肯尼亚米戈里县帮助婴儿呼吸计划的评估
Carly Schade Ratekin1, Erick Auko2, Meshack Malenya Wafula2
1Dartmouth College Geisel School of Medicine, Hanover, New Hampshire, USA.
BMJ paediatrics open
|December 21, 2025
概括
帮助婴儿呼吸 (HBB) 培训在肯尼亚提高了新生儿复苏技能,但随着时间的推移,知识逐渐消失. 需要更频繁的刷新才能维持技能并降低新生儿死亡率.
科学领域:
- 全球健康 全球健康
- 新生儿复苏新生儿的复苏
- 医疗保健培训 医疗保健培训
背景情况:
- 肯尼亚的新生儿死亡率 (18.42/1000) 超过了可持续发展目标目标.
- 帮助婴儿呼吸 (HBB) 计划旨在改善新生儿在资源较低的环境中的复苏.
- 本研究评估了肯尼亚米戈里县的HBB实施情况.
研究的目的:
- 评估帮助婴儿呼吸 (HBB) 培训在肯尼亚米戈里县的实施和影响.
- 评估医疗保健提供者保留新生儿复苏知识和技能.
- 确定HBB培训对设施内新生儿死亡率的影响.
主要方法:
- 使用了一个单组预测后测试研究设计.
- 来自肯尼亚米戈里县26个医疗保健中心的数据 (2022年1月至2024年1月).
- 知识检查和客观结构化临床检查 (OSCEs) 评估培训后立即以及4个月和9个月后的技能.
主要成果:
- 在HBB培训后1分钟内未接受通风的新生儿显著减少 (12.73%与6.90%相比).
- 没有观察到在设施内新生儿死亡率显著降低 (86.73%的无HBB存活率与HBB提供商的87.92%相比).
- 提供者的知识和技能在9个月内显著下降,尽管每季度更新一次 (知识检查:97.24% vs 92.67%;欧安组织:92.48% vs 87.10%).
结论:
- HBB培训最初提高了提供者的知识,但需要更频繁的刷新来维持技能.
- 虽然袋子和口罩通风的使用增加了,但在本研究中,HBB的实施并没有显著降低设施内新生儿死亡率.
- 持续的提供者能力需要增强的参与策略和更频繁的刷新培训,以扩大HBB计划.
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