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Community health centers need enhanced neonatal care training, particularly in resuscitation and simulation. Addressing these gaps is crucial for improving care for newborns in these settings.

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Area of Science:

  • Neonatal Medicine
  • Healthcare Education
  • Community Health

Background:

  • Community health centers (CHCs) provide essential care but often face challenges in specialized neonatal services.
  • Identifying specific neonatal training needs at CHCs is critical for improving patient outcomes.
  • Existing training programs may not adequately address the unique demands of neonatal care in community settings.

Purpose of the Study:

  • To determine the neonatal training requirements for healthcare professionals in Levels I and II community health centers.
  • To identify gaps in current neonatal care knowledge and skills among CHC staff.
  • To inform the development of targeted educational interventions for neonatal care in CHCs.

Main Methods:

  • A mixed-methods approach was employed, including questionnaires for staff, focus groups with experts, and an audit of neonatal transport data.
  • Questionnaires assessed perceived training needs, focus groups identified normative needs, and data audits revealed expressed needs.
  • Data were collected from 158 respondents across 12 CHCs, three focus group sessions, and an audit of 947 neonatal transports (2017-2020).

Main Results:

  • Significant training deficits were identified in human resources, procedural skills, critical situation management (resuscitation, ventilation), nutrition, and neurodevelopmental care (NDC).
  • Simulation-based training was the preferred modality, with emphasis on multidisciplinary approaches and stress management.
  • Transport data highlighted frequent respiratory, neurological, and surgical emergencies, underscoring the need for advanced training in these areas.

Conclusions:

  • Targeted outreach education, including simulation, is essential to address neonatal training needs in CHCs.
  • Training should encompass critical care scenarios, extreme prematurity, specific pathologies (e.g., pneumothorax, HIE), and surgical conditions.
  • Enhanced training in nutrition and neurodevelopmental care is vital for community health practitioners to provide comprehensive neonatal support.