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From the Neonatal Resuscitation Program to Helping Babies Breathe: Global impact of educational programs in neonatal
1University of Colorado School of Medicine, Section of Neonatology, Aurora, CO, USA.
Insights
Neonatal resuscitation programs like Neonatal Resuscitation Program (NRP) and Helping Babies Breathe (HBB) improve newborn survival. Their combined use can strengthen health systems and maximize impact on newborn health globally.
Area of Science:
- Global Health
- Medical Education
- Neonatal Care
Background:
- Neonatal Resuscitation Program (NRP) and Helping Babies Breathe (HBB) are widely adopted educational programs.
- Both programs utilize a shared scientific evidence base and adult learning principles focused on skill development.
Purpose of the Study:
- To review the global implementation and impact of the Neonatal Resuscitation Program (NRP).
- To examine the development and effectiveness of Helping Babies Breathe (HBB) in resource-limited settings.
- To explore the synergistic potential of NRP and HBB in improving newborn survival.
Main Methods:
- Review of global dissemination and impact of NRP.
- Examination of factors leading to HBB development and its adaptation for resource-limited contexts.
- Summary of HBB implementation and evidence of effectiveness.
- Analysis of the combined potential of NRP and HBB.
Main Results:
- NRP has been successfully implemented globally, improving neonatal care from bedside to policy.
- Gaps in NRP's reach led to the development of HBB, offering a distinct educational approach for resource-limited settings.
- HBB has demonstrated effectiveness in reducing neonatal mortality and stillbirths.
Conclusions:
- NRP and HBB are vital tools for improving newborn survival and reducing perinatal asphyxia.
- The programs' complementary nature offers significant potential for strengthening health systems.
- Integrated strategies leveraging both NRP and HBB can maximize positive impacts on global newborn health.
Abstract:
Two educational programs in neonatal resuscitation, the Neonatal Resuscitation Program (NRP) and Helping Babies Breathe (HBB) have found widespread acceptance globally as practical tools to improve newborn survival and reduce death from perinatal asphyxia. The programs share a common scientific evidence base and both employ adult education principles with an emphasis on building skills. However, they differ in their target audience and context, their core content, and the methods used for knowledge translation. This review describes how the design of NRP transported it outside the USA to countries around the globe and how the program has contributed to improvements in care at multiple levels from the bedside to guidelines and research. It examines the gaps in the reach of NRP that stimulated the development of HBB and helped shape a different approach to education of health care providers in resource-limited settings. Implementation of HBB is summarized to date, and evidence provided of its effectiveness in reducing neonatal death and stillbirth. Finally, consideration of how the programs function together suggests their future potential to strengthen health systems and maximize the impact on the health of newborns.
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