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Table 1 Outcomes and methods of data collection for evaluation of the introduction of a simplified resuscitation protocol (Helping Babies Breathe) in a tertiary hospital in Kathmandu, Nepal

From: Implementing a simplified neonatal resuscitation protocol-helping babies breathe at birth (HBB) - at a tertiary level hospital in Nepal for an increased perinatal survival



Methods of data collection

Intervention process

▪ Knowledge level and in-training performance of health staff; knowledge of perinatal care practices, performance of resuscitation algorithm on Neonatalie®

▪ Pre-defined in-training observational protocols


▪ Attitudes and perceptions of perinatal health problems and HBB training.

▪ Knowledge assessment questionnaires


▪ The factors determining the performance of health worker

▪ Health workers survey


▪ The facilitative skills of the facilitator and group meeting

▪ Focus group discussions.


▪ Observation checklist

Healthcare process data

▪ Effects of resuscitation; APGAR score [3237] at 1, 5 and 10 minutes, saturation at 5 and 10 minutes (all newborns requiring resuscitation)

▪ Surveillance


▪ Risk factors for intra-partum related death; socioeconomic status, obstetric history, antenatal care attendance etc. (cases and referents)

▪ Case-referent interviews


▪ Performance of health staff at resuscitation; time to initiation, time to effective ventilation (all resuscitation situations)

▪ CCD camera evaluation


▪ Health status of baby after discharge

▪ Pulse-oximeter


▪ Follow up interviews with case and referent

Primary outcome

▪ Perinatal mortality

▪ Surveillance