Cuidados Esenciales para Cada Beb Un programa educativo simplificado - - PDF document

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Cuidados Esenciales para Cada Beb Un programa educativo simplificado - - PDF document

Mar 13, 2024 198 likes •692 views

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

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USAID ASSIST Project Webinar February 3, 2015 1

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.

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.

Cuidados Esenciales para Cada Bebé

Carl Bose, MD Universidad de Carolina del Norte y la AAP

Países de Latinoamérica y el Caribe Seminario Regional por Internet Febrero 3, 2015 Un programa educativo simplificado para proveedores de cuidados esenciales del recién nacido

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USAID ASSIST Project Webinar February 3, 2015 2

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

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SLIDE 3

USAID ASSIST Project Webinar February 3, 2015 3 Desigualdades intra-país relativas a la supervivencia infantil

Fuente: Estado de la Niñez de Latinoamérica y el Caribe, UNICEF 2008

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SLIDE 4

USAID ASSIST Project Webinar February 3, 2015 4

¿Qué ocasiona la muerte neonatal? ¿Qué puede hacerse al respecto?

Improved resuscitation

  • KMC
  • Alternate feeding techniques
  • Thermoregulation
  • Cord care
  • Improved hygiene
  • Exclusive breastfeeding
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SLIDE 5

USAID ASSIST Project Webinar February 3, 2015 5

¿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

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USAID ASSIST Project Webinar February 3, 2015 6

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
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SLIDE 7

USAID ASSIST Project Webinar February 3, 2015 7

Improved resuscitation

  • Cord care
  • Improved hygiene
  • Exclusive breastfeeding

Los programas Ayudando a los Bebés a Sobrevivir

Cuidados Esenciales para Cada Bebé

materiales

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SLIDE 8

USAID ASSIST Project Webinar February 3, 2015 8

Cuidados Esenciales para Cada Bebé

Plan de Acción

Cuidados Esenciales para Cada Bebé

Rotafolio del Facilitador

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USAID ASSIST Project Webinar February 3, 2015 9

Cuidados Esenciales para Cada Bebé

Rotafolio del Facilitador

Cuidados Esenciales para Cada Bebé

Guía para Proveedores – Ejercicios Prácticos

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USAID ASSIST Project Webinar February 3, 2015 10

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

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SLIDE 11

USAID ASSIST Project Webinar February 3, 2015 11

Cuidados Esenciales para Cada Bebé

Guía para Padres

Cuidados Esenciales para Cada Bebé

Guía para Padres

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USAID ASSIST Project Webinar February 3, 2015 12

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

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SLIDE 13

USAID ASSIST Project Webinar February 3, 2015 13 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-health-

initiatives/global/Pages/eceb.aspx *Las versiones impresas están disponibles a través de la Librería de la AAP o

Laerdal Global Health

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SLIDE 14

USAID ASSIST Project Webinar February 3, 2015 14

Improved resuscitation

  • Cord care
  • Improved hygiene
  • Exclusive breastfeeding

Los programas Ayudando a los Bebés a Sobrevivir

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

Cuidados Esenciales para bebés pequeños

Simulador de un bebé pretérmino

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SLIDE 15

USAID ASSIST Project Webinar February 3, 2015 15

Cuidados Esenciales para bebés pequeños

Cronograma de desarrollo/producción

Notes

Enero/Febrero 2014 Desarrollo de contenidos del Rotafolio Esquema de contenidos desarrollado Marzo Revisión Delphi Revisión de contenidos sin imágenes Mayo Revisión OMS ¿Está confirmada esta fecha? Junio Proceso editorial presencial Elk Grove Village Junio Modificación de materiales Cambios necesarios debido a las revisiones Julio/Agosto Finalización de imágenes, contenidos Uso de materiales modificados con imágenes Septiembre Prueba de campo y revisiones Cambios necesarios debido a la prueba Octubre-Enero, 2015 Corrección de estilo y revisiones finales Preparación de imágenes finales y ajustes de formato Abril, 2015 Lanzamiento en Asia del Sur Material impreso y archivos pdf imprimibles disponibles

