Hospital level Training on

Scaling up Safer Birth Bundle Through Quality Improvement in Nepal (SUSTAIN)

Background

The Hospital level training on Helping Babies Survive (HBS) as part of (SUSTAIN) Scaling Up Safer
Birth Bundle Through Quality Improvement in Nepal is conducted in a step wedge pattern in the
implementing hospitals. Helping Babies Survive (HBS) is a training package developed in reference
to AAP manuals under the leadership of National Health Training Centre and in collaboration with
Nepal Pediatric Society. Local facilitators were developed in each hospital through HBS Training of
Trainers followed by hospital level on-job training to all the staffs involved in intrapartum care and
intensive care as well.
The HBS training is a four-day package which has been developed to capacitate healthcare workers
who will later be in the direct contact with the maternal and newborn care in the hospitals. The
HBS training package in the hospitals aim at improving neonatal care service delivery, providing
quality of care, outcomes, and contribute in reducing neonatal morbidity and mortality in the
hospitals. The manual comprises of following modules-

• Essential Care of Every Babies
• Essential Care of Small Babies
• HBB(2nd edition)
• plan, Do, Study, Act(PDSA)

Rationale

The on-site training is a crucial part in developing skilled health workers who will be in the
forefront, providing maternal and neonatal quality care services, implementing key quality
improvement (QI) interventions within the hospitals. Invited from different maternal and neonatal
care units from within the hospitals, they will be key to implementing the changes, working closely
with the colleagues and hospital management.

Objectives

• To train health workers on standard newborn care practice within 24-hour after birth to
  prevent various neonatal morbidities including neonatal sepsis.
• To train health workers on providing essential care for small babies to reduce the mortality
  due to complications arising from prematurity.
• To train health workers on timely and effective resuscitation at birth to reduce first day
  death and prevent adverse neurodevelopmental outcomes in future.
• To train health workers on finding solutions to manageable problems resulting in poor
  quality of intrapartum care through PDSA meeting, a QI tool.

Date and Venue

A four days Hospital-level HBS training was conducted in two batches morning and evening in the
SBA Training Hall at Dadeldhura Hospital, Dadeldhura, starting from 22 nd to 25 th September, 2020
respectively..

Participants

There were altogether 22 participants in the hospital level HBS Training. The participants included
Staff Nurse, Auxiliary Nurse Midwives, Nursing in-charges of maternity and sick newborn care units
and staff nurses working in these units and Golden Community Nursing staff from Maternity,
Operation Theater and Sick newborn care units.