Newborn care technology investments for LMIC settings: a CPAP approach

Background: Globally, 3.1 million newborn deaths occur every year out of these estimated 400,000 neonatal deaths occur in Pakistan. All neonatal deaths 99% take place in poorest region and countries of the world, usually within hours of birth; mostly the cause of neonatal deaths is hypoxia. To access knowledge and practice of SBAs regarding HBB and to access the availability of equipments required for HBB. Methods: Descriptive Cross-Sectional Study on SBAs as trained in HBB. All 46 SBAs trained on HBB working in Labour room eight rural Health centers, four Taluka, One district Head Quarter Health Facilities and thirteen Mlbcs of the district, were included in the sample for study. All 41 SBAs were trained on HBB participated in the study. Results: Mean age of 30 years. Out of total 41 participants 25 were working in B-EmoNC (61%), 3in C-EmoNC (7.3%) and 13 in mid wife laid birth Centre (MLBC) or birth station (31.7%). About 92.7% of participants said that main purpose of HBB training is to decrease the NMR by improving newborn care. Drying of newborn is 82.7%, hand washing is 95.12% and 85.3% of the study participants said that they gave 30-40 breaths per minutes. Cord clamp and pair of ties was accessible to 85% of participants versus 14.3% who reported it's not accessible. Almost one quarter (34.1%) participants have low knowledge and practice. Knowledge and training had significant effect on the overall practices of the skilled birth attendants for skilled birth deliveries and reduce the neonatal deaths (P <0.001). Conclusion: Tools play a vital role for the implication of the knowledge into practices and tools were available almost to every participant. Although few barriers also identified for the less application of the helping hand babies trainings in the community.

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Newborn Care Training of Midwives and Neonatal and Perinatal Mortality Rates in a Developing Country

PEDIATRICS ◽

10.1542/peds.2009-3464d ◽

2010 ◽

Vol 127 (2) ◽

pp. peds.2009-3464d-peds.2009-3464d ◽

Cited By ~ 1

Keyword(s):

Developing Country ◽

Perinatal Mortality ◽

Newborn Care ◽

Mortality Rates ◽

Care Training

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EFFICACY OF A NOVEL DEVICE TO DETECT, ALERT AND RESOLVE NEONATAL APNEA - PILOT STUDY

Innovative Journal of Medical and Health Science ◽

10.15520/ijmhs.v9i9.2644 ◽

2019 ◽

Vol 9 (9) ◽

pp. 608-613

Author(s):

Dr. Swapna Lingaldinna,Dr. Himabindu Singh,Mona Sharma*

Keyword(s):

Newborn Care ◽

Standard Of Care ◽

The Novel ◽

Tertiary Referral ◽

Tertiary Referral Hospital ◽

Care Community ◽

Novel Device ◽

Sick Newborn ◽

Central Apneas ◽

Neonatal Apnea

Objective: To measure the accuracy of a novel device in detecting Bradycardia andDesaturation (B&D) events and to determine its efficacy in resolving apneas innewborns with comparison to standard monitor (which only detects B&D eventsand alerts).Design: This was a prospective observational study.Setting: Sick Newborn Care Unit of a large tertiary referral hospital in Hyderabad,India.Methods: 31 newborns were provided with a novel device, which monitored oxygensaturation and pulse rate and alarmed when values dropped below a set thresholdwhich is referred as an event, henceforth. The novel device also provided footstimulation in response to above-mentioned events. When the monitor alarmed, anurse attended to the baby to confirm whether the baby was breathing and whetherthe event had been resolved by the device. If the event had not resolved, appropriateaction as per the standard-of-care was performed.Results: The novel device “ApneBootTM” positively detected B&D events 94.03% oftimes as compared to the standard reference monitor. 56 of 67 observed B&D eventswere visually confirmed to be apneas, indicating that 83.6% of B&D eventscoincided with apneas. Of the 56 apneic events, 50 were central apneas, of which 35were resolved by the novel device, making the device’s efficacy of apnea resolution70%.Conclusion: The results of the study indicate that this novel device “ApneBootTM”is very effective in detecting and alarming B&D events, which coincides with theapnea, and resolving it by providing foot stimulation.Keywords: Novel Device, Neonatal Apnea, Low Birth Weight, Body Temperature,Kangaroo Mother Care, Community Health,

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11. Who is in charge? Introducing criteria to evaluate health human resource (HHR) policy documents

Clinical & Investigative Medicine ◽

10.25011/cim.v30i4.2771 ◽

2007 ◽

Vol 30 (4) ◽

pp. 33

Author(s):

D. Rosenfield ◽

C. Abrahams ◽

S. Verma

Keyword(s):

Health Services Research ◽

Health Services ◽

Human Resource ◽

Grey Literature ◽

Implementation Strategies ◽

Policy Formulation ◽

Health Human Resource ◽

Services Research ◽

Policy Documents ◽

Care Technology

The maldistribution of and lack of access to health professionals continues to be a major issue for policymakers at all levels of government. Additionally, the basis by which Health Human Resource (HHR) policy is determined is unclear. Publications found in independent reports, peer-reviewed journals and most importantly, grey literature, can significantly influence or inform major policy decisions for “hot button” HHR issues (1) . We propose a framework that can be used to classify, rank and evaluate HHR policy/planning documents. Our framework creates six major criteria that are used to evaluate policy documents. These criteria are: 1) literature review, 2) source of primary information, 3) nature of recommendations, 4) implementation strategies, 5) credibility of authors and 6) credibility of publisher. Within each category, a score from zero to three (for criteria 1-4) or zero to two (criteria 5-6) is assigned, depending on the caliber of the document. Summing the scores from each section yields a document’s overall score. The intent of this measure is two-fold. Firstly, we want to create a tool that can be widely utilized by policymakers to help inform their decisions. Secondly, it can be used as a springboard to stimulate discussion and debate around HHR planning and policy formulation. National Information Center on Health Services Research and Health Care Technology. (NICHSR) Health Services Research and Health Policy Grey Literature Project: Summary Report. 2006. http://www.nlm.nih.gov/ nichsr/greylitreport_06.html. Accessed February 20, 2007.

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