Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ASCO Annual Meeting 2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

2024 ASCO Annual Meeting

Keep up to date with all the top stories and latest evidence with our hub page, including official congress videos and expert takeaways.
ADVANCED SEARCH
Log in
Top
BMC Pediatrics
Published in: BMC Pediatrics 1/2015

Open Access 01-12-2015 | Research article

Evaluation of an educational program for essential newborn care in resource-limited settings: Essential Care for Every Baby

Authors: Anu Thukral, Jocelyn Lockyer, Sherri L. Bucher, Sara Berkelhamer, Carl Bose, Ashok Deorari, Fabian Esamai, Sonia Faremo, William J. Keenan, Douglas McMillan, Susan Niermeyer, Nalini Singhal

Published in: BMC Pediatrics | Issue 1/2015

Login to get access

Abstract

Background

Essential Care for Every Baby (ECEB) is an evidence-based educational program designed to increase cognitive knowledge and develop skills of health care professionals in essential newborn care in low-resource areas. The course focuses on the immediate care of the newborn after birth and during the first day or until discharge from the health facility. This study assessed the overall design of the course; the ability of facilitators to teach the course; and the knowledge and skills acquired by the learners.

Methods

Testing occurred at 2 global sites. Data from a facilitator evaluation survey, a learner satisfaction survey, a multiple choice question (MCQ) examination, performance on two objective structured clinical evaluations (OSCE), and pre- and post-course confidence assessments were analyzed using descriptive statistics. Pre-post course differences were examined. Comments on the evaluation form and post-course group discussions were analyzed to identify potential program improvements.

Results

Using ECEB course material, master trainers taught 12 facilitators in India and 11 in Kenya who subsequently taught 62 providers of newborn care in India and 64 in Kenya. Facilitators and learners were satisfied with their ability to teach and learn from the program. Confidence (3.5 to 5) and MCQ scores (India: pre 19.4, post 24.8; Kenya: pre 20.8, post 25.0) improved (p < 0.001). Most participants demonstrated satisfactory skills on the OSCEs. Qualitative data suggested the course was effective, but also identified areas for course improvement. These included additional time for hands-on practice, including practice in a clinical setting, the addition of video learning aids and the adaptation of content to conform to locally recommended practices.

