{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T02:35:57Z","timestamp":1775183757894,"version":"3.50.1"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,10,6]],"date-time":"2021-10-06T00:00:00Z","timestamp":1633478400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Tanzania has approximately 40\u2009000 newborn deaths per year, with &amp;gt;25% of these linked to intrapartum-related hypoxia. The Helping Babies Breathe\u00a9 and Golden minute\u00a9 (HBB\u00a9) programme was developed to teach skilled intervention for non-breathing neonates at birth. While Helping Babies Breathe\u00a9 and Golden minute\u00a9, providing training in simulated bag and mask ventilation, is theoretically successful in the classroom, it often fails to transfer to clinical practice without further support. Furthermore, the proclivity of midwives to suction excessively as a first-line intervention is an ingrained behaviour that delays ventilation, contributing to very early neonatal deaths.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The \u2018champion\u2019 programme provided guided instruction during a real-life resuscitation. The site was Amana Hospital, Tanzania. The labour ward conducts 13\u00a0500 deliveries annually, most of which are managed by midwives. Brief mannikin simulation practice was held two to three times a week followed by bedside hands-on training (HOT) of bag and mask skills and problem solving while reinforcing the mantra of \u2018air, air, air\u2019 as the first-line intervention during a real-life emergency.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Champion midwives (trainers) guided instructions given during a real emergency at the bedside caused learners beliefs to change. Trainees observed changes in baby skin colour and the onset of spontaneous breathing after effective ventilation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Visible success during an actual real-life emergency created confidence, mastery and collective self-efficacy.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/trstmh\/trab154","type":"journal-article","created":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T11:17:10Z","timestamp":1631704630000},"page":"375-380","source":"Crossref","is-referenced-by-count":6,"title":["Air, Air, Air: a champion midwife programme in Tanzania using HOT neonatal resuscitation\u2014lessons learned"],"prefix":"10.1093","volume":"116","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3257-1089","authenticated-orcid":false,"given":"Jan","family":"Becker","sequence":"first","affiliation":[{"name":"Midwife Vision Global Ltd, Tanzania, Senior Clinical Midwife, Director; University of the Sunshine Coast, QLD, Australia"},{"name":"Member in the General Division of the Order of Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6512-9049","authenticated-orcid":false,"given":"Chiung-Jung (Jo)","family":"Wu","sequence":"additional","affiliation":[{"name":"University of the Sunshine Coast, 1 Moreton Bay Parade, Petrie QLD 4502, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6186-6447","authenticated-orcid":false,"given":"Chase","family":"Becker","sequence":"additional","affiliation":[{"name":"University of Nicosia, Medical School, Makedonitissis 46, Nicosia 2417 Cyprus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0813-7899","authenticated-orcid":false,"given":"James","family":"Moir","sequence":"additional","affiliation":[{"name":"Suite 1, Nucleus Medical Suites, 23 Elsa Wilson Drive, Buderim QLD 4556, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0482-7350","authenticated-orcid":false,"given":"Marion","family":"Gray","sequence":"additional","affiliation":[{"name":"University of the Southern Queensland, 37 Sinnathamby Blvd, Springfield Central QLD 4300, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5338-7953","authenticated-orcid":false,"given":"Meshak","family":"Shimwela","sequence":"additional","affiliation":[{"name":"Temeke Regional Referral Hospital, Temeke Road Adjacent Sterio market, Dar es Salaam, United Republic of Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1342-3566","authenticated-orcid":false,"given":"Florin","family":"Oprescu","sequence":"additional","affiliation":[{"name":"University of Sunshine Coast, 90 Sippy Downs Dr, Sippy Downs QLD 4556, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,10,6]]},"reference":[{"issue":"10","key":"2022050515133040500_bib1","doi-asserted-by":"crossref","first-page":"e0222935","DOI":"10.1371\/journal.pone.0222935","article-title":"Potential causes of early death among admitted newborns in a rural Tanzanian hospital","volume":"14","author":"Moshiro","year":"2019","journal-title":"PLoS One"},{"issue":"1","key":"2022050515133040500_bib2","doi-asserted-by":"crossref","first-page":"1423862","DOI":"10.1080\/16549716.2018.1423862","article-title":"Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania","volume":"11","author":"Moshiro","year":"2018","journal-title":"Glob Health Action"},{"issue":"2","key":"2022050515133040500_bib3","doi-asserted-by":"crossref","first-page":"e353","DOI":"10.1542\/peds.2012-1795","article-title":"Newborn mortality and fresh 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