A New Remote Digital Training System to Improve Neonatal Resuscitation Continuing Education Program in Low-Resource Countries

INTRODUCTION: A recent retrospective study conducted in Tanzania reported that 87.5% of neonatal deaths occur within the first week of life, highlighting a critical opportunity to reduce mortality through improvements in the quality of care. The aim of this study is to describe a distance learning program supported by a newly developed device specifically designed for telesimulation-based training. This program was created to facilitate continuous professional development for healthcare personnel involved in neonatal care. METHODS: After identifying sustainable objectives for improving the quality of neonatal care, a cooperative program was established. This initiative involved medical instrumentation providers and neonatologists to support on-site care and clinical coaching. A telesimulation tool, capable of being managed both locally and remotely, was developed and implemented to enhance accessibility and training sustainability. RESULTS: The analysis conducted using an operational checklist applied to neonatal resuscitation simulations revealed a statistically significant improvement in performance, with an average percentage improvement of 38.78% for technical skills and 71.42% for nontechnical skills. CONCLUSIONS: This telesimulation tool demonstrated promising outcomes in reinforcing essential neonatal resuscitation knowledge. The innovative advantage of our simulation system lies in its dual-mode operation, functioning both autonomously on-site and under remote supervision. This capability establishes the foundation for a sustainable and continuous training model.