ABSTRACT 35

Abstract

Background and aims: High childhood mortality rates exist in Myanmar and morbidity is multifactorial. Prior studies show preparedness to manage emergencies is key factor. Effective protocols are not universally used. Educational interventions in this setting must consider: local epidemiology, infrastructure, equipment and personnel availability, provider knowledge and skills, and educational systems. Resuscitation competency is not achieved through didactics but simulation has been shown to improve skill performance. Aims: Proximal study aim was to perform needs assessment for dissemination of simulation curricula based on Helping Babies Breathe platform and American Heart Association PALS protocols throughout Myanmar, with adaptations for local epidemiology and resource availability. Ultimate aim of project is to decrease neonatal and under five mortality rates throughout Myanmar. Methods: A written survey of Burmese physicians was conducted after approval by Johns Hopkins IRB. Participants voluntarily completed surveys during resuscitation courses conducted in Myanmar April 2012. Practicing physicians from private (N= 54) and university affiliated (N= 84) sectors (Total N= 138) completed surveys. Results: Only 58% of physicians surveyed had formal training in pediatric resuscitation. Despite this, 61% previously performed chest compressions on children and 57% manual ventilation. 27% of respondents admitted they had occasion when pediatric CPR was indicated, but didn’t know how to perform it. Only 63% had defibrillators available in hospital and 24% had intra-osseous needles available. Conclusions: Serious training deficits exist in Myanmar for providers responsible for children. There are barriers to providing treatment, including equipment availability. Future directions will focus on designing sustainable programs and implementing dissemination in rural areas.