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Helping 100k Babies Survive & Thrive Initiative-India
 The Helping100,000 Babies Survive and Thrive Initiative isa partnershipinauguratedinJune
2014 amongthe AAP,the PediatricSocietiesof India(IAP,NNF),Ethiopia,andNigeria,other
Survive andThrive Global DevelopmentAlliance partnersandin-countrystakeholders
 Goal- To save at least100,000 newbornlivesandtofacilitate future in-countryabilityto
continue savingnewbornlives- byscalingupthe HelpingBabiesSurvive trainingandquality
improvementinitiative inpartnershipwithhealthprofessionalassociationsinIndia,Nigeria,and
Ethiopia.The principal resultissavingatleast100,000 newbornlives.
 Indiaenvisionsahealthsystemthateliminatespreventable deathsof newbornsandstillbirths
and where everypregnancyiswanted,where everybirthiscelebrated,andwhere women,
babies,andchildrensurvive,thrive,andreachtheirfull potential.
 India Targets to achieve single digitNMR and SBR by 2030
 The rationale forthisHBS is to buildonthe successesof the currentNSSKprogram while
simultaneouslyaddressingthe challengesthatpreventedimprovedoutcomes.
 How is HBS different?
o Targetingtrainingtothose mostdirectlyinvolvedwithnewborncare (includingnurses
and ANMs)
o Skill maintenance byLDHF training
o StrongQualityImprovement component
o OngoingMentoringbymembersof professionalbodies atdistrictlevel.
o Districtengagementatall stagesof implementation
o SustainabilityPlans.
 In HBS India Initiative at present only 2 moduleswill be implemented
o HelpingBabyBreathe (HBB) withIndianadaptations.
o Essential Care ForEveryBaby (ECEB) withIndianadaptations.
 The program in Indiawill be knownas NSSKPlus after pilotis over
 The purpose of thisprojectis to create a replicable model in5pilotprogramdistrictswhich
supportsmajorcare goalsas outlinedinthe IndiaNewbornActionPlan(INAP)
 Objectives:
 Bringall stakeholderstogether tosupporta model forimmediatenewborncare inIndia.

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 Strengthentraining( Resuscitation+Essential newborncare) byupdatingknowledge,training
methodologiesfromHelpingBabiesSurvive modules.
 Integrate principlesof qualityimprovementprocessesandhealthsystemsmanagementin
program design&implementation.
 Developacontinuous mentoring mechanism&supportivesupervision modelinvolving
membersof professional bodieslike IAP,NNF,FOGSI,TNAI,SOMIetc at districtlevel.
 Developacontinuation planwithascale-upphase involvinggovernmentsystemateverysteps
for sustainability
 HBS Program will be piloted in6 districtsof Indiainitially.
 Districtsare havinghighrates of NMR/IMR. Initial 5 Pilotprogramdistrictsare chosen
 In co-
ordination
and
approval
fromCH
Division,
MoHFW.
 Mapping
of the
birthingfacilitiesfromgovernmentandprivate sectoratdistrictlevel.( the facilitieswill be
chosenpreferablyfromone/twoblocks)
 Identification/selectionof birthingfacilitiesonthe basisof deliveryload,trainingload,
accessibility,infrastructure,reportingstructure presence andin co-ordinationwith district
healthoffice etc.
 DeliveryLoad- facilitywithhighdeliveryloadwill be prioritized,whethersubcentre/primary
healthcentre/communityhealthcentre/subdistricthospital/privatematernityhomes.
 Total facilities-one pilotdistrict–40 facilities.
o 1st Phase – 15 ( Govt. -10 , Private -5) facilities(Initial4months)
o 2nd Phase – 25 ( Govt. -20 , Private -5) facilities(Last8months)
 Steps:
o Step1- Mapping of Birthingfacilitiesatdistrictlevel (Private andGovt.)
o Step-2: FacilitiesAssessmenttool forHealthfacilitySurvey-
o Step3 – Baseline datacollection.
S.N State District NMR IMR Source
1 Haryana Palwal 31 48 HMIS 2014-15
2 Uttar Pradesh Bareilly 45 64 AHS 2012-13
3 Bihar Sitamarhi 39 60 AHS 2012-13
4 Gujarat Kutch NA 55 SRS 2012-13
5 Uttrakhand Haridwar 45 64 AHS 2012-13

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 Typesof training: 1.HighDose- Low FrequencyTraining (HDLF) 2.Low Dose- HighFrequency
Training(LDHF)
 HighDose- Low
Frequency
Training(HDLF)
 Low Dose- HighFrequencyTraining(LDHF)
 One-time,high
intensitytraining.
 Skill based
 Pre-posttrainings
evaluation
 Utilize
experiential
learningtheory,
 Emphasisonskills
acquisition
 Participatory
pairedlearning
approach
 6:1 participantto
facilitatorratio.
 National ToT,
DistrictToT &
Providertraining.
o Dailyactivitiesat(LDHF)
 Ventilationpractice,1-2minutes(video
recordingsviacell phone canbe utilizedto
provide immediate visual feedback) at
practice area.
o Weeklyactivities(checklists)*
 Preparationfora delivery(HBBchecklist)
 Care of normal and sickbabies(ECEB
checklist)
o Periodicactivities*
 Debrief afterresuscitationorcare of sick
baby(NRPdebriefingmodel)
 Weeklyforall casesinlarger
facilities,episodicinsmaller
facilities
 Individual self-assessmentchecklistsafter
resuscitation
 Case review formorbidityandmortality
 FacilityCoordinator/Leaderensuresimplementationof
activities
 Data Collection,Analysis& Reporting
o Self-reportingof facilityspecificdata – measuresof processandoutcome
o Analysisof dataat facilitylevel  Informdecisions
o Data sharingwithdistrictcoordinator
o Compilationof facilitydata
o Districtlevel analysis  informdecisions
o SharingwithDistrictteamsandNational teams