Figures & Tables
Figures
- FIGURE 1
The Utstein Formula of Survival
Adapted with permission from Søreide et al.27
Pilot testing of Helping Babies Breathe 1st Edition in Dar es Salaam, Tanzania. © 2010 Eileen Schoen/American Academy of Pediatrics.
- FIGURE 2
Helping Babies Breathe Second Edition Action Plan
Abbreviations: ECEB, Essential Care for Every Baby; HMS, Helping Mothers Survive.
Source: Niermeyer S, Kamath-Rayne B, Keenan W, Little G, Singhal N, Visick M, eds. (2016).7 Reprinted with permission from the American Academy of Pediatrics.
Field testing of Helping Babies Breathe 2nd Edition with MNCH aides in Kabala, Sierra Leone. © 2016 Erick Amick/American Academy of Pediatrics.
Tables
- TABLE.
Key Training Themes in Qualitative Analysis From Helping Babies Breathe Second Edition Field Testing in India
Themes Subthemes Selected Comments Most Effective Themes Facilitators Provoke discussion
Feedback
One-on-one interaction“The facilitator could give feedback, genuine feedback.” Workshop structure Emphasis on doing rather than lecturing
Small group size
Time for practice, observation, and learning from each other's mistakes
Enough equipment for everyone to practice with
Networking with others outside of their area to discuss their practice similarities and differences“I think it uses everybody's time more effectively. I think working in small groups … that was the beauty of the program.” Quality improvement Reflection of each individual's practice and how to improve
Worked well with rest of workshop structure“[B]ecause we train so many people, and we impart knowledge and skills, and it is individual improvement which is looked at. That session for the first time, looked at the individual and what he/she will do to bring change to their unit.” Content Clear and concise presentation of information
Action plan was a helpful summary
Flip chart serving as a written guide for facilitating“Planning of the flip chart and implementation guide has been incorporated. That was the one thing which everyone wanted. While you are organizing and conducting a workshop, what you need to do, and what our facilitators should do, is now written.” Least Effective Themes Content Suggestive or ambiguous language such as “may” or “could”
Time to read and review material prior to the course
Complexity of content for peripheral clinics“If it is meant mostly for peripheral settings, where resources are scarce, and I think the messages have to be direct and loud, that message is not obvious. Because you can say from this what is most important? It doesn't strike.” Format Presentation of material (color coding, font size, binding of flip chart) Integration How to ensure implementation at facility after training
Skills would not be maintained unless practiced and refresher courses available
Administrative support of the program at their facility
Buy-in from local leaders“Otherwise we go through the same cycle of doing the workshop, but having no impact.”
“There has to be some time, some kind of timeline, that every day or alternate day, or once a week they have a practice session of this duration. And the unit in charge should be made responsible for this action.”Unrealistic expectations Difficult to implement with low resources
Supply chain
Facility where workshop held versus reality in periphery
Overemphasis of skin-to-skin care
Concerns about resources and space
Lack of experience with quality improvement“[How to do skin-to-skin care] is all very vague, and therefore it may not be taken up well. So more clarity on that and the pictures need to be done.”
“Quality is considered a very special thing. It is something that is a luxury for people who have a lot of resources. This is their mindset. Because in a source limited situation, quality cannot be done. This is the mindset. So how to change that mindset?”
Supplemental material
Files in this Data Supplement:
- Download Supplement - Helping Babies Breathe, 2nd Edition, Summary of Changes
In this issue
Helping Babies Breathe, Second Edition: A Model for Strengthening Educational Programs to Increase Global Newborn Survival
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