Adding video-debriefing to Helping-Babies Breathe training enhanced retention of neonatal resuscitation knowledge and skills among health workers in Uganda: a cluster randomized trial
| dc.contributor.author | Odongkara, Beatrice | |
| dc.contributor.author | Tylleskär, Thorkild | |
| dc.contributor.author | Pejovic, Nicola | |
| dc.contributor.author | Achora, Vincentina | |
| dc.contributor.author | Mukunya, David | |
| dc.contributor.author | Ndeezi, Grace | |
| dc.contributor.author | Tumwine, James K. | |
| dc.contributor.author | Nankabirwa, Victoria | |
| dc.date.accessioned | 2026-06-15T08:56:11Z | |
| dc.date.available | 2026-06-15T08:56:11Z | |
| dc.date.issued | 2020-06-10 | |
| dc.description | Neonatal mortality reduction has been modest despite mass HBB training in low-resource settings. Prior to this study, it was unknown if video-debriefing would enhance SBAs’ HBB competence in low-resource settings. However, this study revealed that adding video-debriefing to standard HBB training had some effect on competence retention over 6-month post-training compared to the usual practice. We recommend more research incorporating qualitative and cost-benefit analyses to prove its effectiveness and scalability. | |
| dc.description.abstract | Background: Skilled birth attendants must be competent to provide prompt resuscitation to save newborn lives at birth. Both knowledge and skills (competence) decline with time after training but the optimal duration for refresher training among frontline-skilled birth atten dants in low-resource settings is unknown. Objectives: We assessed the effect of an innovative Helping-Babies-Breathe simulation-based teaching method using video-debriefing compared to standard Helping-Babies-Breathe train ing on 1) neonatal resuscitation knowledge and skills attainment and 2) competence reten tion among skilled birth attendants in Northern Uganda. Methods: A total of 26 health facilities with 86 birth attendants were equally randomised to intervention and control arms. The 2nd edition of the American Association of Pediatrics Helping-Babies-Breathe curriculum was used for training and assessment. Knowledge and skills were assessed pre- and post-training, and during follow-up at 6 months. A mixed effects linear regression model for repeated measures was used to assess the short and long-term effects of the intervention on neonatal resuscitation practices while accounting for clustering. Results: Eighty-two (95.3%) skilled birth attendants completed follow-up at 6 months. Approximately 80% of these had no prior Helping-Babies-Breathe training and 75% reported practicing neonatal resuscitation routinely. Standard Helping-Babies-Breathe training with video-debriefing improved knowledge and skills attainment post-training [adjusted mean difference: 5.34; 95% CI: 0.82–10.78] and retention [adjusted mean difference: 2.97; 95% CI: 1.52–4.41] over 6 months post-training compared to standard training after adjusting for confounding and clustering. Factors that reduced knowledge and skills retention among birth attendants were monthly resuscitation of one neonate or more and being in service for more than 5 years. Conclusion: Adding video-debriefing to standard Helping-Babies-Breathe training had an effect on birth attendants’ competence attainment and retention over 6 months in Uganda. However, more research is needed to justify the proposed intervention in this context | |
| dc.description.sponsorship | This study was funded with a grant from the Norwegian Government through NORHED– support to Makerere University Survival Pluss project (no. UGA-13-0030). | |
| dc.identifier.citation | Beatrice Odongkara, Thorkild Tylleskär, Nicola Pejovic, Vincentina Achora, David Mukunya, Grace Ndeezi, James K. Tumwine & Victoria Nankabirwa (2020) Adding video debriefing to Helping-Babies-Breathe training enhanced retention of neonatal resuscitation knowledge and skills among health workers in Uganda: a cluster randomized trial, Global Health Action, 13:1, 1743496, DOI: 10.1080/16549716.2020.1743496 | |
| dc.identifier.other | https://doi.org/10.1080/16549716.2020.1743496 | |
| dc.identifier.uri | http://hdl.handle.net/20.500.14270/831 | |
| dc.language.iso | en | |
| dc.publisher | Taylor & Francis | |
| dc.subject | Video-debriefing | |
| dc.subject | Helping Babies-Breathe | |
| dc.subject | standard training | |
| dc.subject | knowledge and skills | |
| dc.subject | attainment and retention | |
| dc.title | Adding video-debriefing to Helping-Babies Breathe training enhanced retention of neonatal resuscitation knowledge and skills among health workers in Uganda: a cluster randomized trial | |
| dc.type | Article |