Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Laerdal Medical | INDUSTRY |
| Indiana University | OTHER |
| Christiana Care Health Services | OTHER |
| Massachusetts General Hospital |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The primary purpose of this pre-post evaluation is to test the impact on perinatal mortality (fresh stillbirths or early neonatal deaths) among births > 1500g of training birth attendants at health facilities in the Helping Babies Breathe (HBB) and Essential Newborn Care (ENC) curricula. These facilities are located within clusters in the Global Network for Women's and Children's Health Research sites in Belgaum and Nagpur, India, and Eldoret, Kenya.
Helping Babies Breathe (HBB) is a training program designed to resuscitate neonates regardless of where they were born. HBB was developed by the American Academy of Pediatrics (AAP), the NICHD's Global Network for Women's and Children's Health (GN), the Laerdal Foundation and their global partners. The HBB program was developed based upon the experience and results of an earlier Neonatal Resuscitation Program and the GN's FIRST BREATH randomized control trial.
The goal of the study is to test the impact of training birth attendants at selected health facilities in the Helping Babies Breathe (HBB) and Essential Newborn Care (ENC) curricula upon perinatal mortality (fresh stillbirths and early neonatal deaths), among births of ≥1500g. The training will take place in three GN sites, Kenya, and Nagpur and Belgaum, India. The study facilities serve the population in identified study clusters, defined geographic areas which participate in the GN's Maternal Newborn Health (MNH) Registry. In addition to measuring perinatal mortality rate pre and post training, the study will also assess resuscitation skills among the birth attendants as a result of the training. Quality Improvement activities are planned to ensure the integrity of the training, maintenance and availability of resuscitation equipment and skills maintenance.
The GN MNH Registry (NCT 01073475) was established in 2008 and includes all pregnancies and neonatal outcomes in defined geographic clusters. The primary outcome for the pre-post HBB evaluation study will be calculated using all delivery data from the GN MNH Registry for participating clusters during the defined study period.
The pre-post HBB evaluation will include the following key activities:
Selection of Master Trainers, Facilitators, and Learners
Country-level training of Master Trainers in the HBB and ENC curricula
Facility-level training of birth attendants in the HBB and ENC curricula
Periodic re-training of birth attendants in the HBB and ENC curricula
Quality improvement activities:
The HBB Master Trainers (MT), Facilitators, and Learners will be evaluated at several points during the implementation of the training program and quality improvement activities.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Facilities | Other | Have appropriate staff trained in HBB and have HBB equipment provided |
|
| Master Trainers | Other | Receive appropriate HBB training |
|
| Facilitators | Other | Receive appropriate HBB training |
|
| Learners | Other | Receive appropriate HBB training |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HBB/ENC Training and Equipment | Behavioral | See the detailed description section |
|
| Measure | Description | Time Frame |
|---|---|---|
| Perinatal Mortality | The difference in the rate of perinatal mortality (fresh stillbirth or neonatal death prior to 7 days) among births ≥1500g, pre versus post implementation of an integrated package of HBB and ENC training and equipment (referred to as HBB/ENC training and equipment). This measure will be calculated using delivery data from the Global Network's Maternal Newborn Health Registry for participating clusters. | Perinatal mortality data collected at 6 weeks post-delivery. Comparison will include the pre-intervention period of 12 months and the post-intervention period of 12 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Facility-based perinatal mortality | The difference in the rate of facility-based perinatal mortality, among births ≥1500g pre versus post implementation of HBB/ENC training and equipment. | Perinatal mortality data collected at 6 weeks post-delivery. Comparison will include the pre-intervention period of 12 months and the post-intervention period of 12 months. |
Not provided
Inclusion Criteria:
Facilities:
Master Trainers (MT)
Facilitators
Learners
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Linda L. Wright, MD | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jawaharlal Nehru Medical College | Belagavi | 590 010 | India | |||
