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1. Gill CJ, Guerina NG, Mulenga C, Knapp AB, Mazala G, Hamer DH: Training Zambian traditional birth attendants to reduce neonatal mortality in the Lufwanyama Neonatal Survival Project (LUNESP). Int J Gynaecol Obstet; 2012 Jul;118(1):77-82
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Training Zambian traditional birth attendants to reduce neonatal mortality in the Lufwanyama Neonatal Survival Project (LUNESP).
  • OBJECTIVE: To provide relevant details on how interventions in the Lufwanyama Neonatal Survival Project (LUNESP) were developed and how Zambian traditional birth attendants (TBAs) were trained to perform them.
  • METHODS: The study tested 2 interventions: a simplified version of the American Academy of Pediatrics' neonatal resuscitation protocol (NRP); and antibiotics with facilitated referral (AFR).
  • RESULTS: Key elements that enabled the positive study result were: focusing on common and correctible causes of mortality; selecting a study population with high unmet public health need; early community mobilization to build awareness and support; emphasizing simplicity in the intervention technology and algorithms; using a traditional training approach appropriate to students with low literacy rates; requiring TBAs to demonstrate their competence before completing each workshop; and minimizing attrition of skills by retraining and reassessing the TBAs regularly throughout the study.
  • CONCLUSION: An effective NRP training model was created that is suitable for community-based neonatal interventions, in research or programmatic settings, and by practitioners with limited obstetric skills and low rates of literacy.
  • Clinicaltrials.gov NCT00518856.
  • [MeSH-major] Clinical Competence. Delivery, Obstetric / education. Infant Mortality. Midwifery / education
  • [MeSH-minor] Algorithms. Anti-Bacterial Agents / therapeutic use. Female. Humans. Infant, Newborn. Pregnancy. Pregnancy Outcome. Referral and Consultation. Resuscitation / methods. Zambia

  • MedlinePlus Health Information. consumer health - Childbirth.
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  • [Copyright] Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
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  • (PMID = 22542215.001).
  • [ISSN] 1879-3479
  • [Journal-full-title] International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • [ISO-abbreviation] Int J Gynaecol Obstet
  • [Language] eng
  • [Databank-accession-numbers] ClinicalTrials.gov/ NCT00518856
  • [Grant] United States / NIAID NIH HHS / AI / K23 AI062208; United States / NIAID NIH HHS / AI / K23 AI062208-04; United States / NIAID NIH HHS / AI / K23 AI 62208
  • [Publication-type] Clinical Trial; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Anti-Bacterial Agents
  • [Other-IDs] NLM/ NIHMS367498; NLM/ PMC3366059
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