Ecuador’s Neonatal Care in Crisis: Crisis Intervention in the form of Kangaroo Mother Care

Ecuador’s Neonatal Care in Crisis: Crisis Intervention in the form of Kangaroo Mother Care

Ecuador
Organization type: 
nonprofit/ngo/citizen sector
Budget: 
$100,000 - $250,000
Project Summary
Elevator Pitch

Concise Summary: Help us pitch this solution! Provide an explanation within 3-4 short sentences.

With this technique, "Kangaroo Mother Care (MMC)" can save many children of low birth weight and preterm infants is an effective alternative to conventional neonatal care in resource-limited.
Our strength is in our reach. MWIA covering the globe with eight regions, each region has a vice president and consists of consisting of national organizations. Where there is no national organization, not individual members. Our members range from those working at the forefront of health care researchers to policy makers.

About Project

Solution: What is the proposed solution? Please be specific!

Is an innovative method for the treatment and management of preterm and low birth weight, loving and close relationship that develops between mother and child is the one that allows survival of these small, hot ell, exclusive breastfeeding and the kangaroo position, are the basic principles of the methodology. Neonatal care in Ecuador is in crisis due to lack of technical and human resources. Kangaroo Mother Care is a simple and effective method to save the lives of weight properly identified at birth and preterm infants. The checklist of newborns appropriate for KMC is easy to use. The technique of 24 hours between mother and baby skin to skin is easily understood by staff and parents. Once feeding is established, the transition from hospital to home with appropriate follow-up community is achieved after short hospital stays. This saves money and the distances of the newborn from the possibility of infection, malnutrition and hypothermia occurs with inadequate incubator care in neonatal units. Supervision will be by dedicated members of the International Medical Women's Association that are already present and working in these hospitals.
Impact: How does it Work

Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.

The activities of the project is to reduce neonatal mortality in Ecuador through the introduction of kangaroo mother care in two hospitals in Ecuador serving the needy, one rural and one urban. This will build on existing hospital infrastructure and coordinated by members of the Medical Association of Women and work in hospitals. Activities: • Develop workshops for parents • Encourage development workshops • Work with a local committee in the selected hospitals MWIA
About You
Organization:
The Medical Women’s International Association (MWIA)
About You
First Name

Shelley

Last Name

Ross

Twitter
Facebook Profile
About Your Organization
Organization Name

The Medical Women’s International Association (MWIA)

Organization Phone

+1 604 439 8993

Organization Address

7555 Morley Drive, Burnaby, B.C. CANADA V5E 3Y2

Organization Country

, XX

Country where this project is creating social impact

, G

How long has your organization been operating?

More than 5 years

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Innovation
What stage is your project in?

Idea phase

Tell us about the community that you engage? eg. economic conditions, political structures, norms and values, demographic trends, history, and experience with engagement efforts.

The project will consist in educating the staff, community nurses and parents and the implementation of KMC in the pilot hospitals, the Hospital Universitario (Guayaquil) and the Provincial Hospital Teofilo Davila (Oro Province) Hospital Government. Statistics are collected in a variety of settings, including neonatal deaths and morbidity, length of hospital stay, the increase in home and outpatient visits and sustained breastfeeding with the path of growth in the growth charts from the WHO . Comparisons will be made to statistics prior to project implementation. Ongoing review of the results will allow refining the application of MMC. The long-term plan is to continue working with the Ministry of Health to improve the resolution to all hospitals in Ecuador, so the standard of care KMC for birth weight and preterm infants.

Resources

Technical resources required

As education and training is required, there needs to be the capacity to give talks, including a room, computer, projector and microphone. The existing labour delivery and postpartum units at both pilot hospitals will be used as they currently exist. There needs to be KMC supplies and equipment, KMC behaviour change/communications materials and the capacity for dissemination activities in Ecuador.

Human Resources required

The human resources required are: Project coordinator, Facility coordinators (2 hospitals), KMC nurses (2 hospitals x 3 shifts =6), physicians already on staff at the two hospitals, a consultant to set up M&E system and analyze data, trainers and an auditor.

Share the story of the founder and what inspired the founder to start this project

Medical Women International Association (MWIA) is an international nongovernmental organization. Founded in 1919, is the oldest girls in various medical specialties association. Members from over seventy countries on five continents. The main objective is to improve the MWIA the health of all the areas in which we work, especially the health of women and children in areas in which we work. Women's health benefit from our promotion.

Our members range from those working at the forefront of health care researchers to policy makers. MWIA members are women who are able to Ofar great role models for women in medicine and for women in general.

