EVERY WOMEN EVERY CHILD UN COMMISSION ON LIFE-‐SAVING

• Dissemination of revised protocols and job aids 3.3.3 Newborn Resuscitation Devices Problem statement Intra-­‐partum related complications including birth asphyxia the failure of the newborn to establish breathing after birth, kills 10,920 newborns every year, accounting for over a quarter of newborn deaths in Uganda. Proper neonatal resuscitation including bag and mask and suction devices could easily prevent the majority of these deaths. Although quality affordable devices that are meeting international standards are available, the specifications and standardization of such devices are rarely regulated at national level and product selection guidance is not universally available to national-­‐level procurement leads. Further, the devices themselves are infrequently available and used at every location where deliveries occur. As a medical device, this commodity faces additional supply challenges, including irregular procurement and sterilization, compared to the other 12 focus commodities of the Commission. Additionally, in order to maintain provider skills and ability to manage birth asphyxia, birth attendants require quality practical pre-­‐ and in-­‐service training, with routine refresher trainings and on-­‐site mentorships and support. Specific issues identified Provider issues: Limited health worker knowledge & skills and mechanisms for building and maintaining skills (including use and maintenance of the devices). As a result, birth attendants often incorrectly use devices. Quality: Inappropriate specifications of devices (in size, quantity and quality) leading to wrong procurement and distribution to centers where deliveries take place including HC IIs Implementation plan a) Immediate plan • Provide competency-­‐based training and follow-­‐up supportive supervision including all cadres in the health system. Convene meetings/workshops to review protocols and job aids and review of training at other levels). Conduct trainings of health workers on newborn resuscitation as a component of the integrated maternal and newborn care training package (HBB Plus) • Review pre and in-­‐service training curricula to adequately address newborn resuscitation. b) Intermediate plan •