Addis Eyeberu, Elias Yadeta, Haymanot Mezmur, Aboma Motuma, Adera Debella
{"title":"Neonatal resuscitation skill among health care providers in Eastern Africa: A systematic review and meta-analysis","authors":"Addis Eyeberu, Elias Yadeta, Haymanot Mezmur, Aboma Motuma, Adera Debella","doi":"10.1016/j.gpeds.2025.100248","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Neonatal resuscitation skills involve providing ventilation, clearing airways, performing chest compressions, and administering necessary interventions to stabilize newborns in distress. Although basic neonatal resuscitation has been shown to improve newborn survival rates, asphyxia-related neonatal mortality remains high. This is partly due to inadequate skills among healthcare providers, who also exhibit varying expertise in newborn resuscitation across the region. Therefore, this study aimed to assess the pooled level of neonatal resuscitation skills among healthcare providers and identify associated factors.</div></div><div><h3>Methods</h3><div>Articles were searched from major databases. Data were analyzed using Stata version 18 statistical software. The overall estimates with a 95 % confidence interval were estimated using a random effect model.</div></div><div><h3>Results</h3><div>A total of 7038 healthcare providers were included in this study. The overall pooled result revealed that the level of neonatal resuscitation skills among healthcare providers in Eastern Africa was 48 % [95 % CI: 34–62]. The highest and lowest pooled level of neonatal resuscitation skills was observed among studies conducted in Ethiopia 57 % (95 % CI: 38–74) and Somalia 14 % (95 % CI: 8–22) respectively. Trained in neonatal resuscitation (OR = 1.87, 95 % CI: 1.26, 2.48), age above 35 (OR = 0.16, 95 % CI:0.14, 0.42), and having good knowledge (OR = 2.08, 95 % CI: 1.31, 2.86) were significantly associated with neonatal resuscitation skill.</div></div><div><h3>Conclusions</h3><div>The level of neonatal resuscitation skills in Eastern Africa is generally low. Factors such as receiving training in neonatal resuscitation, possessing adequate knowledge, and being over the age of 35 were significantly associated with neonatal resuscitation skills. Therefore, strengthening both short-term and long-term training programs, along with regular updates on neonatal resuscitation protocols, can enhance healthcare providers' skills in this critical area.</div></div><div><h3>Implications for Clinical Skill</h3><div>Identifying and addressing skill gaps in neonatal resuscitation can enhance clinical competency among healthcare providers, leading to improved neonatal survival rates. Additionally, this study can inform the development of training programs, influence policies, and foster quality improvement initiatives in healthcare facilities.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"11 ","pages":"Article 100248"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global pediatrics","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2667009725000065","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Neonatal resuscitation skills involve providing ventilation, clearing airways, performing chest compressions, and administering necessary interventions to stabilize newborns in distress. Although basic neonatal resuscitation has been shown to improve newborn survival rates, asphyxia-related neonatal mortality remains high. This is partly due to inadequate skills among healthcare providers, who also exhibit varying expertise in newborn resuscitation across the region. Therefore, this study aimed to assess the pooled level of neonatal resuscitation skills among healthcare providers and identify associated factors.
Methods
Articles were searched from major databases. Data were analyzed using Stata version 18 statistical software. The overall estimates with a 95 % confidence interval were estimated using a random effect model.
Results
A total of 7038 healthcare providers were included in this study. The overall pooled result revealed that the level of neonatal resuscitation skills among healthcare providers in Eastern Africa was 48 % [95 % CI: 34–62]. The highest and lowest pooled level of neonatal resuscitation skills was observed among studies conducted in Ethiopia 57 % (95 % CI: 38–74) and Somalia 14 % (95 % CI: 8–22) respectively. Trained in neonatal resuscitation (OR = 1.87, 95 % CI: 1.26, 2.48), age above 35 (OR = 0.16, 95 % CI:0.14, 0.42), and having good knowledge (OR = 2.08, 95 % CI: 1.31, 2.86) were significantly associated with neonatal resuscitation skill.
Conclusions
The level of neonatal resuscitation skills in Eastern Africa is generally low. Factors such as receiving training in neonatal resuscitation, possessing adequate knowledge, and being over the age of 35 were significantly associated with neonatal resuscitation skills. Therefore, strengthening both short-term and long-term training programs, along with regular updates on neonatal resuscitation protocols, can enhance healthcare providers' skills in this critical area.
Implications for Clinical Skill
Identifying and addressing skill gaps in neonatal resuscitation can enhance clinical competency among healthcare providers, leading to improved neonatal survival rates. Additionally, this study can inform the development of training programs, influence policies, and foster quality improvement initiatives in healthcare facilities.
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