TY - JOUR
T1 - Successful implementation of helping babies survive and helping mothers survive programs-An utstein formula for newborn and maternal survival
AU - Ersdal, Hege L.
AU - Singhal, Nalini
AU - Msemo, Georgina
AU - Ashish, K. C.
AU - Data, Santorino
AU - Moyo, Nester T.
AU - Evans, Cherrie L.
AU - Smith, Jeffrey
AU - Perlman, Jeffrey M.
AU - Niermeyer, Susan
N1 - Funding Information:
In Tanzania, the Ministry of Health led implementation and evaluation of HBB at eight hospitals across the country with financial support from AAP and the Laerdal Foundation. Both the inital and continued success derive from national ownership and commitment, which resulted in complete buy-in and ownership of the head midwives in the labor wards []. At one site, development and implementation of LDHF in-situ HBB training started immediately. A manikin (NeoNatalie, Laerdal Global Health) was placed in the labour suite, and it became mandatory for all staff to practice before starting each shift. The framework for LDHF in-situ training and immediate effects () were shared at the bi-annual data monitoring meeting, gathering key midwives from all the sites and stimulating the other sites to start LDHF training. Empowerment of the midviwes in combination with recurrent training are regarded as the keys to sustained impact of HBB in spite of limited resources/financial support.
Publisher Copyright:
© 2017 Ersdal et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2017/6
Y1 - 2017/6
N2 - Globally, the burden of deaths and illness is still unacceptably high at the day of birth. Annually, approximately 300.000 women die related to childbirth, 2.7 million babies die within their first month of life, and 2.6 million babies are stillborn. Many of these fatalities could be avoided by basic, but prompt care, if birth attendants around the world had the necessary skills and competencies to manage life-Threatening complications around the time of birth. Thus, the innovative Helping Babies Survive (HBS) and Helping Mothers Survive (HMS) programs emerged to meet the need for more practical, low-cost, and low-Tech simulationbased training. This paper provides users of HBS and HMS programs a 10-point list of key implementation steps to create sustained impact, leading to increased survival of mothers and babies. The list evolved through an Utstein consensus process, involving a broad spectrum of international experts within the field, and can be used as a means to guide processes in low-resourced countries. Successful implementation of HBS and HMS training programs require country-led commitment, readiness, and follow-up to create local accountability and ownership. Each country has to identify its own gaps and define realistic service delivery standards and patient outcome goals depending on available financial resources for dissemination and sustainment.
AB - Globally, the burden of deaths and illness is still unacceptably high at the day of birth. Annually, approximately 300.000 women die related to childbirth, 2.7 million babies die within their first month of life, and 2.6 million babies are stillborn. Many of these fatalities could be avoided by basic, but prompt care, if birth attendants around the world had the necessary skills and competencies to manage life-Threatening complications around the time of birth. Thus, the innovative Helping Babies Survive (HBS) and Helping Mothers Survive (HMS) programs emerged to meet the need for more practical, low-cost, and low-Tech simulationbased training. This paper provides users of HBS and HMS programs a 10-point list of key implementation steps to create sustained impact, leading to increased survival of mothers and babies. The list evolved through an Utstein consensus process, involving a broad spectrum of international experts within the field, and can be used as a means to guide processes in low-resourced countries. Successful implementation of HBS and HMS training programs require country-led commitment, readiness, and follow-up to create local accountability and ownership. Each country has to identify its own gaps and define realistic service delivery standards and patient outcome goals depending on available financial resources for dissemination and sustainment.
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U2 - 10.1371/journal.pone.0178073
DO - 10.1371/journal.pone.0178073
M3 - Article
C2 - 28591145
AN - SCOPUS:85020269066
SN - 1932-6203
VL - 12
JO - PloS one
JF - PloS one
IS - 6
M1 - e0178073
ER -