TARGETED INTERVENTIONS There are many issues affecting new-born care in low resource countries which we aim to mitigate through our interventions:
National and local partnerships are essential for systemic change: We work closely with the Ministries of Health and national neonatologists in the countries we work in. We connect our local manufacturer in Vietnam with local distributers. We are currently exploring setting up a similar model to service sub-Saharan Africa.
Four million term or near-term neonates have life-threatening conditions, including intrapartum-related brain injury, severe bacterial infection and pathological jaundice, which result in life-long impairments. Neonatal morbidity—not just mortality—must be addressed: We focus substantially on jaundice prevention and treatment, through training, provision of high-power LED machines for treatment, and timely referral of infants with signs of pathologic jaundice
Focusing on small or sick newborns could prevent almost 600,000 newborn deaths by 2025. More attention to managing at risk newborns, particularly through the provision of safe oxygen, is critical: We provide equipment and train providers in full supportive facility care, including infection prevention and management, safe oxygen therapy, case management of jaundice and possibly surfactant and respiratory support. Training on KMC and warming is also included. We also provide refresher courses one-year post-training and coaching on a regular base.
Complications of prematurity and neonatal infections account for 56% of neonatal deaths: Our interventions address these two key areas, including infection prevention, neonatal resuscitation, respiratory distress, jaundice prevention and treatment, and hypothermia management
Although facility-based births have increased, corresponding attention to critical scaling up facility-based newborn care has lagged behind. Primary and secondary care facilities need particular attention: We implement the training of clinicians using a cascade model: first a high level, intense training to create local centers of excellence, which then are transformed in local trainers using a TOT approach, and later a country-wide training for all facilities managing newborns by the national centre of excellence.
An estimated 38% of medical equipment is out of service in less developed settings at any given time: MTTS designs and manufactures low-cost, contextually appropriate neonatal medical devices (CPAP, LED phototherapies, open radiant warmers, infection control systems). We train providers in device usage and health facility technicians in maintenance. We work closely with the MOH in each country to ensure integration into the health facility’s system, and collaborate with each facility to monitor equipment usage for three years. MTTS also provides remote and on-site technical assistance based on a full-warranty scheme. In addition, MTTS establish links with local distributors, which ensure long term sales and technical assistance, and boost sustainability of the entire system.
Copyright (c) 2017 All rights reserved by the Firetree Asia Foundation.