Background and aims Helping Babies Breathe (HBB) is an evidence-basededucational program which teaches the simple and essential steps thateffectively resuscitate the majority of infants not breathing at birth. Thisstudy aims to evaluate the training effectiveness of HBB program in remoteareas of China.
Methods Based on the HBB educational materials of AmericanAcademy of Paediatrics (APP), a two-day intensive training workshop was carriedout by sufficient master trainers among 73 healthcare providers from countylevel hospitals of Tibet and Sichuan province in 2013. The neonatalresuscitation (NR) knowledge of trainees and their self-confidence to completeNR were evaluated and compared before and after training. Bag and maskventilation skills (BMVS) and objective structured clinical examination (OSCE) StationA and Station B were assessed after the training.
Results NR knowledge score improved from 12.43 ± 3.50 to 15.86 ± 1.60 after HBB training, with statisticallysignificant difference (t=7.42, p < 0.001). NR confidence score improvedfrom 2.15 ± 1.01 to 3.38 ± 0.80, with statistically significantdifference (t=7.72, p < 0.001). 72.2% of 73 trainees masteredthe whole 7 items on BMVS after training, and 16.7% mastered 6 items of theskill. 92.3% of trainees passed the OSCE A assessment, 83.9% passed the OSCE Bassessment, and 77.4% passed both assessments.
Conclusions Healthcare providers participating the HBB trainingcan significantly improve their NR knowledge and confidence. More simulationtrainings are needed for healthcare providers to master the practical bag andmask ventilation skills, and deal with complex clinical cases correctly.