DAY ONE: Increasing the availability and use of neonatal technology in low resource countries
About Day One is the non-profit arm of MTTS whose goal is to increase the availability and use of neonatal technology in low resource countries. Day One distributes machines, developed by Vietnam based social enterprise MTTS, to the most in need hospitals in low-resource countries, and trains doctors not only on how to use the machines, but also on how to identify which newborns need treatment.
Our Model There are three phases in the Day One program: In Phase 1, we conduct an initial scoping exercise which investigates the country’s potential to utilise MTTS machines by considering its infant mortality rate, population size, economic status, functioning health facilities, safety and security, governance and existing programs. Phase 2 is then the creation of a Centre of Excellence (CE), a hospital or health facility which is set-up with a full suite of machines and training is provided to the doctors and nurses not only on how to use the machines, but also on how to identify newborns who need treatment. In Phase 3, we work with the government or international healthcare organisations to expand within the country and train and equip other hospitals.
Installed machines in 25 countries
Worked in 350 hospitals
Donated 3000+ pieces of equipment
Treated almost 450k babies
Trained 3,500 health practitioners
Need In 2015, close to 2 million babies died within their first week of life. This represents 30% of the total number of deaths among children under five. 98% of those deaths happened in low resource countries. The number of under-five deaths that occur during the neonatal period in all WHO regions increased over the last 25 years, even as under-five mortality declined. The health interventions that are needed to address the major causes of neonatal deaths generally differ from those needed to address other under-five deaths, meaning the focus has to shift.
The number of preventable deaths of newborns in low resource countries is disproportionately higher due to the lack of equipment and funding to operate neonatal intensive care units (NICU), and also the instability of resources, including electricity, available. The increase in awareness among resource constrained nations about neonatal care coupled with a growing number of infant admissions in intensive care and advancing technology are all factors leading to more countries and hospitals seeing the need to solve this problem. Learn more about how we target our intervention.
A 75% reduction (from 40% to 10%) in 24-hour mortality from respiratory distress syndrome was achieved after CPAP was introduced at the National Hospital of Pediatrics in Hanoi.
Statistically significant reduction of exchange transfusions in multiple National Level Hospitals in Myanmar.
Statistically significant reduction in RDS-related mortality in National level Hospitals in Myanmar and Philippines in infants between 1 kg and 2.5 kg of weight at birth.
Reduced burden for tertiary hospitals as secondary hospitals are better equipped to manage neonates.
Support health systems to strengthen their level of care.
Relieves families from the economic burden of unnecessary transfers of newborns to referral facilities.
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