Basic Neonatal Resuscitation: Global Landscape Analysis 09-11-2016
The UN Commission on Life-Saving Commodities has just released a landcape analysis, reviewing the progress made in the various aspects of coverage of basic neonatal resuscitation in LMICs.
A global approach to successful wide-scale use of neonatal resuscitation requires a focus on several areas. Health care providers must have the commodities, training, and adequate support to acquire and maintain clinical skills in order to provide safe and effective care. Global, national, and local policies must be in place that support, guide, and fund best practices and prioritize resuscitation. Health systems must be strengthened to facilitate quality of care and support must be provided for the supply chains and systems that make essential commodities, such as resuscitators, suction devices, and training manikins, available to providers. Finally, M&E is key to every effort, from actions taken by health care providers for babies who do not breathe properly at birth, to the quality of care provided, and outcomes.
This landscape analysis focuses on each of these arenas, touching on the origin and evolution of basic neonatal resuscitation to meet global requirements, training and quality of care, M&E, relevant ENAP metrics, indicators, procurement issues, and reprocessing of the devices, which is particularly relevant to LMICs where they need to be re-used between babies. It covers challenges and potential solutions, innovations, and recommendations for the way forward.
Findings presented in this document complement those of the previous 5-year report from the HBB Global Development Alliance, Helping Babies Breathe: Lessons learned guiding the way forward.