ASSIST webinar presentation by Dr. Bose
Transcripción
ASSIST webinar presentation by Dr. Bose
USAID ASSIST Project Webinar February 3, 2015 Essential Care for Every Baby: An effective capacity tool for health care professionals Moderator: Dr. Jorge Hermida is a medical doctor and an international expert in continuous quality improvement methods. He is Regional Director of the USAID ASSIST Project in Latin America at University Research Co. Presentor: Dr. Carl Bose is a neonatologist and professor of pediatrics at the University of North Carolina. He currently serves as a global health advisor to the American Academy of Pediatrics (AAP). Over the past two years, Dr. Bose has led a group of international collaborators in the development of the AAP Essential Care for Every Baby program, a simplified program to teach essential newborn care to providers in research-limited environments. Países de Latinoamérica y el Caribe Seminario Regional por Internet Febrero 3, 2015 Cuidados Esenciales para Cada Bebé Un programa educativo simplificado para proveedores de cuidados esenciales del recién nacido Carl Bose, MD Universidad de Carolina del Norte y la AAP 1 USAID ASSIST Project Webinar February 3, 2015 Salud neonatal a nivel mundial 3.8 millones de muertes neonatales (3.2 millones de mortinatos) ~ 3 veces las muertes provocadas por el VIH/SIDA y la malaria combinados > 400 muertes neonatales cada hora ¡La mayoría de estas muertes son prevenibles! ¿Dónde ocurren la mayoría de muertes neonatales? Oestergaard et al. PLoS Med 2011 2 USAID ASSIST Project Webinar February 3, 2015 Desigualdades intra-país relativas a la supervivencia infantil Fuente: Estado de la Niñez de Latinoamérica y el Caribe, UNICEF 2008 3 USAID ASSIST Project Webinar February 3, 2015 ¿Qué ocasiona la muerte neonatal? ¿Qué puede hacerse al respecto? • KMC • Alternate feeding techniques • Thermoregulation Improved resuscitation • Cord care • Improved hygiene • Exclusive breastfeeding 4 USAID ASSIST Project Webinar February 3, 2015 ¿Qué se está haciendo? • Prácticas de cuidados esenciales neonatales (CEN) recomendadas por la OMS y varias autoridades de salud Requisitos para introducir cambios en la atención de salud: • Educación para garantizar los conocimientos y habilidades de los proveedores • Plan de implementación para trasladar los conocimientos y habilidades a la práctica ¿Qué se está haciendo? • Prácticas de cuidados esenciales neonatales (CEN) recomendadas por la OMS y varias autoridades de salud Requisitos para introducir cambios en la práctica: • Educación para garantizar los conocimientos y habilidades de los proveedores • Plan de implementación que traslade los conocimientos y habilidades a la práctica 5 USAID ASSIST Project Webinar February 3, 2015 Cuidados Esenciales para Cada Bebé, un programa de Ayudando a los Bebés a Sobrevivir - Paquete de programas educativos para mejorar la sobrevivencia neonatal • Currículo basado en la evidencia • Enfoque educativo compartido – aprendizaje cooperativo, basado en destrezas, simulación de tecnología sencilla y alta fidelidad • Se sugiere práctica continua y mejoramiento de la calidad Los programas Ayudando a los Bebés a Sobrevivir Improved resuscitation • Cord care • Improved hygiene • Exclusive breastfeeding 6 USAID ASSIST Project Webinar February 3, 2015 Los programas Ayudando a los Bebés a Sobrevivir Improved resuscitation • Cord care • Improved hygiene • Exclusive breastfeeding Cuidados Esenciales para Cada Bebé materiales 7 USAID ASSIST Project Webinar February 3, 2015 Cuidados Esenciales para Cada Bebé Plan de Acción Cuidados Esenciales para Cada Bebé Rotafolio del Facilitador 8 USAID ASSIST Project Webinar February 3, 2015 Cuidados Esenciales para Cada Bebé Rotafolio del Facilitador Cuidados Esenciales para Cada Bebé Guía para Proveedores – Ejercicios Prácticos 9 USAID ASSIST Project Webinar February 3, 2015 Cuidados Esenciales para Cada Bebé Guía para Proveedores – Ejercicios para desarrollar habilidades comunicativas Cuidados Esenciales para Cada Bebé Guía para Proveedores – Revisión y Mejoramiento de la Calidad 10 USAID ASSIST Project Webinar February 3, 2015 Cuidados Esenciales para Cada Bebé Guía para Padres Cuidados Esenciales para Cada Bebé Guía para Padres 11 USAID ASSIST Project Webinar February 3, 2015 Cuidados Esenciales para Cada Bebé Modelo de pechos – lactancia, extracción, cuidados piel a piel Cuidados Esenciales para Cada Bebé Pruebas de campo en Kenia Eldoret - 2013 Pruebas de campo en India Nueva Delhi, Calcuta, Hyderabad 2013 12 USAID ASSIST Project Webinar February 3, 2015 Pruebas de campo adicionales en Uganda e introducción