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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:. - PowerPoint PPT Presentation
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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 NMCHCTrainers: 52 doctors
94 midwivesBirth attendants trained:• Midwives: 3027• Doctors: 476• Nurses: 141
Non breathing at Births Tracking: 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
Thank you
Role-play in action …….