Neonatal Resuscitation and Delivery Room Care: A Changing Global Landscape

Area of Science:

• Global Health
• Neonatal Medicine
• Medical Education

Background:

• Neonatal mortality disproportionately affects low- and middle-income countries (LMICs), with skilled clinicians at delivery being key to reduction.
• Barriers exist in clinician training, skill maintenance, and consistent resource availability for essential newborn care.
• Dynamic resource availability challenges educators in LMICs, particularly with advanced neonatal resuscitation interventions.

Purpose of the Study:

• To review considerations for adapting essential newborn care and neonatal resuscitation training curricula.
• To address the challenges of implementing advanced interventions in resource-limited settings.
• To ensure safety, equity, scalability, and sustainability of newborn care education in LMICs.

Main Methods:

• This is a review discussing curriculum adaptation strategies.
• Analysis of challenges in scaling advanced neonatal resuscitation training.
• Consideration of resource availability and local context in LMICs.

Main Results:

• Current training programs lack guidance on adapting advanced resuscitation components to local capacity.
• Facilities often adapt content to local capabilities, highlighting a need for structured approaches.
• Adapting curricula is essential to match available materials, staff proficiency, and system infrastructure.

Conclusions:

• Curriculum adaptation is vital for effective essential newborn care and neonatal resuscitation in LMICs.
• Addressing the dynamic nature of resource availability is critical for sustainable training.
• Tailoring educational content ensures safety, equity, and scalability in diverse healthcare settings.