Testing and Refining a Neonatal Resuscitation Training Model for Semi-Skilled Birth Attendants to Manage Neonatal Emergencies in Oyo State, Nigeria.

Abstract Background: Helping Babies Breathe (HBB) is a stimulated-based educational model developed to training birth attendants in low-income counties in basic neonatal stabilization. The scientific basis of HBB stemmed from neonatal evidence evaluation. Evaluation of this model gives an exhaustive understanding of the effectiveness of the training process and potential needs for improvement. Methods: This was a mixed method study conducted to test an existing, and develop an acceptable model suitable for the training of semi-skilled birth attendants in rural Nigeria. Data intake was both quantitative and qualitative using sequential approach. Questionnaire was used for quantitative data collection, while focus group discussions and individual in-depth interviews were adopted for qualitative. Qualitative data was entered into SPSS version 21, qualitative data were digitally recorded and transcribed. Both sets of data was coded and analyzed. Result: Findings from this study revealed very poor knowledge and skills of neonatal resuscitation among semi-skilled birth attendants before training was instituted. Their knowledge and resuscitative skills improved immediately after the training. The adapted model was evaluated and refined to suit the training of semi-skilled birth attendants in rural Nigeria. The outcomes were impressive, almost all respondents had improved skills in both newborn care and resuscitation of asphyxiated newborns. Conclusion: This refined model of training of semi-skilled birth attendants will improve neonatal care through advancement of educational efficacy. This model of training should be implemented by relevant stakeholders in the care of children to reduce newborn mortality and improve survival. Keywords: Neonatal, Testing, Refining, Community Health Worker, Hypoxia