Global Network Implementation of Helping Babies Breathe (HBB)

Inclusion Criteria: * Facilities: * at least 60 deliveries per year; * ability to provide 24-hour coverage, 7 days per week in the delivery ward; and * minimum perinatal mortality rate of 30 per 1000 deliveries in the reference period. Master Trainers (MT) * Experienced teachers and content experts in neonatal resuscitation * Trained and/or experienced in education * Dedication to learner-focused education * Able to give informed consent Facilitators * Experienced in teaching Learners in small groups * Experienced in care of newborns * Demonstrated understanding of course content * Aptitude for teaching * Able to give informed consent Learners * Skilled birth attendants with clearly defined responsibilities for attending deliveries at participating facilities * Able to give informed consent Exclusion Criteria: * If a facility, master trainer, facilitator, or learner does not meet the above inclusion criteria they are excluded from the study.