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. 2020 Oct;146(Suppl 2):S165-S182.
doi: 10.1542/peds.2020-016915I.

Digital Health Innovations, Tools, and Resources to Support Helping Babies Survive Programs

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Digital Health Innovations, Tools, and Resources to Support Helping Babies Survive Programs

Sherri L Bucher et al. Pediatrics. 2020 Oct.

Abstract

The Helping Babies Survive (HBS) initiative features a suite of evidence-based curricula and simulation-based training programs designed to provide health workers in low- and middle-income countries (LMICs) with the knowledge, skills, and competencies to prevent, recognize, and manage leading causes of newborn morbidity and mortality. Global scale-up of HBS initiatives has been rapid. As HBS initiatives rolled out across LMIC settings, numerous bottlenecks, gaps, and barriers to the effective, consistent dissemination and implementation of the programs, across both the pre- and in-service continuums, emerged. Within the first decade of expansive scale-up of HBS programs, mobile phone ownership and access to cellular networks have also concomitantly surged in LMICs. In this article, we describe a number of HBS digital health innovations and resources that have been developed from 2010 to 2020 to support education and training, data collection for monitoring and evaluation, clinical decision support, and quality improvement. Helping Babies Survive partners and stakeholders can potentially integrate the described digital tools with HBS dissemination and implementation efforts in a myriad of ways to support low-dose high-frequency skills practice, in-person refresher courses, continuing medical and nursing education, on-the-job training, or peer-to-peer learning, and strengthen data collection for key newborn care and quality improvement indicators and outcomes. Thoughtful integration of purpose-built digital health tools, innovations, and resources may assist HBS practitioners to more effectively disseminate and implement newborn care programs in LMICs, and facilitate progress toward the achievement of Sustainable Development Goal health goals, targets, and objectives.

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Conflict of interest statement

POTENTIAL CONFLICT OF INTEREST: Dr Bucher is principal investigator (PI) of mobile Helping Babies Survive (HBS) powered by the District Health Information System 2 and Essential Care for Every Baby Digital Action Plan initiatives. She was the co-PI for the electronic Helping Babies Breathe (HBB) project, in collaboration with Dr Umoren. She serves as an international mentor, on behalf of the American Academy of Pediatrics, for HBS programs, and as the HBS country mentor for Kenya and Liberia. Dr Cardellichio is the associate director of Global Health Media Project. Ms Muinga is a health informatics researcher based at Kenya Medical Research Institute Wellcome Trust Programme for the Life-Saving Instruction for Emergencies initiative. Dr Patterson is the PI for the feedback and debriefing portions of Liveborn and the ongoing β-testing of Liveborn. Dr Thukral and Prof Deorari serve as associate professor in the department of pediatrics and professor and head of the department of pediatrics at All India Institute for Medical Science, New Delhi; Prof Deorari serves on the HBS Planning Group. Dr Santorino Data is the PI and colead designer for the HBB Prompt app. Dr Umoren was lead PI for the electronic HBB project. Dr Saptarshi Purkayastha is co-PI of the HBS powered by the District Health Information System 2 and Essential Care for Every Baby app projects. The authors have indicated they have no other potential conflicts of interest to disclose

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