Evaluating Helping Babies Breathe: training for healthcare workers at hospitals in Rwanda

Acta Paediatr. 2013 Jan;102(1):e34-8. doi: 10.1111/apa.12034. Epub 2012 Nov 1.


Aim: To evaluate the educational effectiveness of the Helping Babies Breathe programme.

Methods: Knowledge of trainees from two district hospitals and one tertiary referral hospital was evaluated before and after training in 2010. A postcourse practical skills evaluation was performed on a Neonatalie Newborn Simulator. Participants underwent a re-evaluation after 3 months.

Results: One hundred eighteen trainees completed the course. The percentages of correct answers on a written test significantly increased from 77 ± 15% to 91 ± 9% (p < 0.01) after training. The mean score obtained on a postcourse skill evaluation was 89 ± 9%; 64% of the trainees achieved passing scores. Retesting 3 months later showed that knowledge remained at the same level, while practical skills decreased to 83 ± 16%, and the pass rate dropped significantly to 43% (p < 0.01).

Conclusion: Healthcare workers who participate in a Helping Babies Breathe programme can significantly improve their knowledge. While such knowledge is retained for at least 3 months, skills dropped to unsatisfactory levels in that period of time, indicating the need for retraining in the interim or the acquisition of practical experience by such healthcare workers.

Publication types

  • Evaluation Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Clinical Competence*
  • Female
  • Health Personnel / education*
  • Hospitals
  • Humans
  • Infant, Newborn
  • Male
  • Resuscitation / education*
  • Rwanda