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 …….