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PLoS One. 2017 Jun 7;12(6):e0178073. doi: 10.1371/journal.pone.0178073. eCollection 2017.

Successful implementation of Helping Babies Survive and Helping Mothers Survive programs-An Utstein formula for newborn and maternal survival.

Author information

1
Department of Anaesthesiology and Intensive Care, Stavanger University Hospital, Stavanger, Norway.
2
Division of Neonatology, University of Calgary, Calgary, Canada.
3
Reproductive and Child Health Services, Ministry of Health and Social Services, Dar es Salaam, Tanzania.
4
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
5
Health Section, UNICEF, Kathmandu, Nepal.
6
Pediatrics and Child Health, Mbarara University of Science and Technology, Mbarara, Uganda.
7
International Confederation of Midwives, Harare, Zimbabwe.
8
Jhpiego, John Hopkins University, Baltimore, Maryland, United States of America.
9
Division of Newborn Medicine, Weill Cornell Medical College, New York, New York, United States of America.
10
Section of Neonatology, University of Colorado School of Medicine, Colorado, Aurora, Colorado, United States of America.

Abstract

Globally, the burden of deaths and illness is still unacceptably high at the day of birth. Annually, approximately 300.000 women die related to childbirth, 2.7 million babies die within their first month of life, and 2.6 million babies are stillborn. Many of these fatalities could be avoided by basic, but prompt care, if birth attendants around the world had the necessary skills and competencies to manage life-threatening complications around the time of birth. Thus, the innovative Helping Babies Survive (HBS) and Helping Mothers Survive (HMS) programs emerged to meet the need for more practical, low-cost, and low-tech simulation-based training. This paper provides users of HBS and HMS programs a 10-point list of key implementation steps to create sustained impact, leading to increased survival of mothers and babies. The list evolved through an Utstein consensus process, involving a broad spectrum of international experts within the field, and can be used as a means to guide processes in low-resourced countries. Successful implementation of HBS and HMS training programs require country-led commitment, readiness, and follow-up to create local accountability and ownership. Each country has to identify its own gaps and define realistic service delivery standards and patient outcome goals depending on available financial resources for dissemination and sustainment.

PMID:
28591145
PMCID:
PMC5462342
DOI:
10.1371/journal.pone.0178073
[Indexed for MEDLINE]
Free PMC Article

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