National neonatal resuscitation training program in Nigeria (2008‑2012): A preliminary report

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Disu, E.A.
Ferguson, I.C.
Njokanma, O.F.
Anga, L.A.
Solarin, A.U.
Olutekunbi, A.O.
Ekure, E.N.
Ezeaka, V.C.
Esangbedo, D.O.
Ogunlesi, T.A.
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Wolters Kluwer Medknow Publications
Background: Routine institutional training of doctors and nurses on newborn resuscitation have commenced, to improve the quality of resuscitation available to high-risk babies, in Nigeria, as a means of reducing newborn deaths in the country. Perinatal asphyxia contributes to 26% of newborn deaths in Nigeria. Perinatal asphyxia results when babies have difficulty establishing spontaneous respiration after birth. Materials and Methods: Between 2008 and 2012, doctors and nurses drawn from all the geo-political zones were trained using the Neonatal Resuscitation Training (NRT) manual of the American Heart Association and the American Academy of Pediatrics. Questionnaire-based, cross-sectional surveys of doctor and nurse trainees from the six geo-political zones in Nigeria were conducted eight months after the primary training, to evaluate the post-training neonatal resuscitation activities. Results: Over the period of study, 357 doctors and 370 nurse/midwives were primarily trained in NRT. The overall ratio of step down training was 1:22 with 1:18 for doctors and 1:26 for nurses. In 2008, the delivery attendance rates were 11 per doctor and 9 per nurse/midwife. These rates increased to 30 per doctor and 47 per nurse in 2012. Between 88 and 94% of the doctors and between 72 and 93% of the nurses successfully used bag and mask to help babies breathe in the post-training period. The nurses used bag and mask for infant resuscitation more frequently, compared to doctors, with the rate fluctuating between two-to-one and four-to-one. Over the years, 87 to 94% of the doctors and 92 to 97% of the nurses/midwives trained other birth attendants. Conclusion: The NRT in Nigeria is well-subscribed and the frequency of secondary training is good.
Staff publications
Birth asphyxia , birth attendants , delivery room care , neonatal resuscitation training , perinatal mortality , Research Subject Categories::MEDICINE
Disu EA, Ferguson IC, Njokanma OF, Anga LA, Solarin AU, Olutekunbi AO, Ekure EN, Ezeaka VC, Esangbedo DO, Ogunlesi TA. National neonatal resuscitation training program in Nigeria (2008-2012): a preliminary report. Niger J Clin Pract. 2015 Jan-Feb;18(1):102-9.