Table 4 Health worker knowledge and skills in newborn resuscitation, from simulated resuscitation with newborn mannequin and knowledge questions, 2010 and 2012
| Â | 2010 | 2012 | p-value |
|---|---|---|---|
% of providers scoring correctly | % of providers scoring correctly | Â | |
Knowledge Assessment | (N = 206) | (N = 217) | Â |
Can state appropriate equipment and supplies for a newborn immediately after birth | 15 | 49 | <0.0001 |
Describes appropriate newborn care during the first hour of life | 32 | 38 | 0.008 |
Recognizes signs of sepsis | 21 | 36 | <0.0001 |
Total knowledge score | 23 | 41 | <0.0001 |
Skills Assessment using mannequin | (N = 299) | (N = 213) | Â |
Positioning of the newborn mannequin for resuscitation: | |||
Clears airway | 75 | 80 | 0.3 |
Stimulates newborn | -- | 52 | -- |
Places newborn on warm and clean surface | 82 | 81 | 0.5 |
Places head in slightly extended position | 60 | 77 | 0.001 |
All positioning tasks performed correctly | 45 | 37 | 0.1 |
Ventilation | |||
Places correct size mask, covering chin, mouth, and nose | 63 | 77 | 0.003 |
Checks seal by ventilating twice and observing chest rise | 57 | 47 | 0.09 |
Ventilates at 30-50 breaths/minute | 34 | 48 | 0.01 |
All ventilation tasks performed correctly | 28 | 32 | 0.4 |
Total skills score (all positioning and ventilation tasks performed correctly) | 48 | 28 | <0.0001 |