Conclusion

ECEB program was highly acceptable, demonstrated improved confidence, improved knowledge and developed skills. ECEB may improve newborn care in low resource settings if it is part of an overall implementation plan that addresses local needs and serves to further strengthen health systems.
Appendix
Available only for authorised users
Literature
1.
2.
3.
4.
Paul VK. The current state of newborn health in low income countries and the way forward. Semin Fetal Neonatal Med. 2006;11(1):7–14.CrossRefPubMed
5.
Lawn JE, Gravett MG, Nunes TM, Rubens CE, Stanton C, Lawn JE, et al. Global report on preterm birth and stillbirth (1 of 7): definitions, description of the burden and opportunities to improve data. BMC Pregnancy Childbirth. 2010;10 Suppl 1:S1.CrossRefPubMedPubMedCentral
6.
Carlo WA, McClure EM, Chomba E, Chakraborty H, Hartwell T, Harris H, et al. Newborn care training of midwives and neonatal and perinatal mortality rates in a developing country. Pediatrics. 2010;126(5):e1064–71.CrossRefPubMed
7.
Darmstadt GL, Bhutta ZA, Cousens S. Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet. 2005;365(9463):977–88.CrossRefPubMed
8.
9.
10.
11.
Carlo WA, Goudar SS, Jehan I, Chomba E, Tshefu A, Garces A, et al. Newborn-care training and perinatal mortality in developing countries. N Engl J Med. 2010;362(7):614–23.CrossRefPubMedPubMedCentral
12.
Vidal SA, Ronfani L, da Mota SS. Comparison of two training strategies for essential newborn care in Brazil. Bull World Health Organ. 2001;79(11):1024–31.PubMedPubMedCentral
13.
Uxa F, Bacci A, Mangiaterra V, et al. Essential newborn care training activities: 8 years of experience in Eastern European, Caucasian and Central Asian countries. Semin Fetal Neonatal Med. 2006;11(1):58–64.CrossRefPubMed
14.
Senarath U, Fernando DN, Rodrigo I. Newborn care practices at home: effect of a hospital-based intervention in Sri Lanka. J Trop Pediatr. 2007;53(2):113–8.CrossRefPubMed
15.
Senarath U, Fernando DN, Rodrigo I. Effect of training care providers on practice of essential newborn care in hospitals in Sri Lanka. J Obstet Gynecol Neonatal Nurs. 2007;36(6):531–41.CrossRefPubMed
16.
Goudar SS, Chaded SM, McClure EM, Derman RJ, Patil VD, Mahantshetti NS, et al. ENC training reduces perinatal mortality in Karnataka, India. J Matern Fetal Neonatal Med. 2012;25:568–74.CrossRefPubMed
17.
Malhotra S, Zodpey SP, Vidyasagaran AL, Sharma K, Raj SS, Neogi SB, et al. Assessment of essential newborn care services in secondary level facilities from two districs of India. J Health Popul Nutr. 2014;32:130–41.PubMedPubMedCentral
18.
Mc Clure EM, Carlo WA, Wright LL, Chomba E, Uxa F, Lincetto O, et al. Evaluation of the educational impact of the WHO essential newborn care course in Zambia. Acta Pediatr. 2007;96:1135–8.CrossRef
19.
Singhal N, Lockyer J, Fidler H, Keenan W, Little G, Bucher S, et al. Helping Babies Breathe: global neonatal resuscitation program development and formative educational evaluation. Resuscitation. 2012;83(1):90–6.CrossRefPubMed
20.
Goudar S, Somannavar M, Clark R, Lockyer J, Revankar A, Fidler H, et al. Stillbirth and Newborn Mortality in India After Helping Babies Breathe Training. Pediatrics. 2013;131(2):e344–52. doi:10.​1542/​peds.​2012-2112. Epub 2013 Jan 21.CrossRefPubMed
21.
Hoban R, Bucher S, Neuman I, Chen M, Tesfaye N, Spector JM. Helping Babies Breathe’ training in sub-saharan Africa: Educational impact and learner impressions. J Trop Pediatrics. 2013;59(3):180–6.CrossRef
22.
Msemo G, Massawe A, Mmbando D, Rusibamayila N, Manji K, Kidanto HL, et al. Newborn mortality and fresh stillbirth rates in Tanzania after helping babies breathe training. Pediatrics. 2013;131(2):e353–60.CrossRefPubMed
23.
Forsetlund L, Bjørndal A, Rashidian A, Jamtvedt G, O’Brien MA, Wolf F, et al. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2009;2:CD003030. doi:10.​1002/​14651858.​CD003030.​pub2.PubMed
24.
Mosley C, Dewhurst C, Molloy S, Shaw BN. What is the impact of structured resuscitation training on healthcare practioners, their clients and the wider service? A BEME systematic review: Medical Teacher. 2012;34(6):e349–85.PubMed
25.
Metadata
Title
Evaluation of an educational program for essential newborn care in resource-limited settings: Essential Care for Every Baby
Authors
Anu Thukral
Jocelyn Lockyer
Sherri L. Bucher
Sara Berkelhamer
Carl Bose
Ashok Deorari
Fabian Esamai
Sonia Faremo
William J. Keenan
Douglas McMillan
Susan Niermeyer
Nalini Singhal
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2015
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-015-0382-z

Other articles of this Issue 1/2015

BMC Pediatrics 1/2015 Go to the issue

Research article

Impact of physical activity on energy balance, food intake and choice in normal weight and obese children in the setting of acute social stress: a randomized controlled trial

Research article

Transcanal microscope-assisted endoscopic myringoplasty in children

Research article

Improving transgender health by building safe clinical environments that promote existing resilience: Results from a qualitative analysis of providers

Research article

Accuracy of parent-reported information for estimating prevalence of overweight and obesity in a race-ethnically diverse pediatric clinic population aged 3 to 12

Research article

Socioeconomic position and childhood-adolescent weight status in rich countries: a systematic review, 1990–2013

Research article

Differences in perinatal and infant mortality in high-income countries: artifacts of birth registration or evidence of true differences?