Bang 2014.

Trial name or title	Implementation and evaluation of the Helping Babies Breathe curriculum in 3 resource‐limited settings
Methods	2‐year prospective pre‐post study to evaluate if a facility‐based training package, including HBB and essential newborn care, will reduce all perinatal mortality (fresh stillbirth or neonatal death prior to 7 days) among the Global Network's Maternal Neonatal Health Registry births > 1500 g in the study clusters served by the facilities. Will also evaluate the effectiveness of the HBB training programme changing on facility‐based perinatal mortality and resuscitation practices
Participants	71 health facilities serving 52 geographically defined study clusters in Belgaum and Nagpur, India, and Eldoret, Kenya, and 30,000 women will be included
Interventions	HBB, a simulation‐training programme for babies wherever they are born, was developed for use in low‐to‐middle income countries. The intervention will be HBB training of facility birth attendants
Outcomes	Primary outcome data will be collected by staff not involved in the HBB intervention. Additional data on resuscitations, resuscitation debriefings, death audits, quality monitoring and improvement will be collected. HBB training will include training of master trainers, facility level birth attendants, and quality monitoring and improvement activities. This study will evaluate the effect of a HBB/ENC training and quality monitoring and improvement package on perinatal mortality using a large multicentre design and approach in 71 resource‐limited health facilities, leveraging an existing birth registry to provide neonatal outcomes through to day 7
Starting date
Contact information
Notes	Trial registration ClinicalTrials.gov Identifier: NCT01681017

ENC: Early Newborn Care; HBB: Helping Babies Breathe.