Trial reportPloS one2008
Effect of newborn resuscitation training on health worker practices in Pumwani Hospital, Kenya.
Trial report in PloS one, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 8 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Standardised formal resuscitation training programmes for reducing mortality and morbidity in newborn infants.The Cochrane database of systematic reviews · 2026Pooled it
- The effects of interactive training of healthcare providers on the management of life-threatening emergencies in hospital.The Cochrane database of systematic reviews · 2019Pooled it
- The effectiveness of training in emergency obstetric care: a systematic literature review.Health policy and planning · 2019Pooled it
- Standardised formal resuscitation training programmes for reducing mortality and morbidity in newborn infants.The Cochrane database of systematic reviews · 2015Pooled it
- In-service training for health professionals to improve care of seriously ill newborns and children in low-income countries.The Cochrane database of systematic reviews · 2015Pooled it
- Neonatal resuscitation and immediate newborn assessment and stimulation for the prevention of neonatal deaths: a systematic review, meta-analysis and Delphi estimation of mortality effect.BMC public health · 2011Pooled it
- Guideline
- In-service training for health professionals to improve care of the seriously ill newborn or child in low and middle-income countries (Review).The Cochrane database of systematic reviews · 2010Pooled it
- Incremental cost and cost-effectiveness of low-dose, high-frequency training in basic emergency obstetric and newborn care as compared to status quo: part of a cluster-randomized training intervention evaluation in Ghana.Globalization and health · 2017Trial
- High mortality rates for very low birth weight infants in developing countries despite training.Pediatrics · 2010Trial
- Brain research to ameliorate impaired neurodevelopment--home-based intervention trial (BRAIN-HIT).BMC pediatrics · 2010Trial
- Newborn-care training and perinatal mortality in developing countries.The New England journal of medicine · 2010Trial
- Health worker training and day-1 feeding prescriptions for very low birth weight neonates: an interrupted time series study in two Kenyan hospitals.Frontiers in health services · 2026Article
- Perceptions and practices in urban Burkina Faso: a qualitative study on gestational age estimation among health workers.International journal of qualitative studies on health and well-being · 2025Article
- The impact of educational interventions on the competence of nurses and midwives in neonatal resuscitation in sub-Saharan Africa: A systematic review.Journal of public health in Africa · 2025Review
- Impact of accredited advanced life support course participation on in-hospital cardiac arrest patient outcomes: A systematic review.Resuscitation plus · 2023Review
- Effect of in-hospital training in newborn resuscitation on the competence of health-care workers in resuscitating newborn infants at birth at Mboppi Baptist Hospital, Douala, Cameroon.The Pan African medical journal · 2022Article
- Mapping Evidence of Neonatal Resuscitation Training on the Practices of Unskilled Birth Attendants in Low-Resource Countries: Protocol for a Scoping Review.JMIR research protocols · 2021Article
- Effect of a Low-Dose/High-Frequency Training in Introducing a Nurse-Led Neonatal Advanced Life Support Service in a Referral Hospital in Ethiopia.Frontiers in pediatrics · 2021Article
- Implementation Lessons from a Multifaceted National Newborn Program in Solomon Islands: A Mixed-Methods Study.The American journal of tropical medicine and hygiene · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundBirth asphyxia kills 0.7 to 1.6 million newborns a year globally with 99% of deaths in developing countries. Effective newborn resuscitation could reduce this burden of disease but the training of health-care providers in low income settings is often outdated. Our aim was to determine if a simple one day newborn resuscitation training (NRT) alters health worker resuscitation practices in a public hospital setting in Kenya. METHODS/PRINCIPAL
findingsWe conducted a randomised, controlled trial with health workers receiving early training with NRT (n = 28) or late training (the control group, n = 55). The training was adapted locally from the approach of the UK Resuscitation Council. The primary outcome was the proportion of appropriate initial resuscitation steps with the frequency of inappropriate practices as a secondary outcome. Data were collected on 97 and 115 resuscitation episodes over 7 weeks after early training in the intervention and control groups respectively. Trained providers demonstrated a higher proportion of adequate initial resuscitation steps compared to the control group (trained 66% vs control 27%; risk ratio 2.45, [95% CI 1.75-3.42], p<0.001, adjusted for clustering). In addition, there was a statistically significant reduction in the frequency of inappropriate and potentially harmful practices per resuscitation in the trained group (trained 0.53 vs control 0.92; mean difference 0.40, [95% CI 0.13-0.66], p = 0.004). CONCLUSIONS/SIGNIFICANCE: Implementation of a simple, one day newborn resuscitation training can be followed immediately by significant improvement in health workers' practices. However, evidence of the effects on long term performance or clinical outcomes can only be established by larger cluster randomised trials.
trial registrationControlled-Trials.com ISRCTN92218092.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.