The Call and the Challenge of Pediatric Resuscitation and Simulation Research in Low-Resource Settings.

The greatest burden of younger than 5 years mortality is in low- and middle-income nations where education resources are often few. The World Health Organization recommends scale-up of simulation in these settings, but it has been poorly studied. Although there has been an increase of contextualized resuscitation simulation programs designed for these settings, sustaining clinical outcomes and provider skill retention have remained research gaps.

Using quality improvement to decrease birth asphyxia rates after 'Helping Babies Breathe' training in Kenya.

Aim: The Helping Babies Breathe (HBB) programme is known to decrease neonatal mortality in low-resource settings but gaps in care still exist. This study describes the use of quality improvement to sustain gains in birth asphyxia-related mortality after HBB.

Methods: Tenwek Hospital, a rural referral hospital in Kenya, identified high rates of birth asphyxia (BA).