A cluster-randomized PRONTO-based quality improvement package in Kenya and Uganda reduced neonatal mortality and stillbirth among intervention facilities¶

Claim · All claims
Evidence · 1 study · review r3 · q3
Currency · newest study 2024 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i? In a cluster-randomized trial with pair-matched facilities, intervention facilities showed reduced neonatal mortality and stillbirth (15.3% vs. 23.3%, P<.0001). → Robinson SJA 2024

Evidence¶

Robinson SJA 2024¶

Robinson SJA, Ritchie AMA, Pacilli M, Nestel D, McLeod E, Nataraja RM. (2024). Simulation-Based Education of Health Workers in Low- and Middle-Income Countries: A Systematic Review. Glob Health Sci Pract. https://doi.org/10.9745/GHSP-D-24-00187

q3 · i? · review · r3

The review reports, citing Walker et al., a cluster-randomized trial in Kenya and Uganda where facilities were pair-matched and assigned intervention or control; the package added data-strengthening, quality improvement collaboratives, and a childbirth checklist to PRONTO simulation. The review prints "15.3% vs. 23.3%, P<.0001"; no effect size is given.

"The findings demonstrated reduced neonatal mortality and stillbirth among the intervention facilities (15.3% vs. 23.3%, P<.0001)."

Discussion¶

Related Claims¶

• Helping Babies Breathe simulation training was associated with reduced neonatal mortality in LMIC facilities, but skills decayed within 4–6 months without maintenance — related
• Frequent brief on-site Helping Babies Breathe simulation training was associated with a significant decrease in 24-hour neonatal mortality in a Tanzanian before–after study — related
• The review suggests current observational evidence may overestimate simulation's impact, since more rigorous cluster-RCTs showed only time-limited mortality reductions or nonsignificant results — related