The impact of educational interventions on the competence of nurses and midwives in neonatal resuscitation in sub-Saharan Africa: A systematic review

Background: Neonatal mortality is still a significant global public health issue and most of these deaths occur in sub-Saharan Africa. Despite extensive government and nongovernment campaigns, the neonatal fatality rate in this region remains unacceptable. Aim: This review evaluates the efficacy of...

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Main Authors: Andy Emmanuel, Israel Gabriel, Danjuma Aliyu
Format: Article
Language:English
Published: AOSIS 2025-05-01
Series:Journal of Public Health in Africa
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Online Access:https://publichealthinafrica.org/index.php/jphia/article/view/1326
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author Andy Emmanuel
Israel Gabriel
Danjuma Aliyu
author_facet Andy Emmanuel
Israel Gabriel
Danjuma Aliyu
author_sort Andy Emmanuel
collection DOAJ
description Background: Neonatal mortality is still a significant global public health issue and most of these deaths occur in sub-Saharan Africa. Despite extensive government and nongovernment campaigns, the neonatal fatality rate in this region remains unacceptable. Aim: This review evaluates the efficacy of educational resuscitation interventions on the knowledge and skills of nurses and midwives about newborns resuscitation. Setting: Knowledge and skills of nurses and midwives about newborns resuscitation in sub-Saharan Africa. Method: The review followed Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) standards and used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system to evaluate the quality of evidence from the included studies. A search was conducted across seven databases from 2000 to 2024. A cumulative number of 912 studies were retrieved. The review protocol was registered in PROSPERO (CRD42022332734). Result: The final selection comprised 16 articles. An average grading score of 2.4, suggesting low to moderate evidence. The programmes included the Basic Emergency Obstetrics and Newborn Care training, the Helping Babies Breathe (HBB), the UK Resuscitation Guidelines, the American Heart Council Guidelines, the American Neonatal Resuscitation Program and the Safe Delivery Application. The intervention resulted in considerable improvements in resuscitation knowledge and skills. Conclusion: This review has demonstrated the importance of providing nurses and midwives with training in neonatal resuscitations, as well as the substantial impact it has on the reduction of neonatal mortality rates. Contribution: This study highlights the need for high-quality data and prioritise locally and culturally acceptable interventions to reduce neonatal mortality in sub-Saharan Africa.
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spelling doaj-art-cdbc125a4c05412e998d08df7dbc7af32025-08-20T03:19:28ZengAOSISJournal of Public Health in Africa2038-99222038-99302025-05-01161e1e1010.4102/jphia.v16i1.1326864The impact of educational interventions on the competence of nurses and midwives in neonatal resuscitation in sub-Saharan Africa: A systematic reviewAndy Emmanuel0Israel Gabriel1Danjuma Aliyu2Queensland Ambulance Service, BrisbaneInstitute of Health and Management, SydneyPerioperative School, Ahmadu Bello University Teaching Hospital, ZariaBackground: Neonatal mortality is still a significant global public health issue and most of these deaths occur in sub-Saharan Africa. Despite extensive government and nongovernment campaigns, the neonatal fatality rate in this region remains unacceptable. Aim: This review evaluates the efficacy of educational resuscitation interventions on the knowledge and skills of nurses and midwives about newborns resuscitation. Setting: Knowledge and skills of nurses and midwives about newborns resuscitation in sub-Saharan Africa. Method: The review followed Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) standards and used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system to evaluate the quality of evidence from the included studies. A search was conducted across seven databases from 2000 to 2024. A cumulative number of 912 studies were retrieved. The review protocol was registered in PROSPERO (CRD42022332734). Result: The final selection comprised 16 articles. An average grading score of 2.4, suggesting low to moderate evidence. The programmes included the Basic Emergency Obstetrics and Newborn Care training, the Helping Babies Breathe (HBB), the UK Resuscitation Guidelines, the American Heart Council Guidelines, the American Neonatal Resuscitation Program and the Safe Delivery Application. The intervention resulted in considerable improvements in resuscitation knowledge and skills. Conclusion: This review has demonstrated the importance of providing nurses and midwives with training in neonatal resuscitations, as well as the substantial impact it has on the reduction of neonatal mortality rates. Contribution: This study highlights the need for high-quality data and prioritise locally and culturally acceptable interventions to reduce neonatal mortality in sub-Saharan Africa.https://publichealthinafrica.org/index.php/jphia/article/view/1326neonatal resuscitationeducational interventionscompetencenurses/midwiveslow-income countriessub-saharan africa.
spellingShingle Andy Emmanuel
Israel Gabriel
Danjuma Aliyu
The impact of educational interventions on the competence of nurses and midwives in neonatal resuscitation in sub-Saharan Africa: A systematic review
Journal of Public Health in Africa
neonatal resuscitation
educational interventions
competence
nurses/midwives
low-income countries
sub-saharan africa.
title The impact of educational interventions on the competence of nurses and midwives in neonatal resuscitation in sub-Saharan Africa: A systematic review
title_full The impact of educational interventions on the competence of nurses and midwives in neonatal resuscitation in sub-Saharan Africa: A systematic review
title_fullStr The impact of educational interventions on the competence of nurses and midwives in neonatal resuscitation in sub-Saharan Africa: A systematic review
title_full_unstemmed The impact of educational interventions on the competence of nurses and midwives in neonatal resuscitation in sub-Saharan Africa: A systematic review
title_short The impact of educational interventions on the competence of nurses and midwives in neonatal resuscitation in sub-Saharan Africa: A systematic review
title_sort impact of educational interventions on the competence of nurses and midwives in neonatal resuscitation in sub saharan africa a systematic review
topic neonatal resuscitation
educational interventions
competence
nurses/midwives
low-income countries
sub-saharan africa.
url https://publichealthinafrica.org/index.php/jphia/article/view/1326
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