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Helping Babies Breathe In Cambodia. HBB Global Development Alliance Annual Meeting July 17, 2012 Embassy Suites Washington Convention Center-Capital Room C&D. Introduction and Background:.
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Helping Babies Breathe In Cambodia HBB Global Development Alliance Annual Meeting July 17, 2012 Embassy Suites Washington Convention Center-Capital Room C&D
Introduction and Background: • HBB in Cambodia has received TA, F/A from LDSC/USAID. It is a country-wide programme, launched since Sept 2010, rolling out across Cambodia • RACHA works with partners: RHAC, WHO, URC, Unicef, UNFPA, LDSC and NMCHC • The method is simple, low cost, high impact intervention for newborn survival and takes only one day to teach • All learning and resource materials are in Khmer • Technical skills of master trainers need to be updated every 2 - 3 years in line with HBB updates based on scientific evidence review • NMR: 28/1000 l.bs (CDHS2005); 27/1000 l.bs. (CDHS2010)
Since launched Sept 2010-Jun 2012 Master trainers: 8 from NMCHC Trainers: 52 doctors 94 midwives Birth attendants trained: Midwives: 3027 Doctors: 476 Nurses: 141
Non breathing at BirthsTracking: Oct 2011 – Mar 2012 • RACHA works within 19 ODs, 264 HCs in five provinces – SR, PV, PS, KK, BMC. • Total number of deliveries: 26,922 • Non breathing at births: 99 out of 108 were resuscitated successfully with bag mask; however, • A few babies died after discharge or on the way seeking for advance care
HBB Training models • RACHA area of operation (5/24 provinces) • 1 day provider course • National MCH Hospital • 2 day ENC, limited HBB • Key Interventions Workshops • 2 day focused maternal/newborn care, limited HBB • BEmONC and CEmONC training • 1 day provider course
QI - HBB Integration • National Safe Motherhood Protocols for Referral Hospitals (SMP –RH) • Introduction to HBB • SMP for Health Centers • Introduction to HBB • Plan to integrate HBB into pre-service training midwifery curriculum of the 5 Regional Training Centers (RTCs) • HBB refresher integrated into continuing education curriculum (e.g. MCAT meetings, On-the-job Training, F/U and other obstetric component and newborn care)
Lessons Learned • Trainers need more support with interactive, participatory methodology • NO lectures • Formulate questions to elicit information rather than make statement of facts • Practice, practice, practice clinical skills • Encourage group feedback • Encourage individual and group problem solving
Role-play in action ……. Thank you