1. Helping Babies Breathe In Cambodia HBB Global Development Alliance Annual Meeting July 17, 2012 Embassy Suites Washington Convention Center-Capital Room C&D

2. Introduction and Background: HBB in Cambodia has received TA, F/A from LDSC/USAID. It is a country-wide programme, launched since Sept 2010, rolling out across Cambodia RACHA works with partners: RHAC, WHO, URC, Unicef, UNFPA, LDSC and NMCHC The method is simple, low cost, high impact intervention for newborn survival and takes only one day to teach All learning and resource materials are in Khmer Technical skills of master trainers need to be updated every 2 - 3 years in line with HBB updates based on scientific evidence review NMR: 28/1000 l.bs (CDHS2005); 27/1000 l.bs. (CDHS2010)

3. Since launched Sept 2010-Jun 2012 Master trainers:8 from NMCHC Trainers: 52 doctors 94 midwives Birth attendants trained: Midwives:3027 Doctors:476 Nurses:141

4. Non breathing at Births Tracking: Oct 2011 – Mar 2012 RACHA works within 19 ODs, 264 HCs in five provinces – SR, PV, PS, KK, BMC. Total number of deliveries: 26,922 Non breathing at births: 99 out of 108 were resuscitated successfully with bag mask; however, A few babies died after discharge or on the way seeking for advance care

5. HBB Training models RACHA area of operation (5/24 provinces) – 1 day provider course National MCH Hospital – 2 day ENC, limited HBB Key Interventions Workshops – 2 day focused maternal/newborn care, limited HBB BEmONC and CEmONC training – 1 day provider course

6. QI - HBB Integration National Safe Motherhood Protocols for Referral Hospitals (SMP –RH) – Introduction to HBB SMP for Health Centers – Introduction to HBB Plan to integrate HBB into pre-service training midwifery curriculum of the 5 Regional Training Centers (RTCs) HBB refresher integrated into continuing education curriculum (e.g. MCAT meetings, On-the-job Training, F/U and other obstetric component and newborn care)

7. Lessons Learned Trainers need more support with interactive, participatory methodology NO lectures Formulate questions to elicit information rather than make statement of facts Practice, practice, practice clinical skills Encourage group feedback Encourage individual and group problem solving

9. Thank you Role-play in action …….