{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:13:22Z","timestamp":1777662802032,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T00:00:00Z","timestamp":1731974400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100007747","name":"University of Utah","doi-asserted-by":"publisher","award":["College of Nursing"],"award-info":[{"award-number":["College of Nursing"]}],"id":[{"id":"10.13039\/100007747","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hisp Health Care Int"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>\n                    <jats:bold>Introduction:<\/jats:bold>\n                    Guatemala's Infant Mortality Rate was 20th highest in the world at 18 deaths per 1,000 live births in 2022. Part of the problem is lay midwives (LMs) who attend most births at home lack training in helping babies breathe (HBB). LMs transfer babies struggling to breathe to firefighters (FF). The aims of this mixed-methods pilot study were to evaluate a HBB educational activity, explore LM and FF's lived experience HBB, and to assess if the HBB educational activity changed participants\u2019 knowledge.\n                    <jats:bold>Methods:<\/jats:bold>\n                    Twelve LMs and six FFs (N\u2009=\u200918) participated in focus group discussions, completed a pretest and posttest, and provided quality improvement and demographic data.\n                    <jats:bold>Results:<\/jats:bold>\n                    Three themes emerged from focus group. Participants (1) value partnerships and collaboration, (2) know about newborn delivery and care, 3) desire continuous training to improve skills. A t-test showed a statistically significant increase in knowledge from pretest (n\u2009=\u200918, M\u2009=\u20094.17, SD\u2009=\u20091.295) to posttest (n\u2009=\u200918, M\u2009=\u20095.00, SD\u2009=\u20091.524),\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.024. Participants intend to use what they learned and would not change anything about the educational activity.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Participants were satisfied with the HBB educational activity and viewed it as sustainable. Future educational activities should facilitate collaboration among LMs and FFs about HBB to improve Guatemala's IMR.\n                  <\/jats:p>","DOI":"10.1177\/15404153241295553","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T03:41:03Z","timestamp":1731987663000},"page":"224-231","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of Educational Activity with Guatemalan Birth Attendants About Helping Babies Breathe"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8794-0833","authenticated-orcid":false,"given":"Kimberly","family":"Garcia","sequence":"first","affiliation":[{"name":"University of Utah College of Nursing, Salt Lake City, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Flynn","sequence":"additional","affiliation":[{"name":"Primary Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaby","family":"Alvarez","sequence":"additional","affiliation":[{"name":"Refuge International Translator, San Raymundo, Guatemala"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eli","family":"Iacob","sequence":"additional","affiliation":[{"name":"University of Utah, College of Nursing, Salt Lake City, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,19]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"American College of Nurse Midwives Division of Global Engagement (2018). American College of Nurse Midwives Global Health Competencies and Skills. chrome-extension:\/\/efaidnbmnnnibpcajpcglclefindmkaj\/https:\/\/www.midwife.org\/acnm\/files\/cclibraryfiles\/filename\/000000007496\/Global%20Health%20Competencies.pdf"},{"key":"e_1_3_3_3_1","unstructured":"American College of Nurse Midwives (n.d.). Home-Based Life Saving Skills (HBLSS). https:\/\/www.midwife.org\/home-based-life-saving-skills-hblss"},{"key":"e_1_3_3_4_1","unstructured":"Canadian Medical Association (2022). Six principles of the Brocher declaration. https:\/\/medicalfoundation.ca\/brocher-declaration\/"},{"issue":"3","key":"e_1_3_3_5_1","first-page":"53","article-title":"An observational study of teaching methods with low-literacy comadronas in urban Guatemala","volume":"21","author":"Garcia K.","year":"2022","unstructured":"Garcia K. (2022). An observational study of teaching methods with low-literacy comadronas in urban Guatemala. 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PMID: 39034488","journal-title":"Remote and Rural Health"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2018.02.012"},{"issue":"30","key":"e_1_3_3_8_1","article-title":"Pretest-posttest evaluation of change in knowledge and knowledge retention after educational activities with low-literacy lay midwives in urban Guatemala","volume":"7","author":"Garcia K.","year":"2023","unstructured":"Garcia K., Gee J. (2023). Pretest-posttest evaluation of change in knowledge and knowledge retention after educational activities with low-literacy lay midwives in urban Guatemala. Journal of Academy of Health Sciences, 7(November 30, 2023). https:\/\/jahse.med.utah.edu\/pretest-posttest-evaluation-of-change-in-knowledge-and-knowledge-retention-after-educational-activities-with-low-literacy-lay-midwives-in-urban-guatemala\/","journal-title":"Journal of Academy of Health Sciences"},{"key":"e_1_3_3_9_1","unstructured":"Healthy Newborn Network (n.d.). Guatemala. healthynewbornnetwork.org\/country\/guatemala\/."},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000502934"},{"issue":"1","key":"e_1_3_3_11_1","article-title":"Working with lay midwives to improve the detection of neonatal complications in rural Guatemala","volume":"9","author":"Juarez M.","year":"2020","unstructured":"Juarez M., Juarez Y., Coyote E., Nguyen T., Shaw C., Hall-Clifford R., Clifford G., Rohloff P. (2020). Working with lay midwives to improve the detection of neonatal complications in rural Guatemala. British Medical Journal Open Quality, 9(1), e000775. https:\/\/doi.org\/10.1136\/bmjoq-2019-000775. 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Improving culturally appropriate care in Guatemala: the role of comadronas and parteras. https:\/\/www.mhtf.org\/2021\/09\/15\/improving-culturally-appropriate-care-in-guatemala-the-role-of-comadronas-and-parteras\/"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-3938"},{"key":"e_1_3_3_16_1","unstructured":"Pan American Health Organization (n.d). Guatemala wants to update and automate the neonatal maternal mortality surveillance protocol. https:\/\/www.paho.org\/en\/information-systems-and-platforms-health\/information-systems-health-is4h\/is4h-stories\/guatemala"},{"key":"e_1_3_3_17_1","unstructured":"Sierra Garc\u00eda D. A. (2020 June 10). International Association of Medical Students\u2019 Associations. Transforming health: empowering human resources in primary health care. https:\/\/ifmsa.org\/transforming-health-empowering-human-resources-in-primary-health-care\/"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-18-00100"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69385-9"},{"key":"e_1_3_3_20_1","first-page":"1","article-title":"Training Guatemalan lay Midwives in acupressure for preterm and post-term labor","volume":"00","author":"Taylor-Swanson L.","year":"2024","unstructured":"Taylor-Swanson L., Taylor B., Bell L., Boccino J., Dillard M., Howell C. S., Geppelt C., Taft Nelson A., Citkovitz C., Alvarez G., Wen T., Garcia K. (2024). Training Guatemalan lay Midwives in acupressure for preterm and post-term labor. 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