Background: About 10% of all newborns may have difficulty breathing and require support by trained personnel. In Peru, 90% of deliveries occur in health facilities. However, there is not a national neonatal resuscitation and certification program for the public health sector. In addition, the Andes and the Amazon regions concentrate large rural remote areas, which further limit the implementation of training programs and the accomplishment of continuous certification. Neonatal resuscitation training through the use of information, communication and technology (ICT) tools running on computers, tablets or mobile phones, may overcome such limitations. This strategy allows online and offline access to educational resources, paving the way to more frequent and efficient training and certification processes. Objective: To evaluate the effects of a neonatal resuscitation training and certification program that uses a multi-platform ICT (MP-ICT) strategy on neonatal health care in remote areas. Methods: We propose to conduct the study through a cluster-randomized trial, where the study and analysis unit is the health care facility. Eligible facilities will include primary and secondary health care level facilities that are located in provinces with neonatal mortality rates higher than 15 per 1,000 live births. We will compare the proportion of newborns with a heart rate ≥100 beats per minute at two minutes after birth in health care facilities that receive MP-ICT training and certification implementation, with those that receive standard training and certification. Discussion: We expect that the intervention will be shown as more effective than the current standard of care. We are prepared to include it within a national neonatal resuscitation training and certification program to be implemented at national scale together with policymakers and other key stakeholders. Trial registration: ClinicalTrials.gov Nº NCT03210194 Status of the study: This study is enrolling participants by invitation only. Study protocol version 1.1 - March 31st, 2017
Bibliographical noteFunding Information:
The RCPNEOPERU study group is composed of Peruvian paediatricians, neonatologists and nurses devoted to the care of newborns. Many of them work at the Instituto Nacional de Salud del Ni?o (INSN) in Lima, Peru, and perform clinical care activities, clinical teaching and scientific research. The authors are grateful for their participation and support: Jessica Ni?o De Guzm?n, Erika C?rdova, Lisset Aguilar, Karen Diaz, Frida Abad, Luz Salgado, Rosa de la Cruz, Nancy Arce, Juana La Rosa, Carlos Lomparte, Percy Martinez, Irene Valencia, Ana L?pez, Karina Orbegoso, Jorge Aquije and all staff from Neonatal Unit from INSN. We also acknowledge Dr Luis Cifuentes, Chief of Experimental Surgical Unit at INSN, and all his staff, and Dr Alfonso Tapia (past - INSN Director) and Dr. Oswaldo Nu?ez, current INSN Director, for his invaluable support.
© 2018 Delgado CA et al.
- Cluster randomized trial
- In service training
- Neonatal resuscitation