Kenya Plans 2 6 million newborn deaths worldwide

Kenya Plans

2. 6 million newborn deaths worldwide 1. 1 million newborn deaths in Africa 3 MAIN CAUSES Prematurity 35% Infection 23% Respiratory Distress Thermal Instability Feeding Challenges Infection Jaundice Hypoglycemia Sepsis Pneumonia Diarrhea Tetanus Injured in Delivery 24% Hypoxic Brain Injury

Power of Partnerships: NEST Team RICE University; Institute of Global Health Northwestern University; Kellogg School of Management 3 rd Stone Design London School of Hygiene and Tropical Medicine (LSHTM) Center for Public Health and Development (CPHD) Kenya Paediatric Association; KEPRECON Oxford University; KEMRI-Wellcome Trust

Newborn Essential Solutions & Technologies (NEST) Prevent & Treat Infections Hydration & Nutrition Breathing Support Monitor & Treat Jaundice Separate Neonatal Ward Point-of-care Diagnostics Temperature Stability

NEST 360 Product Categories Separate Neonatal Ward NEST Prevent & Treat Infections Temperature Stability Hydration & Nutrition Manage Jaundice Point of Care Diagnostics Breathing Support Maintenance Syringe Pump Radiant Warmer Syringe Pump Photo-therapy Lights Glucose Back Up Power Sepsis Diagnostic Continuous Temp Monitor Future Technology Bilirubin Monitor CPAP Future Technology Hemoglobin Monitor Suction Machine p. H Monitor Pulse Oximeter Sepsis Diagnostic O 2 Concentrator Protector Tools Future technology NEST facilities already equipped for Essential Newborn Care including resuscitation Warming Crib 8 Monitor Oxygen Source Commercially available 4 To be available (12 -24 mo) 5 To be available (24 -48 mo) Apnea Monitor

EFFECTIVE AFFORDABLE SUSTAINABLE

Health System Approach Newborn TWG integration Focus Newborn UHC mortality burden counties Counties Facility tech and clinical assessment Hub and Spoke model Learning sites Implementing sites In-service and Pre-service training Inter Country Learnings and Best Practice Sharing

Kenya Implementation Plan Kenya Goal Learning questions Outputs Build NEST network and develop model distribution system Refine district implementation; core neonatal records/data Neonatal Record Set Refined NEST Implementation & Planning Guide Refined NEST Financing Metrics Toolkit Model Distribution Network # project NESTs clinical teaching 15 12 # NESTs sold 65

What does it take? Infrastructure Space ~ at least 5 m by 5 m Power – clean and stable Equipment Respiratory – CPAP, Oxygen, Pulse Ox Temp – Warmer, Thermometer Support – Suction, Glucometer, Phototherapy All these would cost ~ KES 3 M Staffing 1 nurse to 3 babies; 1 MO or Paediatrician/Neonatologist Training – Biomed and Clinicians Maintenance schedule

Sample NICU Layout

Our Plan Do baseline survey for Pumwani, Mama Lucy and Nyeri County Referral Hospital Give survey feedback to ICC and stakeholders in newborn health for Pumwani, Mama Lucy and Nyeri with action plan and involve interested partners to support in areas of their interest Do baseline survey for 2 learning sites (Machakos & Nakuru), 2 learning hubs (MTRH, JOTRH) and one Medical Engineering training institution KMTC (Nairobi) Roll out to other facilities as guided by TWG

Goal We cannot reach the SDG for newborn survival without scaling comprehensive, quality newborn care (12 yrs to get to 12) NEST integrates product introduction, facility distribution, service & maintenance, training & mentorship to ensure sustained, effective use of life-saving technologies

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