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This plan aims to reduce newborn deaths in Kenya through the NEST program, addressing main causes like prematurity and infection. Key partners include universities, health institutions, and the Kenya Paediatric Association. The initiative focuses on hydration, nutrition, infection prevention, breathing support, and other essential care areas. The project involves learning sites, training programs, and implementing effective distribution systems to ensure accessibility and sustainability. By integrating products and services, NEST aims to achieve the SDG for newborn survival with a comprehensive care approach.
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2.6 million newborn deaths worldwide 1.1 million newborn deaths in Africa 3 MAIN CAUSES Prematurity 35% Respiratory Distress Thermal Instability Feeding Challenges Infection Jaundice Hypoglycemia Infection 23% Sepsis Pneumonia Diarrhea Tetanus Injured in Delivery 24% Hypoxic Brain Injury
Power of Partnerships: NEST Team • RICE University; Institute of Global Health • Northwestern University; Kellogg School of Management • 3rd Stone Design • London School of Hygiene and Tropical Medicine (LSHTM) • Center for Public Health and Development (CPHD) • Kenya Paediatric Association; KEPRECON • Oxford University; KEMRI-Wellcome Trust
Newborn Essential Solutions & Technologies (NEST) Hydration & Nutrition Prevent & Treat Infections Breathing Support Monitor & Treat Jaundice Separate Neonatal Ward Point-of-care Diagnostics Temperature Stability
NEST 360 Product Categories 4 5 8 Commercially available NEST facilities already equipped for Essential Newborn Care including resuscitation To be available (12-24 mo) To be available (24-48 mo)
EFFECTIVE AFFORDABLE SUSTAINABLE
Health System Approach • Newborn TWG integration • Focus • Newborn mortality burden counties • UHC Counties • Facility tech and clinical assessment • Hub and Spoke model • Learning sites • Implementing sites • In-service and Pre-service training • Inter Country Learnings and Best Practice Sharing
Kenya Implementation Plan Kenya Goal • Build NEST network and • develop model distribution system Learning questions • Refine district implementation; core neonatal records/data Outputs • Neonatal Record Set • Refined NEST Implementation & Planning Guide • Refined NEST Financing Metrics Toolkit • Model Distribution Network # project NESTs clinical teaching 15 12 65 # NESTs sold
What does it take? • Infrastructure • Space ~ at least 5m by 5m • Power – clean and stable • Equipment • Respiratory – CPAP, Oxygen, Pulse Ox • Temp – Warmer, Thermometer • Support – Suction, Glucometer, Phototherapy • Staffing • 1 nurse to 3 babies; 1 MO or Paediatrician/Neonatologist • Training – Biomed and Clinicians • Maintenance schedule All these would cost ~ KES 3M
Our Plan • Do baseline survey for Pumwani, Mama Lucy and NyeriCounty Referral Hospital • Give survey feedback to ICC and stakeholders in newborn health for Pumwani, Mama Lucy and Nyeri with action plan and involve interested partners to support in areas of their interest • Do baseline survey for 2 learning sites (Machakos & Nakuru), 2 learning hubs (MTRH, JOTRH) and one Medical Engineering training institution KMTC (Nairobi) • Roll out to other facilities as guided by TWG
We cannot reach the SDG for newborn survival without scaling comprehensive, quality newborn care (12 yrs to get to 12) Goal • NEST integrates product introduction, facility distribution, service & maintenance, training & mentorship to ensure sustained, effective use of life-saving technologies