| Lata Medical Research Foundation |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31484498 | Derived | Patel A, Bang A, Kurhe K, Bhargav S, Prakash A, Arramraj S, Hibberd PL. Comparison of perinatal outcomes in facilities before and after Global Network's Helping Babies Breathe Implementation Study in Nagpur, India. BMC Pregnancy Childbirth. 2019 Sep 4;19(1):324. doi: 10.1186/s12884-019-2480-7. | |
| 27875999 | Derived |
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D066087 | Perinatal Death |
| D001237 | Asphyxia |
| D050497 | Stillbirth |
| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D003643 | Death |
Not provided
Not provided
| ID | Term |
|---|---|
| D004864 | Equipment and Supplies |
Not provided
Not provided
Not provided
| OTHER |
| Moi Univeristy | OTHER |
| Jawaharlal Nehru Medical College | OTHER |
| Lata Medical Research Foundation, Nagpur | OTHER |
| RTI International | OTHER |
| Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) | NIH |
Not provided
Not provided
Not provided
Not provided
Not provided
| HBB/ENC supplies | Other | Staffs associated with participating facilities receive HBB/ENC training and use related equipment. |
|
| Retention of resuscitation knowledge and skills | The difference pre versus post intervention in mean scores on a multiple choice test of resuscitation knowledge, observed skills in bag and mask ventilation (BMV), and OSCE A and OSCE B scenarios. | Assessments completed at initial training and refresher training. |
| Number of neonatal resuscitations | The difference in the number of neonatal resuscitations, among births ≥1500g with bag and mask in participating facilities pre versus post HBB/ENC training and equipment. | Resuscitation data collected at 6 weeks post-delivery. |
| Delivery room checklist score | The difference in scores on delivery room checklist (in facilities with > 100 deliveries/year) | Observations conducted on a monthly basis. |
| Asphyxia related perinatal mortality | The difference in the rate of asphyxia related perinatal mortality, among births ≥1500g pre versus post HBB/ENC training. | Perinatal mortality data collected at 6 weeks post-delivery. Comparison will include the pre-intervention period of 12 months and the post-intervention period of 12 months. |
| Health seeking behavior | The difference in the proportion of health seeking behavior pre versus post HBB/ENC training. | Data collected at 6 weeks post-delivery. Comparison will include the pre-intervention period of 12 months and the post-intervention period of 12 months. |
| Facility deliveries | The difference in the proportion of facility deliveries pre versus post HBB/ENC training. | Data collected at 6 weeks post-delivery. Comparison will include the pre-intervention period of 12 months and the post-intervention period of 12 months. |
| Very early newborn death (within 1 day of birth) | The difference in very early newborn death (within 1 day of birth) pre versus post HBB/ENC training. | Data collected at 6 weeks post-delivery. Comparison will include the pre-intervention period of 12 months and the post-intervention period of 12 months. |
| Nagpur |
| 440013 |
| India |
| Moi University School of Medicine | Eldoret | 30100 | Kenya |
| Bang A, Patel A, Bellad R, Gisore P, Goudar SS, Esamai F, Liechty EA, Meleth S, Goco N, Niermeyer S, Keenan W, Kamath-Rayne BD, Little GA, Clarke SB, Flanagan VA, Bucher S, Jain M, Mujawar N, Jain V, Rukunga J, Mahantshetti N, Dhaded S, Bhandankar M, McClure EM, Carlo WA, Wright LL, Hibberd PL. Helping Babies Breathe (HBB) training: What happens to knowledge and skills over time? BMC Pregnancy Childbirth. 2016 Nov 22;16(1):364. doi: 10.1186/s12884-016-1141-3. |
| 27527831 | Derived | Bellad RM, Bang A, Carlo WA, McClure EM, Meleth S, Goco N, Goudar SS, Derman RJ, Hibberd PL, Patel A, Esamai F, Bucher S, Gisore P, Wright LL; HBB Study Group. A pre-post study of a multi-country scale up of resuscitation training of facility birth attendants: does Helping Babies Breathe training save lives? BMC Pregnancy Childbirth. 2016 Aug 15;16(1):222. doi: 10.1186/s12884-016-0997-6. |
| 24670013 | Derived | 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. Implementation and evaluation of the Helping Babies Breathe curriculum in three resource limited settings: does Helping Babies Breathe save lives? A study protocol. BMC Pregnancy Childbirth. 2014 Mar 26;14:116. doi: 10.1186/1471-2393-14-116. |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014947 | Wounds and Injuries |
| D005313 | Fetal Death |