Air, Air, Air: a champion midwife programme in Tanzania using HOT neonatal resuscitation—lessons learned [Hewa, Hewa, Hewa: mpango wa wakunga bingwa Tanzania kuhuisha watoto wachanga kwa HOT-masuala tuliyojifunza]

Jan Becker; Jo Wu; Chase Becker; James  Moir; Marion Gray; Meshak Shimwela; Florin Oprescu

doi:10.1093/trstmh/trab154

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Air, Air, Air: a champion midwife programme in Tanzania using HOT neonatal resuscitation—lessons learned [Hewa, Hewa, Hewa: mpango wa wakunga bingwa Tanzania kuhuisha watoto wachanga kwa HOT-masuala tuliyojifunza]

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Air, Air, Air: a champion midwife programme in Tanzania using HOT neonatal resuscitation—lessons learned [Hewa, Hewa, Hewa: mpango wa wakunga bingwa Tanzania kuhuisha watoto wachanga kwa HOT-masuala tuliyojifunza]

Jan Becker, Jo Wu, Chase Becker, James Moir, Marion Gray, Meshak Shimwela and Florin Oprescu

Transactions of the Royal Society of Tropical Medicine and Hygiene, Vol.116(5), pp.375-380

2022

DOI: https://doi.org/10.1093/trstmh/trab154

PMID: 34614194

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Abstract

collective self-efficacy

midwife

neonatal resuscitation

training

transferring clinical skills

Background: Tanzania has approximately 40 000 newborn deaths per year, with >25% of these linked to intrapartum-related hypoxia. The Helping Babies Breathe© and Golden minute© (HBB©) programme was developed to teach skilled intervention for non-breathing neonates at birth. While Helping Babies Breathe© and Golden minute©, providing training in simulated bag and mask ventilation, is theoretically successful in the classroom, it often fails to transfer to clinical practice without further support. Furthermore, the proclivity of midwives to suction excessively as a first-line intervention is an ingrained behaviour that delays ventilation, contributing to very early neonatal deaths. Methods: The ‘champion’ programme provided guided instruction during a real-life resuscitation. The site was Amana Hospital, Tanzania. The labour ward conducts 13 500 deliveries annually, most of which are managed by midwives. Brief mannikin simulation practice was held two to three times a week followed by bedside hands-on training (HOT) of bag and mask skills and problem solving while reinforcing the mantra of ‘air, air, air’ as the first-line intervention during a real-life emergency. Results: Champion midwives (trainers) guided instructions given during a real emergency at the bedside caused learners beliefs to change. Trainees observed changes in baby skin colour and the onset of spontaneous breathing after effective ventilation. Conclusions: Visible success during an actual real-life emergency created confidence, mastery and collective self-efficacy.

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Title: Air, Air, Air: a champion midwife programme in Tanzania using HOT neonatal resuscitation—lessons learned [Hewa, Hewa, Hewa: mpango wa wakunga bingwa Tanzania kuhuisha watoto wachanga kwa HOT-masuala tuliyojifunza]
Authors: Jan Becker (Corresponding Author) - Midwife Vision Global Ltd
Jo Wu (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
Chase Becker (Author) - University of Nicosia
James Moir (Author) - Moir Medical Services (Buderim, Australia)
Marion Gray (Author) - University of the Sunshine Coast, Queensland, School of Health and Sport Sciences - Legacy
Meshak Shimwela (Author) - Temeke Regional Referral Hospital (Tanzania)
Florin Oprescu (Author) - University of the Sunshine Coast
Publication details: Transactions of the Royal Society of Tropical Medicine and Hygiene, Vol.116(5), pp.375-380
Publisher: Oxford University Press
Date published: 2022
DOI: 10.1093/trstmh/trab154
ISSN: 1878-3503
PMID: 34614194
Copyright note: © The Author(s) 2021. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Organisation Unit: School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Nursing, Midwifery and Paramedicine - Legacy; Engage Research Lab; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
Language: English; Swahili
Record Identifier: 99573608902621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Public, Environmental & Occupational Health; Tropical Medicine

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