Table 1

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 skillN*AMANAT mid assessment†AMANAT post assessment‡AMANAT Jyoti baseline re-assessmentP value**mid to post§post to baseline§mid to baseline§
% (n)¶Δ %
Stimulation6055.6 (35)50.8 (31)55.6 (35)0.92−4.84.80
Suction5863.9 (39)67.8 (40)67.2 (43)0.823.9−0.63.3
Neck extension4978.2 (43)80.7 (46)80.6 (50)0.682.5−0.12.4
PPV with chest rise4158.9 (33)90.0 (45)63.8 (37)0.0131.1*−26.2*4.9
Chest rise in ≤30 s1453.1 (17)51.2 (22)68.6 (24)0.46−1.917.415.5
Rate of PPV 40–60 bpm5336.7 (22)41.4 (24)38.7 (24)0.884.7−2.72.0
Heart rate assessed5485.2 (52)98.3 (57)77.4 (48)<0.0113.1*−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.