Enhancing knowledge and skills through the delivery of a bespoke neonatal resuscitation training programme in a developing country

Objective: This paper presents the design, implementation and immediate outcomes of an educational intervention in neonatal resuscitation.

Setting: The training programme took place in Sub-Saharan Africa. Participants 50 midwives, nurses, neonatal, paediatric doctors, and anaesthetists, who provide care during labour and birth.

Interventions: The design, implementation and immediate evaluation of a training programme was based on a "train the trainer" and an outreach programme approach which was delivered over five days. All candidates received one day training in knowledge and skills for immediate care and resuscitation of the newborn. In addition, those "trained to train" attended additional sessions to observe teaching and were equipped with relevant information and material to perpetuate the training.

Measurements and findings: Immediate evaluation was undertaken by comparing pre- and post-training knowledge. The total average pre-test score was 63.5% and the total average post-test score 83.8%. There was an increase in knowledge for every individual except two where knowledge remained static. Qualitative comments about the training were also obtained which were very positive.

Key conclusions: The training programme was successfully implemented and has largely achieved its objectives in impacting participant knowledge and skills. Furthermore a team of trainers has been equipped with the knowledge, skills and material to cascade the training further. Overall the project had achieved its immediate objectives through the educational strategies employed.