a 10 países de Africa en Addis Abeba, 2014 Academia Americana de Pediatría Recursos a nivel mundial • Plataforma en internet para acceder a CECB y otros programas • Formatos adecuados para descargar/imprimir* • No hay tarifa de uso • Los usuarios manifiestan su acuerdo con “las condiciones de uso”: Usado únicamente para educación sin fines de lucro No puede ser vendido • Modificación en función del plan de adaptación local aprobado • Versión en español disponible ≈ inicios del 2015 • Url: http://www.aap.org/en-us/advocacy-and-policy/aap-healthinitiatives/global/Pages/eceb.aspx *Las versiones impresas están disponibles a través de la Librería de la AAP o Laerdal Global Health 13 USAID ASSIST Project Webinar February 3, 2015 Los programas Ayudando a los Bebés a Sobrevivir Improved resuscitation • Cord care • Improved hygiene • Exclusive breastfeeding Cuidados Esenciales para bebés pequeños Simulador de un bebé pretérmino Peso 1.6 kg Tamaño y proporciones realistas para un bebé pré-termino Respalda la capacitación en: • Posición y acoplamiento adecuado • Colocación correcta del tubo naso-gástrico • Alimentación con cuchara, taza y tubo naso-gástrico • Cuidados continuos piel a piel 14 USAID ASSIST Project Webinar February 3, 2015 Cuidados Esenciales para bebés pequeños Cronograma de desarrollo/producción Notes Enero/Febrero 2014 Desarrollo de contenidos del Rotafolio Marzo Revisión Delphi Esquema de contenidos desarrollado Mayo Junio Junio Revisión OMS Proceso editorial presencial Modificación de materiales Julio/Agosto Finalización de imágenes, contenidos Prueba de campo y revisiones ¿Está confirmada esta fecha? Elk Grove Village Cambios necesarios debido a las revisiones Uso de materiales modificados con imágenes Cambios necesarios debido a la prueba Preparación de imágenes finales y ajustes de formato Material impreso y archivos pdf imprimibles disponibles Septiembre Octubre-Enero, 2015 Corrección de estilo y revisiones finales Abril, 2015 Lanzamiento en Asia del Sur Revisión de contenidos sin imágenes ¿Qué se está haciendo? • Prácticas de cuidados esenciales neonatales (CEN) recomendadas por la OMS y varias autoridades de salud Requisitos para introducir cambios en la práctica: • Educación para garantizar los conocimientos y habilidades de los proveedores • Plan de implementación que traslade los conocimientos y habilidades a la práctica 15 USAID ASSIST Project Webinar February 3, 2015 Hay trabajo por hacer ~ 2043 Figura 1. Tiempo para que cada región alcance la misma probabildad de sobrevivencia neonatal en el 2012 que tienen los recién nacidos en países de ingresos elevados, Lawn et al. Lancet, 2014 Ayudando a los Bebés a Sobrevivir 16 USAID ASSIST Project Webinar February 3, 2015 Latin American and Caribbean Countries Regional Webinar February 3, 2015 Essential Care for Every Baby A simplified educational program for providers of essential newborn care Carl Bose, MD University of North Carolina and the AAP Global Neonatal Health 3.8 neonatal deaths (3.2 million stillbirths) ~ 3x deaths due to HIV/AIDs and malaria combined > 400 neonatal deaths each hour Most of these deaths are preventable! 17 USAID ASSIST Project Webinar February 3, 2015 Where do most neonatal deaths occur? Oestergaard et al. PLoS Med 2011 18 USAID ASSIST Project Webinar February 3, 2015 Intra-country Disparities in Child Survival From: State of Latin American and Caribbean Children, UNICEF 2008 What causes neonatal death? 19 USAID ASSIST Project Webinar February 3, 2015 What can be done? • KMC • Alternate feeding techniques • Thermoregulation Improved resuscitation • Cord care • Improved hygiene • Exclusive breastfeeding What is being done? • Essential newborn care (ENC) practices recommended by the WHO and many health authorities Requirements for change in practice: • Education to insure knowledge and skill of providers • Implementation plan to translate knowledge and skill into practice 20 USAID ASSIST Project Webinar February 3, 2015 What is being done? • Essential newborn care (ENC) practices recommended by the WHO and many health authorities Requirements for change in practice: • Education to insure knowledge and skill of providers • Implementation plan to translate knowledge and skill into practice Essential Care for Every Baby, a Helping Babies Survive program - Package of educational programs to improve neonatal survival • Evidence-based curricula • Shared educational approach – skills-based, cooperative learning, low-tech, high-fidelity simulation • Suggested ongoing practice and quality improvement 21 USAID ASSIST Project Webinar February 3, 2015 The Helping Babies Survive