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Knowledge of Helping Babies Breathe Programme and the Determinants among Trainees in Edo State
I G Enato1,2,3, O K Olaniyi4, O J Uduebor5
1Department of Paediatrics, Edo State University, Uzairue, Edo State. Tel: +2348035673681; Email: izehiuwa.enato@edouniversity.edu.ng; izyenato@gmail.com.
Insights
The Helping Babies Breathe (HBB) program significantly improves healthcare worker knowledge. Medical officers demonstrated better HBB knowledge than other staff, while community health extension workers and nurse assistants had the poorest understanding.
Area of Science:
- Neonatal Health
- Medical Education
- Public Health Interventions
Background:
- Neonatal deaths constitute a significant portion of early childhood mortality in Nigeria, with most occurring in the first week of life.
- The Helping Babies Breathe (HBB) program, established in 2010, has proven effective in reducing neonatal mortality.
- Assessing HBB knowledge among healthcare workers (HCWs) is crucial for improving neonatal care in Benin City.
Purpose of the Study:
- To evaluate the knowledge of the Helping Babies Breathe (HBB) training program among HCWs in Benin City.
- To identify factors influencing HCWs' knowledge of the HBB program.
Main Methods:
- A cross-sectional study was conducted with 134 HCWs undergoing HBB training in Edo State.
- A standardized questionnaire assessed knowledge before and after the training.
- Chi-square and binary logistic regression analyses were employed to determine knowledge predictors.
Main Results:
- Initially, 62.7% of HCWs possessed good HBB knowledge, increasing to 100% post-training.
- Job title and qualification were significant determinants of pre-training HBB knowledge.
- Medical officers showed significantly better HBB knowledge compared to other HCWs, including paediatric residents, while community health extension workers and nurse assistants had the lowest knowledge levels.
Conclusions:
- Job title emerged as the sole significant predictor of HBB knowledge post-training.
- Medical officers are more likely to have superior HBB knowledge than other healthcare professionals.
- Targeted educational strategies are needed for lower-cadre health workers like community health extension workers and nurse assistants to improve HBB knowledge.
Background:
Neonatal deaths contribute up to 32% of early childhood deaths in Nigeria. Most neonatal deaths (75%) occur during the first week of life. Helping Babies Breathe (HBB) programme is an intervention launched in 2010 by The American Academy of Paediatrics and found to be effective in reducing neonatal mortality by 47%. The aim of this study was to assess the knowledge of HBB training programme and their determinants among Health Care Workers (HCWs) attending a training programme in Benin City.
Method:
This was a cross-sectional study involving 134 HCWs attending a HBB training programme in Edo State. A standardized questionnaire was used to assess knowledge of trainees prior to and at post-training. Chi-square and binary logistic regression were used to test association and identify determinants of HBB knowledge.
Results:
A total of 134 trainees participated in the study. The majority of The HCWs (62.7%) had good knowledge. Following training, all HCWs (100%) had good knowledge of HBB training Programme. Job title/Profession (p=0.007) and qualification (p=0.030) of HCWs were significant determinants of knowledge of HBB. However, after controlling for confounders; Job title was the only significant determinant of knowledge of HBB (OR: 0.603; p=0.014; CI:0.403-0.902), with medical officers more likely to have good knowledge, compared to other HCWs, including paediatric resident doctors. Community health extension workers and nurse assistants had very poor knowledge compared to other HCWs.
Conclusion:
Job title was the only significant determinant of knowledge of HBB, as doctors working as medical officers are more likely to have good knowledge than other HCWs, including paediatric resident doctors. Community health extension workers and nurse assistants had very poor knowledge compared to other HCWs.
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