Qualitative evaluation of the helping baby breathe training for community midwives in Gujrat, Pakistan

Date of Award


Document Type


Degree Name

Master of Science in Nursing (MScN)


School of Nursing and Midwifery, Pakistan


Pakistan's neonatal mortality rate has the highest proportion in the South Introdu ared to Asian region (Ahmed & Won, 2017) and it is more common in rural areas, as comp the urban areas. Poor resuscitation techniques, as well as the absence of basic newborn tion skills in birth attendants, are contributing factors of neonatal deaths (Jacobs et resuscita al., 2018). Neonatal mortality can be prevented by skilled birth attendants, especially the midwives, in low-income settings (Khalid, 2018). Based on the significant outcomes of the Helping Baby Breathe (HBB) training, a similar training was implemented for CMWs in the low resource setting of Gujrat, Pakistan, in order to improve their knowledge and skills. The training had two evaluation methods; the quantitative and the qualitative. This study selected the qualitative method of the evaluation, that is, interviewing HBB trained CMWs and their facilitators, to determine the effectiveness of HBB training. odolo: A qualitative descriptive design was used in this study. The purposive Meth gy lin technique was chosen. The study included a total of five interviews: two focus samp g group interviews with CMWs (10 in each group), and three key informants. A semistructured interview guide was used to conduct the interviews. ndins: The content analysis of the qualitative data led towards three themes; the Fi g veness of training, challenges, and suggestions. The findings revealed that HBB effects ing was effective for the CMWs in terms of the use of advanced teaching-learning train loies, competency of facilitators and training content, and continuing supervision, methodo g as it resulted in improvement in their knowledge and skills regarding newborn resuscitation. it enhanced confidence and satisfaction among the CMWs. However, less volume Moreover, of patients was a challenge for few CMWs in practicing their skills. iv Conclusion: As several CM Ws mentioned that the other healthcare providers downplay their role, and resultantly, a limited number of patients visited them that's why they get fewer opportunities for practicing their skills and utilizing their knowledge. They recommended that they required such training regularly in order to maintain their competency. CMW role and competency programs should be initiated by the government for bringing awareness. CMWs also recommended that HBB training should be part of the Diploma in Midwifery curriculum. Similar training for other health care providers working in low resource areas including doctors and nurses were also endorsed.

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