1140 Effect of a Pilot Intervention on Setting Up Long-Term Mechanism of Neonatal Resuscitation Training in 4 Counties in China

Abstract

Background and Aims Neonatal mortality is the leading cause of under-5 child deaths in China. The aim was to evaluate the effect of a pilot intervention on setting up long-term mechanism of neonatal resuscitation training in 4 counties in China. Methods A neonatal resuscitation leading group was set up within each county level hospital to lead the in-hospital training, department coordination, resuscitation practices and cases audit. A random control survey was conducted in the intervention counties and 4 randomly selected control counties to evaluate the impact of the intervention. Indicators evaluated include knowledge and self-confidence score of health providers, in-hospital regulations, changes of asphyxia incidence and mortality. Results Over 90% of intervention hospitals had carried out neonatal resuscitation related regulations requiring that trained paediatricians participate in case discussion of high-risk delivery and onsite resuscitation, while in control hospitals less than 55% had such requirements. The average knowledge score of health providers was significantly higher in the intervention counties than the control counties (9.19+/-1.18 VS 8.40+/-1.52). The average self-confidence score in the two groups were 57.33+/-2.50 and 54.09+/-8.19 respectively. The incidence of birth asphyxia (defined as Apgar score