Programs Improved resuscitation • Cord care • Improved hygiene • Exclusive breastfeeding The Helping Babies Survive Programs Improved resuscitation • Cord care • Improved hygiene • Exclusive breastfeeding 22 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Every Baby materials Essential Care for Every Baby Action Plan 23 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Every Baby Facilitator Flip Chart Essential Care for Every Baby Facilitator Flip Chart 24 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Every Baby Provider Guide – Practice Exercises Essential Care for Every Baby Provider Guide – Exercises with Communication Skills 25 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Every Baby Provider Guide – Review and Quality Improvement Essential Care for Every Baby Parent Guide 26 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Every Baby Parent Guide Essential Care for Every Baby Breast Model – breastfeeding, expression, skin-to-skin care 27 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Every Baby Kenya field testing Eldoret - 2013 India field testing New Delhi, Kolkata, Hyderabad 2013 Additional field testing in Uganda and introduction to 10 countries in Africa in Addis Ababa, 2014 28 USAID ASSIST Project Webinar February 3, 2015 American Academy of Pediatrics Global Resources • Web-based platform for access to ECEB and other programs • Formats suitable for downloading/printing* • No fee • Users agree to “terms of use”: Used for non-profit education only May not be sold • Modification by approved localization plan • Spanish version available ≈ early 2015 • Url: http://www.aap.org/en-us/advocacy-and-policy/aaphealth-initiatives/global/Pages/eceb.aspx *Printed versions available through AAP Bookstore or Laerdal Global Health The Helping Babies Survive Programs Improved resuscitation • Cord care • Improved hygiene • Exclusive breastfeeding 29 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Small Babies Preterm simulator Weight 1.6 kg Realistic size and proportions for preterm baby Supports training in • proper breastfeeding positioning and attachment • correct nasogastric tube placement • spoon, cup and nasogastric tube feeding • continuous skin-to-skin care Essential Care for Small Babies Development/production timeline Notes January/February 2014 March Flipchart content development Content outline developed Delphi review Review on content without images May June June July/August September October-January, 2015 April, 2015 WHO review Editorial face-to-face Modification of materials Finalization of images, content Field testing and revisions Copyediting and final revisions Has this date been confirmed? Elk Grove Village Necessary edits due to reviews Using modified materials with images Necessary edits due to testing Preparation of final images and formatting Printed material and printable pdfs available Launch in South Asia 30 USAID ASSIST Project Webinar February 3, 2015 What is being done? • Essential newborn care (ENC) practices recommended by the WHO and many health authorities Requirements for change in practice: • Education to insure knowledge and skill of providers • Implementation plan to translate knowledge and skill into practice There is work to be done ~ 2043 Figure 1 Time for each region to reach the same chance of neonatal survival as in 2012 for newborn babies in high-income countries, Lawn et al. Lancet, 2014 31 USAID ASSIST Project Webinar February 3, 2015 Helping Babies Survive Latin American and Caribbean Countries Regional Webinar February 3, 2015 Essential Care for Every Baby A simplified educational program for providers of essential newborn care Carl Bose, MD University of North Carolina and the AAP 32 USAID ASSIST Project Webinar February 3, 2015 Global Neonatal Health 3.8 neonatal deaths (3.2 million stillbirths) ~ 3x deaths due to HIV/AIDs and malaria combined > 400 neonatal deaths each hour Most of these deaths are preventable! Where do most neonatal deaths occur? Oestergaard et al. PLoS Med 2011 33 USAID ASSIST Project Webinar February 3, 2015 Intra-country Disparities in Child Survival From: State of Latin American and Caribbean Children, UNICEF 2008 34 USAID ASSIST Project Webinar February 3, 2015 What causes neonatal death? What can be done? • KMC • Alternate feeding techniques • Thermoregulation Improved resuscitation • Cord care • Improved hygiene • Exclusive breastfeeding 35 USAID ASSIST Project Webinar February 3, 2015 What is being done? • Essential newborn care (ENC) practices recommended by the WHO and many health authorities Requirements for change in practice: • Education to insure