Neonatal Death Clinical Trial
Official title:
Development of a Mobile Application Through User Centered Design to Improve Helping Babies Breath Skills Retention
This study applies an iterative user-centred design approach involving frontline birth attendants to create a mobile application ("HBB Prompt") to improve skills retention after initial newborn stabilization training through the Helping Babies Breathe (HBB) program. HBB Prompt will then be piloted at one site after HBB training and skills retention will be compared with a control site without HBB Prompt after HBB training.
Helping Babies Breathe (HBB) is a newborn stabilization course that has been shown to reduce
neonatal mortality by up to 47%. Such mortality impact is however not sustained due to rapid
skills deterioration.
The investigators propose to improve sustainability of HBB's impact by increasing skills
retention with an innovative mobile application called HBB Prompt. HBB Prompt will be an
interactive tool that guides frontline providers through the steps needed to save newborn
babies at birth. HBB Prompt will facilitate individual and group training in health
facilities using the Low Dose High Frequency model (LDHF) for resuscitation skills retention.
The investigators will robustly develop HBB Prompt by integrating human factors and
user-centered design approaches. The investigators will engage end-users and HBB Master
Trainers to iteratively collect feedback to develop HBB Prompt for both individual and small
group resuscitation practice. The iterative approach will mitigate the common scenario of
mobile health (mHealth) solutions unable to achieve sustained success at scale due to lack of
comprehensive input from frontline users.
The investigators will pilot the app at a single centre and compare it to a control site for
HBB skills retention at different time points after initial HBB training.
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