Helping Babies BreatheSM

A Global Public-Private Alliance

For more information, see: www.helpingbabiesbreathe.orgwww.usaid.gov, www.nichd.nih.gov, www.savethechildren.org, www.laerdal.info/neonatalie, www.aap.org

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© American Academy of Pediatrics, 2010ISBN 978-1-58110-495-0

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CLINICAL REMINDER

Helping Babies Breathe

Preparation for a birth

Identify helper and review

emergency plan.

Prepare the area for delivery.

Wash hands. Prepare an area for ventilation and check equipment.

Position the headslightly extended.

Position the mask on the face.

Seal mask airtight to face with thumb and index

finger on top of the mask.

Squeeze the bag to move the chest gently,

40 times per minute.

How to ventilate

How to improve ventilation

Head: Reapply the mask to the face to form

a better seal. Reposition the head with the neck slightly extended.

Mouth:Clear secretions as necessary and open the mouth slightly.

Bag:Squeeze the bag harder to give

a larger breath.

How to clean equipment after use

1. Take apart bag and mask device for cleaning.

2. Wash all parts using a suitable detergent. Rinse carefully with clean water to remove all remaining detergent. Leave to air dry.

3. Decontaminate by one of the following methods: - Steam autoclaving. - Chemical disinfection with activated glutaraldehyde. Rinse thoroughly in clean water. - Boiling in water for at least 10 minutes.

4. Dry completely and keep clean until next use.

Equipment must be discarded or cleaned according to manufacturer’s directions before reuse.

© American Academy of Pediatrics, 2010ISBN 978-1-58110-494-3

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Helping Babies BreatheSM Training Program by the American Academy of Pediatrics

Action Plan wall posterClinical Reminder wall poster26 FlipchartsLearner Workbook

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5

Evaluation after drying

Is the baby crying?

Helping Babies Breathe Learner WorkbookHelping Babies Breathe Learner Workbook

Helping Babies Breathe Learner Workbook

The Challenge: Four Million Newborns Die in the First Month of Life

Every year an estimated four million newborns die during their first month of life. Half of these deaths occur during delivery and within the next 24 hours, often as a result of inadequate or lack of breathing. Evidence indicates that lifesaving care can significantly reduce neonatal mortality as stated by the Millennium Development Goal (MDG) 4: to reduce child mortality by two-thirds before 2015.

Every year 10 million babies require help to breathe immediately after birth. Simple means to stimulate breathing, including drying and rubbing, and ventilation with bag and mask, could save the majority of these babies. Such lifesaving care is currently only available for less than one out of four newborns.

Therefore, in order to meet the Millennium Development Goal 4, birth attendants in large numbers must acquire the basic skills and equipment to help newborns breathe.

The Response: Helping Babies Breathe - A Global Public-Private Alliance

Alliance PartnersUSAID, through its Global Development Alliance model,is partnering with: • The Eunice Kennedy Shriver National Institute of Child and Human Development, a US Government agency which will lead the evaluation of the alliance; • Save the Children, an independent global organization which provides global technical expertise and advocacy for effective newborn health interventions through its Saving Newborn Lives program; • Laerdal Medical, a world wide developer, manufacturer and distributor of lifesaving training tools and equipment; and• The American Academy of Pediatrics, a professional association dedicated to the health, safety and well-being of infants, children, adolescents and young adults, which provides an evidence-based curriculum called Helping Babies BreatheSM.

USAID provides technical expertise in newborn health and supports the rollout of newborn resuscitation through its Implementing Partners: Maternal and Child Health Integrated Program (MCHIP), Health Care Improvement (HCI), HealthTech (PATH), CORE Group and bilateral programs. MCHIP is implemented by Jhpiego, Save the Children Federation, Inc., Johns Hopkins University/Institute for International Programs, Program for Appropriate Technology in Health (PATH), John Snow, Inc., Macro International, Inc., Broad Branch Associates, and Population Services International (PSI). HCI is implemented by the University Research Co. LLC. HealthTech is implemented by PATH. The CORE Group is a member organization of over 50 non-governmental organizations.

Guiding PrinciplesThe Alliance partners have agreed to the following principles to significantly expand the impact of development assistance by leveraging their resources, expertise and creativity:• Inclusiveness and Collaboration: The Alliance will welcome coordination of activities with other agencies if such relation- ships contribute to the achievement of the goal of this Alliance; • Country Owned and Country Led: The resuscitation program will be embedded within the national health plan that is developed and owned by the Government. The Alliance will play a supportive role to countries that request assistance to expand newborn resuscitation;

• Integration: The Alliance will integrate resuscitation within a broader package of essential newborn care including early and exclusive breast-feeding, thermal protection, clean cord care, and early identification and management of infections and low birth weight; • Shared Goal, Results and Recognition: The Alliance will work towards a common goal of reducing newborn mortality, and share results, risks, and recognition of program implementation; • Brand Non-Exclusivity: The Alliance will strive to expand access to newborn resuscitation for all newborns that need it by being open to all high quality and affordable resuscitation devices that governments and partners may choose to include in their programs.

© Jenny Matthews

The United States Agency for International Development (USAID) partners with the private sector as a key strategy for scaling up lifesaving newborn care around the world. This public-private alliance will strive to increase neonatal survival by offering evidence-based training and high quality affordable resuscitation devices to birth attendants in developing countries.

Purpose• Promote global commitment and resources for lifesaving newborn care.• Improve the availability of high-quality, appropriate and affordable newborn lifesaving training materials and equipment. • Improve the lifesaving competencies of birth attendants.• Strengthen the supply chain for lifesaving newborn resuscitation devices.• Help health systems provide a sustainable high-quality newborn lifesaving program.• Evaluate the impact of neonatal lifesaving programs at scale.