Pediatric assessment and early resuscitation capacity building
Multi-country implementation of the StART Training-of-Trainers Model in Rwanda, Uganda, and Nigeria
Bibliographic Data
Child mortality remains marked by profound inequities in sub-Saharan Africa, where many deaths occur within the first 24 hours of hospital admission due to delays in recognizing and managing critical illness. Access to practical, context-appropriate pediatric resuscitation training is limited, contributing to disparities in the quality of emergency care. The Systematic Assessment Resuscitation Training (StART) course was developed to address this gap through a one-day, multidisciplinary pediatric Basic Life Support (BLS) program with an embedded Training-of-Trainers (ToT) model, promoting sustainability. A mixed-methods pilot evaluation was conducted in three African countries: Uganda, Nigeria, and Rwanda. Quantitative data from pre- and post-course multiple-choice tests and BLS skills assessments measured knowledge and competence. Immediate and follow-up surveys captured participants’ perceptions of relevance and confidence, as well as self-reported application of learning in practice. Qualitative data from open-ended responses were analyzed thematically. A total of 134 participants completed the StART course, including nurses, doctors, and anesthesia providers, with 14 completing the ToT program. Knowledge scores increased significantly across all sites (mean improvement 3.4 points on a 15-point test scale; p
Cardiopulmonary resuscitation · MEDLINE · Multidisciplinary approach · Neonatal resuscitation · Psychological intervention · Relevance (law) · Resuscitation · Teamwork · Test (biology) · Global Health and Surgery · Global Maternal and Child Health · Simulation-Based Education in Healthcare
A critical review of simulation‐based medical education research
Mortality due to low-quality health systems in the universal health coverage era
How can we achieve and maintain high-quality performance of health workers in low-resource settings?
Fostering implementation of health services research findings into practice
The behaviour change wheel
Effectiveness of video self-instruction training on cardiopulmonary resuscitation retention of knowledge and skills among nurses in north-western Nigeria
Prediction of inpatient mortality in hospitalised children in low- and middle-income countries
| Highly cited | No |
|---|