{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T19:42:37Z","timestamp":1790106157483,"version":"4.0.1"},"reference-count":29,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T00:00:00Z","timestamp":1642636800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005416","name":"The Research Council of Norway","doi-asserted-by":"publisher","award":["228203"],"award-info":[{"award-number":["228203"]}],"id":[{"id":"10.13039\/501100005416","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Skattefunn","award":["ES519418"],"award-info":[{"award-number":["ES519418"]}]},{"DOI":"10.13039\/501100004102","name":"Laerdal Foundation","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/501100004102","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Saving Lives at birth grand challenges","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Globally, intrapartum-related complications account for approximately 2 million perinatal deaths annually. Adequate skills in neonatal resuscitation are required to reduce perinatal mortality. NeoNatalie Live is a newborn simulator providing immediate feedback, originally designed to accomplish Helping Babies Breathe training in low-resource settings. The objectives of this study were to describe changes in staff participation, skill-training frequency, and simulated ventilation quality before and after the introduction of \u201clocal motivators\u201d in a rural Tanzanian hospital with 4000\u20135000 deliveries annually. Midwives (n = 15\u201327) were encouraged to perform in situ low-dose high-frequency simulation skill-training using NeoNatalie Live from September 2016 through to August 2018. Frequency and quality of trainings were automatically recorded in the simulator. The number of skill-trainings increased from 688 (12 months) to 8451 (11 months) after the introduction of local motivators in October 2017. Staff participation increased from 43% to 74% of the midwives. The quality of training performance, measured as \u201cwell done\u201d feedback, increased from 75% to 91%. We conclude that training frequency, participation, and performance increased after introduction of dedicated motivators. In addition, the immediate constructive feedback features of the simulator may have influenced motivation and training quality performance.<\/jats:p>","DOI":"10.3390\/children9020134","type":"journal-article","created":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T22:40:20Z","timestamp":1642718420000},"page":"134","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Neonatal Resuscitation Skill-Training Using a New Neonatal Simulator, Facilitated by Local Motivators: Two-Year Prospective Observational Study of 9000 Trainings"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8641-9918","authenticated-orcid":false,"given":"May Sissel","family":"Vadla","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, University of Stavanger, 4021 Stavanger, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paschal","family":"Mdoe","sequence":"additional","affiliation":[{"name":"Haydom Lutheran Hospital, Haydom P.O. Box 9000, Mbulu, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Moshiro","sequence":"additional","affiliation":[{"name":"Muhimbili National Hospital, Dar es Salaam P.O. Box 65000, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingunn Anda","family":"Haug","sequence":"additional","affiliation":[{"name":"Laerdal Medical, 4002 Stavanger, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d8ystein","family":"Gomo","sequence":"additional","affiliation":[{"name":"Laerdal Medical, 4002 Stavanger, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Terje","family":"Kval\u00f8y","sequence":"additional","affiliation":[{"name":"Department of Mathematics and Physics, University of Stavanger, 4036 Stavanger, Norway"},{"name":"Department of Research, Stavanger University Hospital, 4011 Stavanger, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6320-8509","authenticated-orcid":false,"given":"Bj\u00f8rg","family":"Oftedal","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, University of Stavanger, 4021 Stavanger, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hege","family":"Ersdal","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, University of Stavanger, 4021 Stavanger, Norway"},{"name":"Department of Anaesthesia, Stavanger University Hospital, 4011 Stavanger, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"3027","DOI":"10.1016\/S0140-6736(16)31593-8","article-title":"Global, regional, and national causes of under-5 mortality in 2000\u201315: An updated systematic analysis with implications for the Sustainable Development Goals","volume":"388","author":"Liu","year":"2016","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.siny.2017.02.006","article-title":"Early neonatal death: A challenge worldwide","volume":"22","author":"Lehtonen","year":"2017","journal-title":"Semin. 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