Goudar S;Esamai F;Goco N;Meleth S;Derman RJ;Liechty EA;McClure E;Carlo WA;Wright LL
新生儿死亡占所有5岁以下儿童死亡的40%以上；减少污染对实现千年发展目标4越来越重要。估计每年有300万新生儿在出生后的第一个月内死亡；其中一半死亡发生在分娩期间或24小时内。每年有600万婴儿在出生后立即需要帮助呼吸。帮助婴儿呼吸和预防/处理出生窒息的复苏训练在中低收入机构中并不常见。“帮助婴儿呼吸”（HBB）是一项针对任何地方出生的婴儿的模拟训练计划，是为中低收入国家开发的。我们在尤尼斯肯尼迪施赖弗国家儿童健康与人类发展研究所的全球网络研究站点评估了对设施助产士进行HBB培训是否能降低围产期死亡率。我们假设一项为期两年的前瞻性前后研究，以评估以设施为基础的培训包（包括HBB和基本新生儿护理）的影响，将降低全球网络孕产妇新生儿健康登记处在设施服务的研究集群中出生≥1500克的所有围产期死亡率（新鲜死产或7天前的新生儿死亡）。我们还将评估HBB培训计划在基于设施的围产期死亡率和复苏实践方面的有效性。将包括为印度贝尔高姆和那格浦尔以及肯尼亚埃尔多雷特的52个按地理划分的研究小组提供服务的71个保健设施和3万名妇女。主要结果数据将由未参与HBB干预的工作人员收集。将收集关于复苏、复苏情况汇报、死亡审计、质量监测和改进的其他数据。HBB培训将包括对MTs、设施级助产士以及质量监测和改进活动的培训。我们的研究将评估HBB/ENC培训以及质量监测和改进一揽子计划对围产期死亡率的影响，采用大型多中心设计和方法，在71家资源有限的卫生机构中，利用现有的出生登记处提供到第7天的新生儿结局。该研究将提供证据基础、经验教训和最佳做法，这对指导未来的新生儿复苏政策和投资至关重要。临床试验注册：ClinicalTrials.gov标识符：NCT01681017
Neonatal deaths account for over 40% of all under-5 year deaths; their reduction is increasingly critical for achieving Millennium Development Goal 4. An estimated 3 million newborns die annually during their first month of life; half of these deaths occur during delivery or within 24 hours. Every year, 6 million babies require help to breathe immediately after birth. Resuscitation training to help babies breathe and prevent/manage birth asphyxia is not routine in low-middle income facility settings. Helping Babies Breathe (HBB), a simulation-training program for babies wherever they are born, was developed for use in low-middle income countries. We evaluated whether HBB training of facility birth attendants reduces perinatal mortality in the Eunice Kennedy Shriver National Institute of Child Health and Human Development’s Global Network research sites. We hypothesize that a two-year prospective pre-post study to evaluate the impact of a facility-based training package, including HBB and essential newborn care, will reduce all perinatal mortality (fresh stillbirth or neonatal death prior to 7 days) among the Global Network’s Maternal Neonatal Health Registry births ≥1500 grams in the study clusters served by the facilities. We will also evaluate the effectiveness of the HBB training program changing on facility-based perinatal mortality and resuscitation practices. Seventy-one health facilities serving 52 geographically-defined study clusters in Belgaum and Nagpur, India, and Eldoret, Kenya, and 30,000 women will be included. Primary outcome data will be collected by staff not involved in the HBB intervention. Additional data on resuscitations, resuscitation debriefings, death audits, quality monitoring and improvement will be collected. HBB training will include training of MTs, facility level birth attendants, and quality monitoring and improvement activities. Our study will evaluate the effect of a HBB/ENC training and quality monitoring and improvement package on perinatal mortality using a large multicenter design and approach in 71 resource-limited health facilities, leveraging an existing birth registry to provide neonatal outcomes through day 7. The study will provide the evidence base, lessons learned, and best practices that will be essential to guiding future policy and investment in neonatal resuscitation. Trial registration ClinicalTrials.gov Identifier: NCT01681017
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影响因子：
2.8
作者：
Zanardo V;Simbi A;Micaglio M;Cavallin F;Tshilolo L;Trevisanuto D
通讯作者：
Trevisanuto D
影响因子：
3.8
作者：
Wall, Stephen N.;Lee, Anne C. C.;Niermeyer, Susan;English, Mike;Keenan, William J.;Carlo, Wally;Bhutta, Zulfiqar A.;Bang, Abhay;Narayanan, Indira;Ariawan, Iwan;Lawn, Joy E.
通讯作者：
Lawn, Joy E.
影响因子：
3.8
作者：
Goudar, Shivaprasad S.;Carlo, Waldemar A.;McClure, Elizabeth M.;Pasha, Omrana;Patel, Archana;Esamai, Fabian;Chomba, Elwyn;Garces, Ana;Althabe, Fernando;Kodkany, Bhalachandra;Sami, Neelofar;Derman, Richard J.;Hibberd, Patricia L.;Liechty, Edward A.;Krebs, Nancy F.;Hambidge, K. Michael;Buekens, Pierre;Moore, Janet;Wallace, Dennis;Jobe, Alan H.;Koso-Thomas, Marion;Wright, Linda L.;Goldenberg, Robert L.
通讯作者：
Goldenberg, Robert L.
影响因子：
168.9
作者：
Rajaratnam, Julie Knoll;Marcus, Jake R.;Murray, Chnstopher J. L.
通讯作者：
Murray, Chnstopher J. L.
影响因子：
168.9
作者：
Lumbiganon, Pisake;Laopaiboon, Malinee;Villar, Jose
通讯作者：
Villar, Jose