Muhimbili University of Health and Allied Sciences
Institutional Repository

Newborn mortality and fresh stillbirth rates in Tanzania after helping babies breathe training

Show simple item record

dc.contributor.author Msemo, G
dc.contributor.author Massawe, A
dc.contributor.author Mmbando, D
dc.contributor.author Rusibamayila, N
dc.contributor.author Manji, K
dc.contributor.author Kidanto, H. L
dc.contributor.author Mwizamuholya, D
dc.contributor.author Ringia, P
dc.contributor.author Ersdal, H. L
dc.contributor.author Perlman, J
dc.date.accessioned 2015-10-19T07:56:47Z
dc.date.available 2015-10-19T07:56:47Z
dc.date.issued 2013
dc.identifier.citation Msemo, G., Massawe, A., Mmbando, D., Rusibamayila, N., Manji, K., Kidanto, H. L., ... & Perlman, J. (2013). Newborn mortality and fresh stillbirth rates in Tanzania after helping babies breathe training. Pediatrics, 131(2), e353-e360. en_GB
dc.identifier.uri http://hdl.handle.net/123456789/1690
dc.description.abstract BACKGROUND: Early neonatal mortality has remained high and unchanged for many years in Tanzania, a resource-limited country. Helping Babies Breathe (HBB), a novel educational program using basic interventions to enhance delivery room stabilization/resuscitation, has been developed to reduce the number of these deaths. METHODS: Master trainers from the 3 major referral hospitals, 4 associated regional hospitals, and 1 district hospital were trained in the HBB program to serve as trainers for national dissemination. A before (n = 8124) and after (n = 78 500) design was used for implementation. The primary outcomes were a reduction in early neonatal deaths within 24 hours and rates of fresh stillbirths (FSB). RESULTS: Implementation was associated with a significant reduction in neonatal deaths (relative risk [RR] with training 0.53; 95% confidence interval [CI] 0.43–0.65; P ≤ .0001) and rates of FSB (RR with training 0.76; 95% CI 0.64–0.90; P = .001). The use of stimulation increased from 47% to 88% (RR 1.87; 95% CI 1.82–1.90; P ≤ .0001) and suctioning from 15% to 22% (RR 1.40; 95% CI 1.33–1.46; P ≤ .0001) whereas face mask ventilation decreased from 8.2% to 5.2% (RR 0.65; 95% CI 0.60–0.72; P ≤ .0001). CONCLUSIONS: HBB implementation was associated with a significant reduction in both early neonatal deaths within 24 hours and rates of FSB. HBB uses a basic intervention approach readily applicable at all deliveries. These findings should serve as a call to action for other resource-limited countries striving to meet Millennium Development Goal 4. en_GB
dc.language.iso en en_GB
dc.relation.ispartofseries Pediatrics, 131(2), e353-e360.;
dc.subject Helping Babies Breathe en_GB
dc.subject neonatal mortality en_GB
dc.subject fresh stillbirths en_GB
dc.subject premature infants en_GB
dc.subject birth asphyxia en_GB
dc.title Newborn mortality and fresh stillbirth rates in Tanzania after helping babies breathe training en_GB
dc.type Article en_GB


Files in this item

This item appears in the following Collection(s)

Show simple item record

Search MUHAS Repository


Advanced Search MUHAS Repository

Browse

My Account