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Qualitative Insights Into Enhancing Neonatal Resuscitation in Post-Pandemic Vietnam: A Stakeholder Perspective on the
Victoria J Kain1, Thi Thanh Binh Nguyen, Thi Thanh Binh Nguyen
1School of Nursing and Midwifery, Griffith University, Brisbane, Australia (Assoc. Professor Kain); Department of Pediatrics, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam (Drs Nguyen and Nguyen); Global Engagement Institute, Berlin, Germany (Mr Fatth and Ms Kelly); and Children's Hospital Los Angeles, Los Angeles, California, USA (Drs Larbah and Patel).
Insights
Stakeholder perceptions of the Helping Babies Breathe (HBB) program in Vietnam post-pandemic reveal needs for sustainable training. Recommendations include skill assessment, knowledge retention, and community-based initiatives for improved neonatal resuscitation.
Area of Science:
- Global Health
- Neonatal Care
- Public Health Interventions
Background:
- Neonatal mortality rates vary significantly globally, with higher rates in low-resource settings.
- The Helping Babies Breathe (HBB) program aims to improve neonatal resuscitation quality in resource-limited environments.
- Understanding post-pandemic challenges is crucial for sustaining HBB program effectiveness.
Purpose of the Study:
- To explore stakeholder perceptions of the HBB program in Vietnam following the COVID-19 pandemic.
- To identify essential elements for resuming and scaling up HBB training.
- To inform future strategies for neonatal resuscitation education in Vietnam.
Main Methods:
- Qualitative content analysis of 19 in-person semistructured interviews.
- Interviews conducted with diverse stakeholders in two provinces of Central Vietnam.
- Focus on understanding experiences and perspectives related to HBB training during and after the pandemic.
Main Results:
- The pandemic significantly impacted HBB training delivery and participant skills.
- Key themes included pandemic effects on training, resource needs for scaling up, and workforce implications.
- Stakeholders identified challenges and prospects for future HBB training initiatives.
Conclusions:
- Sustainable post-pandemic HBB training requires robust skill assessment and knowledge retention strategies.
- Community-based initiatives and evidence-based interventions are vital for improving neonatal outcomes.
- Collaboration among healthcare institutions, authorities, and organizations is essential for effective HBB implementation.
Background:
The neonatal phase is vital for child survival, with a substantial portion of deaths occurring in the first month. Neonatal mortality rates differ significantly between Vietnam (10.52/1000 live births) and the United States (3.27/1000). In response to these challenges, interventions such as the Helping Babies Breathe (HBB) program have emerged, aiming to enhance the quality of care provided during childbirth, and the postpartum period in low-resource settings.
Purpose:
The purpose of this study was to explore stakeholder perceptions of the HBB program in Vietnam postpandemic, aiming to identify requisites for resuming training.
Methods:
Utilizing qualitative content analysis, 19 in-person semistructured interviews were conducted with diverse stakeholders in 2 provinces of Central Vietnam.
Results:
The content analysis revealed following 5 main themes: (1) the pandemic's impact on HBB training; (2) resource needs for scaling up HBB training as the pandemic abates; (3) participants' perceptions of the pandemic's effect on HBB skills and knowledge; (4) the pandemic's influence on a skilled neonatal resuscitation workforce; and (5) future prospects and challenges for HBB training in a postpandemic era.
Implications For Practice And Research:
This research highlights the importance of sustainable post-HBB training competencies, including skill assessment, innovative knowledge retention strategies, community-based initiatives, and evidence-based interventions for improved healthcare decision-making and patient outcomes. Healthcare institutions should prioritize skill assessments, refresher training, and collaborative efforts among hospitals, authorities, non-government organizations, and community organizations for evidence-based education and HBB implementation.
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