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Successful implementation of Helping Babies Survive and Helping Mothers Survive programs-An Utstein formula for newborn and maternal survival
Stavanger Univ Hosp, Dept Anaesthesiol & Intens Care, Stavanger, Norway..
Univ Calgary, Div Neonatol, Calgary, AB, Canada..
Minist Hlth & Social Serv, Reprod & Child Hlth Serv, Dar Es Salaam, Tanzania..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH). UNICEF, Hlth Sect, Kathmandu, Nepal..ORCID iD: 0000-0002-0541-4486
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2017 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 12, no 6, article id e0178073Article in journal (Refereed) Published
Abstract [en]

Globally, the burden of deaths and illness is still unacceptably high at the day of birth. Annually, approximately 300.000 women die related to childbirth, 2.7 million babies die within their first month of life, and 2.6 million babies are stillborn. Many of these fatalities could be avoided by basic, but prompt care, if birth attendants around the world had the necessary skills and competencies to manage life-threatening complications around the time of birth. Thus, the innovative Helping Babies Survive (HBS) and Helping Mothers Survive (HMS) programs emerged to meet the need for more practical, low-cost, and low-tech simulation-based training. This paper provides users of HBS and HMS programs a 10-point list of key implementation steps to create sustained impact, leading to increased survival of mothers and babies. The list evolved through an Utstein consensus process, involving a broad spectrum of international experts within the field, and can be used as a means to guide processes in low-resourced countries. Successful implementation of HBS and HMS training programs require country-led commitment, readiness, and follow-up to create local accountability and ownership. Each country has to identify its own gaps and define realistic service delivery standards and patient outcome goals depending on available financial resources for dissemination and sustainment.

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PUBLIC LIBRARY SCIENCE , 2017. Vol. 12, no 6, article id e0178073
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Medical and Health Sciences
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URN: urn:nbn:se:uu:diva-327441DOI: 10.1371/journal.pone.0178073ISI: 000402880700019PubMedID: 28591145OAI: oai:DiVA.org:uu-327441DiVA, id: diva2:1135577
Available from: 2017-08-23 Created: 2017-08-23 Last updated: 2017-11-29Bibliographically approved

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