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. 2015 May 13;2015(5):CD007071. doi: 10.1002/14651858.CD007071.pub3

Senarath 2007.

Methods Randomised controlled trial
Country: Sri Lanka
Setting: delivery room
Type of targeted behaviour: general management/preparation and conduct of delivery care for newborn
Participants Doctors, nurses, midwives
110 participants (59 intervention, 61 control)
Interventions Essential newborn care course
Duration of training: 4 days
Co‐interventions: none
Control: usual/standard practice
Outcomes Assessment of breathing, preparedness for resuscitation (i.e. "suction device prepared, neonatal ambu bag and mask prepared, neonatal emergency tray prepared, breathing of newborn checked")
Notes Reported data restricted to results of direct observations of delivery practices made on a subsample consisting of 96 health providers (48 before and 48 after the intervention)
Postintervention data collection period: 3 months
'Unit of analysis error present': The unit of randomisation was hospitals, while the unit of analysis was observed delivery room care practices. Effects in training and control groups were not directly compared in the analysis
Overall risk of bias assessment: high risk of bias
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The method used to generate allocation sequence was not reported
Allocation concealment (selection bias) Unclear risk The method used to conceal allocation sequence was not reported
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No loss to follow‐up was reported
Selective reporting (reporting bias) Low risk Prespecified outcomes were reported
Blinding 
 All outcomes High risk The principal investigator made observations in the labour room
Contamination 
 All outcomes Low risk It is unlikely that the control group received the training intervention