Newborn Resuscitation Scale Up and Retention Program Associated with Improved Neonatal Outcomes in Western Nepal

Kc Naresh Pratap,Visick Michael K,Gamboa Emily,Davis Siena F,Dhungana Ranjan,Clark Robert B

doi:10.23937/2469-5769/1510087

Abstract

The adoption of the Helping Babies Breath (HBB) tool has improved the outcomes of neonatal resuscitation following intrapartum events. Perinatal asphyxia however remains a leading cause of neonatal morbidity and mortality in Nepal. HBB training has proven effective, but a major challenge is maintaining resuscitation skills over time.

Highlights

The Millennium Development Goals (MDG) brought focus and resources to child and newborn outcomes worldwide
Safa Sanaulo Nepal (SSN)’s model provides a valuable example of how an evidence-based program focusing on facilitybased trainers, who are mentored and supported to scaleup and sustain resuscitation skills over time, may have a substantial influence on critical neonatal outcomes. This program demonstrated that capacity building required minimal external support and expense, with a single mentor mentoring, supporting, and monitoring 18 facilities
While the under-5 mortality rate (U5MR) did decline, major inequalities persist in parts of Nepal [1]

Summary

Introduction

The Millennium Development Goals (MDG) brought focus and resources to child and newborn outcomes worldwide. In Nepal, the three goals of MDG Target # 4 (Reducing Child Mortality) were met. While the under-5 mortality rate (U5MR) did decline, major inequalities persist in parts of Nepal [1]. The neonatal mortality rate (NMR) reduction did not decline as rapidly as the U5MR, causing the NMR to rise to 61% of the U5MR [2]. Intrapartum events leading to asphyxia around the time of birth continue to be a leading cause of neonatal. The adoption of the Helping Babies Breath (HBB) tool has improved the outcomes of neonatal resuscitation following intrapartum events. Perinatal asphyxia remains a leading cause of neonatal morbidity and mortality in Nepal. This paper describes the implementation of SSN’s model, and changes in newborn outcomes that occurred during the program

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Discussion

Conclusion