https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-025-00338-2
Neonatal resuscitation skills acquisition after a 1-day Helping Babies Breathe (HBB) simulation training among 481 healthcare providers in 12 Safer Births Bundle of Care (SBBC) facilities in Tanzania were studied.
The training was conducted in situ using the HBB second edition curriculum with improved simulation tools (NeoNatalie Live simulator, NeoBeat heart rate meter, and Upright resuscitator). After training, skills acquisition was evaluated using Objectively Structured Clinical Evaluation with passing score 75% or above. 420/481 (87.3%) passed the skills evaluation on the first attempt. The overall mean skills score was 92.4%. In bivariate analyses, health facility level, region, age, and experience working in the labor ward were associated with passing on the first attempt. After controlling for other variables, none of the factors showed a statistically significant association.
In-situ, HBB simulation training in the SBBC program improved simulated neonatal resuscitation skills. Participants learned skills similarly regardless of their different demographic characteristics, including level of education and working experience.