Neonatal resuscitation skill among health care providers in Eastern Africa: A systematic review and meta-analysis

Addis Eyeberu, Elias Yadeta, Haymanot Mezmur, Aboma Motuma, Adera Debella
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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.
东非卫生保健提供者的新生儿复苏技能:系统回顾和荟萃分析
背景:新生儿复苏技能包括提供通气、清理气道、进行胸外按压和实施必要的干预措施以稳定窘迫的新生儿。虽然基本的新生儿复苏已被证明可以提高新生儿存活率,但与窒息相关的新生儿死亡率仍然很高。这在一定程度上是由于卫生保健提供者的技能不足,他们在该地区的新生儿复苏方面也表现出不同的专业知识。因此,本研究旨在评估医疗保健提供者之间新生儿复苏技能的综合水平,并确定相关因素。方法从各大数据库中检索文章。数据分析采用Stata version 18统计软件。使用随机效应模型估计总体估计值,置信区间为95%。结果共纳入7038名医护人员。总体汇总结果显示,东非医疗保健提供者的新生儿复苏技能水平为48% [95% CI: 34-62]。在埃塞俄比亚进行的研究中观察到新生儿复苏技能的最高和最低综合水平分别为57% (95% CI: 38-74)和14% (95% CI: 8-22)。新生儿复苏训练(OR = 1.87, 95% CI: 1.26, 2.48)、年龄大于35 (OR = 0.16, 95% CI:0.14, 0.42)、知识水平高(OR = 2.08, 95% CI: 1.31, 2.86)与新生儿复苏技能显著相关。结论东非地区新生儿复苏技能水平普遍较低。接受过新生儿复苏培训、掌握足够的知识、年龄超过35岁等因素与新生儿复苏技能显著相关。因此,加强短期和长期培训计划,以及定期更新新生儿复苏协议,可以提高医疗保健提供者在这一关键领域的技能。对临床技能的影响识别和解决新生儿复苏的技能差距可以提高医疗保健提供者的临床能力,从而提高新生儿存活率。此外,本研究可以为培训计划的发展提供信息,影响政策,并促进医疗机构的质量改进举措。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Global pediatrics
Global pediatrics Perinatology, Pediatrics and Child Health
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