¿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

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USAID ASSIST Project Webinar February 3, 2015 16

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

Hay trabajo por hacer

~ 2043

Ayudando a los Bebés a Sobrevivir

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SLIDE 17

USAID ASSIST Project Webinar February 3, 2015 17

Essential Care for Every Baby

Carl Bose, MD University of North Carolina and the AAP

Latin American and Caribbean Countries Regional Webinar February 3, 2015 A simplified educational program for providers of essential newborn care

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!

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SLIDE 18

USAID ASSIST Project Webinar February 3, 2015 18

Where do most neonatal deaths occur?

Oestergaard et al. PLoS Med 2011

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SLIDE 19

USAID ASSIST Project Webinar February 3, 2015 19

Intra-country Disparities in Child Survival

From: State of Latin American and Caribbean Children, UNICEF 2008

What causes neonatal death?

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SLIDE 20

USAID ASSIST Project Webinar February 3, 2015 20

What can be done?

Improved resuscitation

  • KMC
  • Alternate feeding techniques
  • Thermoregulation
  • 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

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SLIDE 21

USAID ASSIST Project Webinar February 3, 2015 21

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

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SLIDE 22

USAID ASSIST Project Webinar February 3, 2015 22

The Helping Babies Survive Programs

Improved resuscitation

  • Cord care
  • Improved hygiene
  • Exclusive breastfeeding

Improved resuscitation

  • Cord care
  • Improved hygiene
  • Exclusive breastfeeding

The Helping Babies Survive Programs

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SLIDE 23

USAID ASSIST Project Webinar February 3, 2015 23

Essential Care for Every Baby

materials

Essential Care for Every Baby

Action Plan

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SLIDE 24

USAID ASSIST Project Webinar February 3, 2015 24

Essential Care for Every Baby

Facilitator Flip Chart

Essential Care for Every Baby

Facilitator Flip Chart

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SLIDE 25

USAID ASSIST Project Webinar February 3, 2015 25

Essential Care for Every Baby

Provider Guide – Practice Exercises

Essential Care for Every Baby

Provider Guide – Exercises with Communication Skills

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SLIDE 26

USAID ASSIST Project Webinar February 3, 2015 26

Essential Care for Every Baby

Provider Guide – Review and Quality Improvement

Essential Care for Every Baby

Parent Guide

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SLIDE 27

USAID ASSIST Project Webinar February 3, 2015 27

Essential Care for Every Baby

Parent Guide

Essential Care for Every Baby

Breast Model – breastfeeding, expression, skin-to-skin care

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SLIDE 28

USAID ASSIST Project Webinar February 3, 2015 28 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

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SLIDE 29

USAID ASSIST Project Webinar February 3, 2015 29

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/aap-

health-initiatives/global/Pages/eceb.aspx *Printed versions available through AAP Bookstore or Laerdal Global Health

Improved resuscitation

  • Cord care
  • Improved hygiene
  • Exclusive breastfeeding

The Helping Babies Survive Programs

slide-30
SLIDE 30

USAID ASSIST Project Webinar February 3, 2015 30

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

Preterm simulator

Essential Care for Small Babies

Development/production timeline

Notes

January/February 2014 Flipchart content development Content outline developed March Delphi review Review on content without images May WHO review Has this date been confirmed? June Editorial face-to-face Elk Grove Village June Modification of materials Necessary edits due to reviews July/August Finalization of images, content Using modified materials with images September Field testing and revisions Necessary edits due to testing October-January, 2015 Copyediting and final revisions Preparation of final images and formatting April, 2015 Launch in South Asia Printed material and printable pdfs available

