regional-national networks for newborn-perinatal health
DESCRIPTION
Regional-National Networks for Newborn-Perinatal Health. CAH-SEARO. South East Asia Regional Neonatal Perinatal Database. Background…. Aim. To Establish A SEAR Network for generating information on neonatal/perinatal health in the Region. Objectives. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/1.jpg)
Regional-National Networks for Newborn-Perinatal
Health
CAH-SEARO
![Page 2: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/2.jpg)
South East Asia Regional Neonatal Perinatal Database
![Page 3: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/3.jpg)
Background…
![Page 4: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/4.jpg)
Aim
Objectives•To generate and disseminate prospectively collected data on neonatal-perinatal morbidity and mortality at the Network institutions
•To use the data generated for quality improvement of newborn care
To Establish A SEAR Network for generating information on neonatal/perinatal health in the Region
![Page 5: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/5.jpg)
Methodology Identification of network institutions • Nodal center: WHO CC, AIIMS, New Delhi
• 5 other Centers of Excellence in different countries
Country Center Principal InvestigatorsBangladesh Bangabandhu Sheikh Mujib Medical
University, DhakaProf. M. Shahidullah
Indonesia Gadjah Mada University, Yogyakarta Dr. Ekawaty Haksari
Nepal Tribhovan University, Kathmandu Prof. Prakash Shreshtha
Sri Lanka DeSoysa Hospital for Women, University of Colombo, Colombo
Dr. Ishani Rodrigo
Thailand Queen Sirikt National Institute of Child Health, Bangkok
Dr. Uraiwan Chotigaet
India AIIMS, New Delhi Dr V K Paul and Dr A K Deorari
![Page 6: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/6.jpg)
Regional Network
![Page 7: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/7.jpg)
Methodology
Development of tools PIs’ meeting Data collection Quality assurance Data check and feedback Mid-term meeting of PIs Data analysis and drafting the final
report
![Page 8: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/8.jpg)
Salient findings from the database
SEAR- NPD IGME data
Referral centers vs. whole country data!
![Page 9: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/9.jpg)
Gains
• Established a network of centers of excellence in the Region
• Engagement of local collaborators and colleagues to implement the program at each center
• Generation of data –for planning new research and for quality improvement
![Page 10: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/10.jpg)
Recommended Next steps
• Network Institutions To create network of institutions in countries To use the data generated for quality
improvement of newborn care
• Nodal center: Role Facilitating each center to create the network Help in developing software and data tools Developing a common website for the network
![Page 11: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/11.jpg)
Regional Network Meeting on Strengthening Newborn Health care,
Education and Training Capacity, 22-25 March 2011,
AIIMS, New Delhi, India
![Page 12: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/12.jpg)
Regional Network Meeting: Objectives
• To strengthen the Regional Neonatal-Perinatal Network and promote National Networks for strengthening neonatal healthcare toward the attainment of MDG 4
• To build collaboration and consensus on promoting evidence based newborn heath care, education and training in the member States and the Region
• To introduce technical updates on KMC and LBW feeding and introduce Newborn Learning Resource Materials for capacity building of health care providers
• To receive technical inputs the draft ‘Standard Treatment Protocols for Management of Newborn Problems in Small Hospitals’
![Page 13: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/13.jpg)
Regional Meeting: Participation• Bangladesh• Bhutan• India• Indonesia• Myanmar
• Maldives• Nepal• Sri Lanka• Timor Leste
![Page 14: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/14.jpg)
![Page 15: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/15.jpg)
Regional Network Meeting: Recommendations
1. Regional-National Networks for Neonatal-Perinatal Health to contribute to newborn survival and health towards achievement of MDG 4 in the Region
2. Develop National Networks for Neonatal-Perinatal Health
3. Develop Standard Treatment Protocols for managing common newborn conditions in small hospitals.
![Page 16: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/16.jpg)
Regional-National Networks: Functions
• Provide Advocacy for Policy / Strategy, increased investments
• Promote Database and Research
• Assist in Knowledge Management: Dissemination of / Exchange of / sharing of knowledge and experience
• Build Education and Training Capacity
• Support Quality assurance
![Page 17: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/17.jpg)
Develop National Networks: Attributes of National Coordination Center:
• Has proven capacity in academics, education, training and research in newborn health - Handles a large volume of deliveries and patient load with NICU offering tertiary level newborn care
• Has significant experience and has goodwill among professional colleagues in the country
• Has capacity to provide leadership - Has a team of experts and human resource available
• Has proven track record of collaboration and contribution to national newborn programme
• Has stated mission and vision to promote public health approach for newborn health and has keen interest and inclination to lead such initiatives
• Facilitated by WHO• Support of the Government
![Page 18: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/18.jpg)
Role of ‘National Coordination Center’
• Engagement with Regional Network• Assist / lead development of National
Network• Coordinate the National Network• Contribute to the technical functions of the
Network in the country
![Page 19: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/19.jpg)
Partners in the Country
• Institutions: Phased approach– Neonatal Units:
• Government• Private
– District / Sub-district Hospitals
• Professional Associations:– Doctors: Neonatology, Pediatrics, Perinatology, ObGy– Nurses and Midwives
• Development Partners: UN agencies and others
Stewarded by Ministry of Health
![Page 20: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/20.jpg)
Sustenance• Government mandate
• Continued engagement with partners
• Resources Mobilization:– Leverage existing opportunities: Government,
Agencies– National Coordination Center to coordinate
with WHO and agencies for resource mobilization
![Page 21: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/21.jpg)
Standard Treatment Protocols for common newborn
conditions in small hospitals
![Page 22: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/22.jpg)
Application
Small Hospitals that:• Provide in-patient care to newborns – not
necessarily in special care units• Have MBBS doctors and nurses• May or may not have Specialist Pediatrician• Has necessary supplies and equipment
• Protocols would be applicable to higher level facilities with relevant additionalities
![Page 23: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/23.jpg)
Evidence based
Consistent with existing WHO Guidelines:
• Pocket Book (Blue)
• Pink Book (IMPAC series)
• Recent Guidelines and updates by WHO
![Page 24: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/24.jpg)
Format
• Section 1. Flow Charts or Decision Making charts on identified conditions: – 1-2 pages – Action oriented– Linkages with other relevant flow charts when
applicable
• Section 2. Explanatory Notes for rationale of recommended actions for each condition
• Section 3. Guidance notes on procedures• Annexure: Guidance note on how to organize
the neonatal care services at the small hospital
![Page 25: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/25.jpg)
Standard Treatment Protocols• Dr Tunjung: Seizure,
Hypoglycemia
• Dr Samana: Sepsis, Fluids, Anemia
• Dr Ekawaty: Sepsis, LBW feeding
• Dr Niyasha: Jaundice, sepsis, seizures
• Dr Shreshtha: Breathing difficulty, sepsis, jaundice
• Drs KIshwar, Shahidullah: Sepsis, Triage, post asphyxia
• Dr Azad Choudhary: LBW feeding, Referral Dr Virna: Jaundice, Seizures, Hypoglycemia
• Dr Aye Aye: Hypoglycemia, LBW feeding, post asphyxia
![Page 26: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/26.jpg)
Follow up
• National Networks for Neonatal / Perinatal Health: Progress– Bangladesh– Myanmar– Nepal– Sri Lanka
• Standard Treatment Protocols for Newborn Conditions: Peer Review complete
• Use of ICT for training healthcare providers
![Page 27: Regional-National Networks for Newborn-Perinatal Health](https://reader035.vdocument.in/reader035/viewer/2022081603/56814e90550346895dbc364a/html5/thumbnails/27.jpg)