Impact of neonatal resuscitation courses in Moldova

Neonatal resuscitation is a crucial intervention that significantly impacts neonatal survival and clinical outcomes. This study evaluated the impact of a national neonatal resuscitation training project in the Democratic Republic of Moldova. A structured educational program was implemented in seven hospitals, and its impact on participants' knowledge was measured using a standardized test administered before (baseline) and after the intervention (timepoint 1). Average test scores significantly increased across all centers, demonstrating the effectiveness of the training in enhancing neonatal resuscitation knowledge. However, variations in initial knowledge levels and post-training improvements among hospitals emerged, indicating the need for targeted educational approaches to address specific gaps. A detailed analysis of incorrect answers highlighted persistent difficulties in certain conceptual areas, such as Neonatal Resuscitation Principles, despite notable improvements in more practical skills, such as Bag-Mask Ventilation and Chest Compressions. These findings suggest that while the training successfully enhanced practical skills, greater emphasis on theoretical aspects could further optimize learning outcomes. Despite the study's strengths, some limitations must be acknowledged, including the need for long-term assessment and variability in participant numbers across hospitals. Future research should focus on evaluating knowledge retention over time and analyzing the direct impact of improved skills on neonatal clinical outcomes. Additionally, integrating scenario-based learning and periodic refresher courses could help sustain the progress achieved through this initial phase of the project. This study underscores the importance of structured neonatal resuscitation training to strengthen healthcare teams' competencies. By addressing disparities in initial knowledge levels and refining educational strategies, neonatal resuscitation programs can further contribute to reduce neonatal morbidity and mortality, ultimately improving the quality of neonatal care in the Republic of Moldova.