{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T19:44:05Z","timestamp":1767987845993,"version":"3.49.0"},"reference-count":28,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"unspecified","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Glob Health"],"accepted":{"date-parts":[[2025,12,10]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>High neonatal mortality remains a major health problem in Guinea (32 deaths \/1,000 live births). This represents 15\u2009000 deaths annually, without improvement over the past decade. We evaluated the impact of 2\u2009days of neonatal resuscitation training of health professionals working in the disadvantaged outskirts of Conakry. Non-randomised interventional study with pre-and post-interventional analysis of the very early neonatal mortality with data collection over two 6-month periods, one before and one after intervention. Intervention: Theoretical and practical training given to health professionals working in private obstetric centres within a defined area. After training, all centres were equipped with basic resuscitation devices. We concentrated on the private sector, dominated by informal facilities scarcely equipped and run by often poorly trained paramedical staff. Outcome measures were very early neonatal mortality (6\u2009hours) and the need for referral to higher equipped structures. Theoretical knowledge was assessed by a questionnaire, pre-training, post-training and 6\u2009months later. 27 nurses, midwives and doctors participated, working in 13 health facilities. They performed 589 deliveries during the two periods analysed. The 6-hour neonatal mortality rate decreased (31.8\u2030 to 5.7\u2030, p=0.031), need for neonatal transfer dropped from 27.3% to 11.3% (p=0,19), whereas the stillbirth rate remained high and unchanged. There was a sustained improvement in theoretical knowledge (mean of correct answers: 59.3% before, 82.0% after training, (p&lt;0.001) and 85.9% 6\u2009months later). A 2-day training course for health workers in private facilities and provision of basic neonatal resuscitation equipment significantly improved neonatal outcome.<\/jats:p>","DOI":"10.1136\/bmjgh-2025-019488","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T14:35:37Z","timestamp":1767969337000},"page":"e019488","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of basic training in neonatal resuscitation in the outskirts of Conakry, Guinea: evaluation of neonatal mortality by \u2018before and after intervention\u2019 design"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6977-9038","authenticated-orcid":false,"given":"Mamadou","family":"Diallo","sequence":"first","affiliation":[{"name":"Fondation Sant\u00e9 et D\u00e9veloppement durable (FOSAD, NGO), Conakry, Guinea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6469-2830","authenticated-orcid":false,"given":"Balla Moussa","family":"Keita","sequence":"additional","affiliation":[{"name":"Fondation Sant\u00e9 et D\u00e9veloppement durable (FOSAD, NGO), Conakry, Guinea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u2019fanly","family":"Cont\u00e9","sequence":"additional","affiliation":[{"name":"Institut de Nutrition et de Sante de l\u2019Enfant, Conakry, Guinea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahima Sory","family":"Diallo","sequence":"additional","affiliation":[{"name":"Institut de Nutrition et de Sante de l\u2019Enfant, Conakry, Guinea"},{"name":"Pediatrics, University Gamal Abdel Nasser, Conakry, Conakry, Guinea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celine","family":"Lomme","sequence":"additional","affiliation":[{"name":"University Hospital of Lausanne, Lausanne, Switzerland"},{"name":"Association souffle2vie (NGO), Epalinges, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamadou Moustapha","family":"Diallo","sequence":"additional","affiliation":[{"name":"Institut de Nutrition et de Sante de l\u2019Enfant, Conakry, Guinea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bintou","family":"Cond\u00e9","sequence":"additional","affiliation":[{"name":"Prefectoral Directory of Health, Ministry of Health, Dubr\u00e9ka, Guinea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0052-1311","authenticated-orcid":false,"given":"Mandy K","family":"Kond\u00e9","sequence":"additional","affiliation":[{"name":"Fondation Sant\u00e9 et D\u00e9veloppement durable (FOSAD, NGO), Conakry, Guinea"},{"name":"Pediatrics, University Gamal Abdel Nasser, Conakry, Conakry, Guinea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1478-198X","authenticated-orcid":false,"given":"Matthias","family":"Roth-Kleiner","sequence":"additional","affiliation":[{"name":"University Hospital of Lausanne, Lausanne, Switzerland"},{"name":"Association souffle2vie (NGO), Epalinges, Switzerland"},{"name":"University of Lausanne, Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"2026010906353286000_11.1.e019488.1","doi-asserted-by":"crossref","first-page":"1725","DOI":"10.1016\/S0140-6736(16)31575-6","article-title":"Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980\u20132015: a systematic analysis for the Global Burden of Disease Study 2015","volume":"388","author":"Wang","year":"2016","journal-title":"The Lancet"},{"key":"2026010906353286000_11.1.e019488.2","unstructured":"World Health Organization . 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