knowledge and skill of providers • Implementation plan to translate knowledge and skill into practice What is being done? • Essential newborn care (ENC) practices recommended by the WHO and many health authorities Requirements for change in practice: • Education to insure knowledge and skill of providers • Implementation plan to translate knowledge and skill into practice 36 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Every Baby, a Helping Babies Survive program - Package of educational programs to improve neonatal survival • Evidence-based curricula • Shared educational approach – skills-based, cooperative learning, low-tech, high-fidelity simulation • Suggested ongoing practice and quality improvement The Helping Babies Survive Programs Improved resuscitation • Cord care • Improved hygiene • Exclusive breastfeeding 37 USAID ASSIST Project Webinar February 3, 2015 The Helping Babies Survive Programs Improved resuscitation • Cord care • Improved hygiene • Exclusive breastfeeding Essential Care for Every Baby materials 38 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Every Baby Action Plan Essential Care for Every Baby Facilitator Flip Chart 39 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Every Baby Facilitator Flip Chart Essential Care for Every Baby Provider Guide – Practice Exercises 40 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Every Baby Provider Guide – Exercises with Communication Skills Essential Care for Every Baby Provider Guide – Review and Quality Improvement 41 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Every Baby Parent Guide Essential Care for Every Baby Parent Guide 42 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Every Baby Breast Model – breastfeeding, expression, skin-to-skin care Essential Care for Every Baby Kenya field testing Eldoret - 2013 India field testing New Delhi, Kolkata, Hyderabad 2013 43 USAID ASSIST Project Webinar February 3, 2015 Additional field testing in Uganda and introduction to 10 countries in Africa in Addis Ababa, 2014 American Academy of Pediatrics Global Resources • Web-based platform for access to ECEB and other programs • Formats suitable for downloading/printing* • No fee • Users agree to “terms of use”: Used for non-profit education only May not be sold • Modification by approved localization plan • Spanish version available ≈ early 2015 • Url: http://www.aap.org/en-us/advocacy-and-policy/aaphealth-initiatives/global/Pages/eceb.aspx *Printed versions available through AAP Bookstore or Laerdal Global Health 44 USAID ASSIST Project Webinar February 3, 2015 The Helping Babies Survive Programs Improved resuscitation • Cord care • Improved hygiene • Exclusive breastfeeding Essential Care for Small Babies Preterm simulator Weight 1.6 kg Realistic size and proportions for preterm baby Supports training in • proper breastfeeding positioning and attachment • correct nasogastric tube placement • spoon, cup and nasogastric tube feeding • continuous skin-to-skin care 45 USAID ASSIST Project Webinar February 3, 2015 Essential Care for Small Babies Development/production timeline Notes January/February 2014 March Flipchart content development Content outline developed Delphi review Review on content without images May June June July/August September October-January, 2015 April, 2015 WHO review Editorial face-to-face Modification of materials Finalization of images, content Field testing and revisions Copyediting and final revisions Has this date been confirmed? Elk Grove Village Necessary edits due to reviews Using modified materials with images Necessary edits due to testing Preparation of final images and formatting Printed material and printable pdfs available Launch in South Asia What is being done? • Essential newborn care (ENC) practices recommended by the WHO and many health authorities Requirements for change in practice: • Education to insure knowledge and skill of providers • Implementation plan to translate knowledge and skill into practice 46 USAID ASSIST Project Webinar February 3, 2015 There is work to be done ~ 2043 Figure 1 Time for each region to reach the same chance of neonatal survival as in 2012 for newborn babies in high-income countries, Lawn et al. Lancet, 2014 Helping Babies Survive 47 USAID ASSIST Project Webinar February 3, 2015 Thank you for your participation! • For more information or to register for future webinars or the USAID ASSIST project updates please contact Elizabeth Silva at [email protected] • Visit the USAID ASSIST Knowledge Portal at www.usaidassist.org • Vist the USAID ASSIST’s Salud Materno Infantil Website at www.maternoinfantil.org 48