October 21st and 22nd, 2014

• To present the Helping 100,000 Babies Survive and Thrive Initi ati ve to key stakeholders • To defi ne a path towards implementati on of selected

modules to meet the needs of Nigeria’s health system and integrate with existi ng eff orts at all levels• To identi fy core elements, ti melines and implementi ng

teams for country workplan review and harmonize maternal care training modules for implementati on;• To build consensus and secure commitments around

implementati on

Meeting objectives

Reduction in U5MR, IMR and NMR

2003 2008 2013

48 40

37

10075

69

201

157

128

NMR IMR U5MR2

3

4

Opportunities to save newborn lives in Nigeria

Post-Natal Examinations/Visits

Woman Newborn Woman Newborn0

102030405060708090

100

Health Worker TBA/Other

Perc

ent

Facility Based Delivery Home Delivery

Source: Nigeria DHS 2013

Early Breastfeeding

SBA/Health Facility

TBA/Other No One0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

First Hour First DayEver BF Not BF

SBA/Health Facility

TBA/Other No One0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

No YesBreastfeeding Initiation Prelacteal Feed

(5,157) (5,396) (1,616) (5,157) (5,396) (1,616)

Source: Nigeria DHS 2013

Background to the Helping 100k Babies Survive and Thrive

• A special initiative of the Survive & Thrive alliance

• Survive & Thrive is a global public-private partnership that was launched in 2012 with aim to increase utilization and impact of high quality, high impact maternal, newborn and child health interventions in health facilities by focusing on 3 countries - Ethiopia India and Nigeria.

• Objective of 100K: To save newborn lives in partnership with health professional associations and other stakeholders in Ethiopia, India, and Nigeria.

• Core partners for Helping 100,000 Babies Survive & Thrive:

Strategies for Helping 100,000 Babies Survive & Thrive

Support clinical competencies and quality improvement by adapting and integrating the Helping Babies Survive and QI educational program into existing program structures and systems

Strategy 1Quality Improvement

CommoditiesEquipment

Evaluation

Helping Babies SurviveScale Up

Train Mentor Community of Practice

Mobilize and equip members of professional associations to improve the quality of newborn interventions in health facilities and to be champions in MNH

Strategy 2 Helping Health ProvidersStrengthen

73 countries 12 countries Under review Under development March 2015

Under development

Partnerships for the Helping 100,000 Babies Survive&Thrive

American partnersProfessional Association:• American Academy of Pediatrics• American College of Obstetricians

and Gynecologists• American College of Nurse-

MidwivesFunders:• USAID• Laerdal Global Health• Johnson & Johnson• NORAD• Bill and Melinda Gates Foundation • Others in discussion

Nigeria partnersProfessional Association:• Pediatric Association of Nigeria • NISONM

• Everyone is important but not all could have signed the MOU. We expect skills to be stepped down and transferred

Nigeria ENBC modules Nigeria LSS training materials

What materials can we use?

Quality Improvement

Commodities/Equipment

Evaluation

Helping Babies Survive

Complete Nigeria adaptation of ECEB modules

Use LSS as reference material

Proposed inclusion of ENBC/HBS into pre-service

curricula

a. Medical schools

b. Schools of Nursing and Midwifery

c. School of Health Technology

How can we improve skills?

Service providers Focus on frontline health workers Cascade training from TOT to facility USA Professional Associations to provide support

Use of HBS modules post adaptationNigerian health professional associations

PAN/NISONM coordination under leadership of FMOH Pre-conference workshops on HBS

Mainstream QI into training, monitoring and supervision

Newborn indicators from HMIS, SMART surveys insuffi cient for tracking quality of NB care

Training plan

Development partners

State governments Federal government

Committments

THANK YOU