Number and percentages of VMWs performing OSCE B items at 3 (n=67) and 12 (n=65) months post HBB training
| Correct OSCE B sequence | 3 months (n=67) | 12 months (n=65) | McNemar's | ||
|---|---|---|---|---|---|
| n | Per cent | n | Per cent | p Value | |
| 1. Prepares for a birth | 0 | 0.0 | 2 | 3.1 | – |
| 2. Dries thoroughly and removes wet cloth | 23 | 34.3 | 43 | 66.2 | <0.001 |
| 3. Keeps warm, positions head, clears airway | 4 | 6.0 | 10 | 15.4 | >0.05 |
| 4. Stimulates breathing by rubbing the back | 25 | 37.3 | 46 | 70.8 | <0.001 |
| 5. Cuts cord and moves to area for ventilation or cuts cord and ventilates alongside mother | 12 | 17.9 | 57 | 87.7 | <0.05 |
| 6. Starts ventilation within the Golden Minute | 25 | 37.3 | 47 | 72.3 | <0.005 |
| 7. Chooses correct mask size | 66 | 98.5 | 63 | 96.9 | >0.05 |
| 8. Mask applied correctly | 29 | 43.3 | 50 | 76.6 | <0.001 |
| 9. Ventilates at 40 bpm (30–50 bpm acceptable) | 18 | 26.9 | 32 | 49.2 | <0.05 |
| 10. Demonstrates at least 5 chest wall movements with FMV | 49 | 73.1 | 38 | 58.4 | >0.05* |
| 11. Demonstrates at least 10 chest wall movements with FMV | 55 | 82.0 | 31 | 47.7 | >0.05* |
*Two-tailed Fisher's exact test was used to calculate these p values.
FMV, face-mask ventilation; HBB, Helping Babies Breathe; OSCE, Objective Structured Clinical Examination; VMW, village midwife.