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Helping Babies Breathe annual meeting . Prof Bogale Worku Washington DC July 17/ 2012 . 3. Ethiopia’s Progress to meet MDG 4. According to 2008 National EmONC assessment, 66 \% of HCs did not have a resuscitation bag and mask. .

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helping babies breathe annual meeting
Helping Babies Breathe annual meeting

Prof Bogale Worku

Washington DC

July 17/ 2012

3

ethiopia s progress to meet mdg 4
Ethiopia’s Progress to meet MDG 4.

According to 2008 National EmONC assessment, 66 % of HCs did not have a resuscitation bag and mask.

Data sources: Updated from Opportunities for Africa’s Newborns with UN data from www.childmortality.org. * 2010 year contains 2008 data

national scale up strategy of hbb in ethiopia
National scale up strategy of HBB in Ethiopia
  • Govt ownershipwith extensive collaboration among all maternal, newborn and child health partners
  • HBB is integrated in existing and new trainings and programs:
    • NBC training /Newborn corner ,
    • NICU nurse training ,
    • CEmONC / BEmONC,
    • PMTCT,
    • ICCM, New IMNCI
    • Pre-service training for midwifes
    • Others
national scale up strategy cont
National scale up strategy cont.
  • Rollout strategy for Ethiopia
    • Champions and high level advocacy
    • Government coordination with all MNCH partners
    • Master level TOT for trainers and supervisors of existing MNCH training programs
    • UNICEF making available resuscitation equipment and for both training and service
    • No specific budget needed as the program is rolled out through integration though existing programs
evaluation newborn c orner
Evaluation - Newborn Corner
  • The newborn corner is an initiative to address gaps in preventing newborn morbidity and mortality by ensuring standard newborn care immediately after birth in health facilities.
  • Piloting in 100 facilities by EPS in collaboration with FMoH and UNICEF
  • 354 HW including MDs, HOs, midwifes and clinical nurses
  • 3 days on ENC, HBB, KMC and sepsis management
  • providing supplies and clinical mentoring post training.
the newborn corner
The newborn corner
  • Trained personnel to care for the baby
  • A warm and clean surface
  • Essential newborn resuscitation equipments
evaluation results
Evaluation - Results
  • Baseline and end line assessment in 60 facilities looking at knowledge, skills and availability of basic resuscitation equipment
results to date in ethiopia
Results to date in Ethiopia
  • Carders trained on HBB by 31 June 2012

Health workers 7 295

HEWs 20 050

Total 27 345

  • Bag and mask distributed by 31 April 2012

Health centers 354

Hospitals 50

Total 404 out of 3000 HF (13,5%)

    • Resuscitation equipment available 8 000, plus an additional 10 000 to arrive shortly in Ethiopia. In addition 2 000 NeoNatalie training dolls are available in Ethiopia for HBB training.
quality improvement process
Quality improvement process
  • Neonatal registration book in place
  • Supportivesupervision and clinicalmentoring post-training
  • Guidelines and protocols for newborn resuscitation is being under development
  • Quarterly / annual review meetings planned
lessons learned
Lessons learned
  • Integration has been a successful way to quickly train and orient a large number of health workers and community health workers (HEWs) on HBB in Ethiopia.
  • Having a strong governmental leadership with close collaboration among partners is the only way to make changes to newborn survival in a large country with limited funding sources.
  • Making training material and resuscitation equipment available has helped the HBB rollout.
  • Early data shows that the training on HBB among HWs has improved their skills.
however
However…
  • Still only around 10% of deliveries are conducted in health facilities, and only 1% of the HEW have the opportunity to conduct deliveries.
  • Data on newborns not yet systematically collected as current HMIS does not fully address NB issues
acknowledgements
Acknowledgements
  • FMoH
  • UNICEF
  • WHO
  • ICAP – Ethiopia
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