slide-31
SLIDE 31

USAID ASSIST Project Webinar February 3, 2015 31

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

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

There is work to be done

~ 2043

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SLIDE 32

USAID ASSIST Project Webinar February 3, 2015 32

Helping Babies Survive

Essential Care for Every Baby

Carl Bose, MD University of North Carolina and the AAP

Latin American and Caribbean Countries Regional Webinar February 3, 2015 A simplified educational program for providers of essential newborn care

slide-33
SLIDE 33

USAID ASSIST Project Webinar February 3, 2015 33

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

slide-34
SLIDE 34

USAID ASSIST Project Webinar February 3, 2015 34

Intra-country Disparities in Child Survival

From: State of Latin American and Caribbean Children, UNICEF 2008

slide-35
SLIDE 35

USAID ASSIST Project Webinar February 3, 2015 35

What causes neonatal death? What can be done?

Improved resuscitation

  • KMC
  • Alternate feeding techniques
  • Thermoregulation
  • Cord care
  • Improved hygiene
  • Exclusive breastfeeding
slide-36
SLIDE 36

USAID ASSIST Project Webinar February 3, 2015 36

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

slide-37
SLIDE 37

USAID ASSIST Project Webinar February 3, 2015 37

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
slide-38
SLIDE 38

USAID ASSIST Project Webinar February 3, 2015 38

Improved resuscitation

  • Cord care
  • Improved hygiene
  • Exclusive breastfeeding

The Helping Babies Survive Programs

Essential Care for Every Baby

materials

slide-39
SLIDE 39

USAID ASSIST Project Webinar February 3, 2015 39

Essential Care for Every Baby

Action Plan

Essential Care for Every Baby

Facilitator Flip Chart

slide-40
SLIDE 40

USAID ASSIST Project Webinar February 3, 2015 40

Essential Care for Every Baby

Facilitator Flip Chart

Essential Care for Every Baby

Provider Guide – Practice Exercises

slide-41
SLIDE 41

USAID ASSIST Project Webinar February 3, 2015 41

Essential Care for Every Baby

Provider Guide – Exercises with Communication Skills

Essential Care for Every Baby

Provider Guide – Review and Quality Improvement

slide-42
SLIDE 42

USAID ASSIST Project Webinar February 3, 2015 42

Essential Care for Every Baby

Parent Guide

Essential Care for Every Baby

Parent Guide

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SLIDE 43

USAID ASSIST Project Webinar February 3, 2015 43

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

slide-44
SLIDE 44

USAID ASSIST Project Webinar February 3, 2015 44 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/aap-

health-initiatives/global/Pages/eceb.aspx *Printed versions available through AAP Bookstore or Laerdal Global Health

slide-45
SLIDE 45

USAID ASSIST Project Webinar February 3, 2015 45

Improved resuscitation

  • Cord care
  • Improved hygiene
  • Exclusive breastfeeding

The Helping Babies Survive Programs

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

Preterm simulator

slide-46
SLIDE 46

USAID ASSIST Project Webinar February 3, 2015 46

Essential Care for Small Babies

Development/production timeline

Notes

January/February 2014 Flipchart content development Content outline developed March Delphi review Review on content without images May WHO review Has this date been confirmed? June Editorial face-to-face Elk Grove Village June Modification of materials Necessary edits due to reviews July/August Finalization of images, content Using modified materials with images September Field testing and revisions Necessary edits due to testing October-January, 2015 Copyediting and final revisions Preparation of final images and formatting April, 2015 Launch in South Asia Printed material and printable pdfs available

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

slide-47
SLIDE 47

USAID ASSIST Project Webinar February 3, 2015 47

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

There is work to be done

~ 2043

Helping Babies Survive

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SLIDE 48

USAID ASSIST Project Webinar February 3, 2015 48

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 esilva@wi-her.org

  • Visit the USAID ASSIST Knowledge Portal at

www.usaidassist.org

  • Vist the USAID ASSIST’s Salud Materno Infantil Website at

www.maternoinfantil.org