Percentage of facilities in which key skills were correctly performed in simulated NRs at mid-PRONTO training, post-training and following a 15–29 month training gap (n=192 assessment simulations at 64 facilities)
| NR skill | N* | AMANAT mid assessment† | AMANAT post assessment‡ | AMANAT Jyoti baseline re-assessment | P value** | mid to post§ | post to baseline§ | mid to baseline§ |
| % (n)¶ | Δ % | |||||||
| Stimulation | 60 | 55.6 (35) | 50.8 (31) | 55.6 (35) | 0.92 | −4.8 | 4.8 | 0 |
| Suction | 58 | 63.9 (39) | 67.8 (40) | 67.2 (43) | 0.82 | 3.9 | −0.6 | 3.3 |
| Neck extension | 49 | 78.2 (43) | 80.7 (46) | 80.6 (50) | 0.68 | 2.5 | −0.1 | 2.4 |
| PPV with chest rise | 41 | 58.9 (33) | 90.0 (45) | 63.8 (37) | 0.01 | 31.1* | −26.2* | 4.9 |
| Chest rise in ≤30 s | 14 | 53.1 (17) | 51.2 (22) | 68.6 (24) | 0.46 | −1.9 | 17.4 | 15.5 |
| Rate of PPV 40–60 bpm | 53 | 36.7 (22) | 41.4 (24) | 38.7 (24) | 0.88 | 4.7 | −2.7 | 2.0 |
| Heart rate assessed | 54 | 85.2 (52) | 98.3 (57) | 77.4 (48) | <0.01 | 13.1* | −20.9* | −7.8 |
*Total number of facilities in which NR skill could be assessed at all three timepoints mid through baseline; n varies due to video quality.
†Includes AMANAT phases 2, 3 and 4 midtraining assessments.
‡Includes AMANAT phases 2, 3 and 4 post-training assessments.
§Significant change based on McNemar’s test; p values reported in text.
¶Per cent (number) of facilities in which NR skill was performed correctly at a given timepoint.
**Cochran’s Q test.
AMANAT, Apatkaleen Matritva evam Navjat Tatparta; BPM, beats per minute; NR, neonatal resuscitation; PPV, positive pressure ventilation.