We have much work in the area of Gender and Health, have written a training manual for gender mainstreaming. We have done training of trainers sessions and has educated many doctors around the world. We have also written a training manual on adolescent sexuality, ability to personal health help teens express their sexuality in an educated and safe.

MWIA is not a funding agency and in this sense, work well in partnership with organizations that need defenders with a strong power of female voice.

We are a great untapped resource for board members about the health of women and children. We are committed to the health related MDGs and, in fact, our triennial theme is "Beyond the rhetoric, to improve the health of women and girls."

Social Impact
Please describe how your project has been successful and how that success is measured

Success is measured by statistics collected three months before the project and monthly, once the project begins. The data include the number of total deliveries, the number of preterm and low birth weight, neonatal mortality, length of visits hospital stay to outpatient and home visits, neonatal infection, breastfeeding, measurements on growth charts from the WHO. Satisfaction of nurses in the community, and parents will be surveyed. Success will be seen by decreasing mortality.

How we will determine the proposed results.

Employee project will collect data for the three months before starting the project on births, deaths and neonatal complications. Secretary of project review and compare birth and then monthly statistics on births (including gestational age and weight) and neonatal mortality. Clinical records were reviewed for information on birth weight, discharge weight, length of stay, infectious complications or other and if the kangaroo mother care and conventional has been used. Be reviewed in the outpatient and home with information on weight, survival and complications. To collect the surveys completed by staff, parents and community nurses. These figures are used to make the case in its expansion to other hospitals.

How will be monitored and evaluated

Under the supervision of project coordinator, Dr.. Mercedes Viteri and his team at the Medical Women International Association, an employee is responsible for collecting and collating the information in paragraph.

These data will be reviewed on a monthly basis and compared with data from the three months prior to the initiation of KMC. Problems are reviewed monthly and find solutions to improve the delivery of KMC. Data will be collected for submission to the Government to continue its enlargement.

Why wait for success

Neonatal care in Ecuador is in crisis due to lack of technical and human resources. Kangaroo Mother Care is a simple and effective method to save the lives of weight properly identified at birth and preterm infants. The checklist of newborns appropriate for KMC is easy to use. The technique of 24 hours between mother and baby skin to skin is easily understood by staff and parents. Once feeding is established, the transition from hospital to home with appropriate follow-up community is achieved after short hospital stays. This saves money and the distances of the newborn from the possibility of infection, malnutrition and hypothermia occurs with inadequate incubator care in neonatal units. Supervision will be by dedicated members of the International Medical Women's Association that are already present and working in these hospitals.

How many people have been impacted by your project?

101-1,000

How many people could be impacted by your project in the next three years?

1,001-10,000

Winning entries present a strong plan for how they will achieve growth. Identify your six-month milestone for growing your impact

Task 1: Determine physical space and personnel selection
Task 2 To train health staff and family involved
Task 3: Develop a communication plan and education

Task 1

Determine physical space and personnel selection

Task 2

To train health staff and family involved

Task 3

Develop a communication plan and education

Identify your 12-month impact milestone

Task 1: Improved quality of care for newborns
Task 2 Greater engagement and involvement of parents and family
Task 3: Personal sensitized and committed to the strategy

Task 1

Improved quality of care for newborns

Task 2

Greater engagement and involvement of parents and family

Task 3

Personal sensitized and committed to the strategy

How will your project evolve over the next three years?

The initiative plans to extend the proposal to other hospitals around the country, taking into account the positive response from them.

Sustainability
What barriers might hinder the success of your project and how do you plan to overcome them?

Limited space and limited staff: Engage the authorities to support the proposal in the necessary requirements and make the community aware of the proposal.

Tell us about your partnerships

MWIA is not a funding agency and in this sense, work well in partnership with organizations that need defenders with a strong power of female voice. We are women volunteer doctor.

Explain your selections

ONG (MWIA) nonprofit

How do you plan to strengthen your project in the next three years?

The long-term plan is to continue working with the Ministry of Health to improve the resolution to all hospitals in Ecuador, so the standard of care KMC for birth weight and preterm infants. Supervision will be by dedicated members of the International Medical Women's Association that are already present and working in these hospitals.

Challenges
Which barriers to health and well-being does your innovation address?
Please select up to three in order of relevancy to your project.

PRIMARY

SECONDARY

Limited human capital (trained physicians, nurses, etc.)

TERTIARY

Restrictive cultural norms

Please describe how your innovation specifically tackles the barriers listed above.

KMC is a new educational concept teaches professionals who have pre-existing training and experience handling newborns. Operational components of this project KMC include: the establishment of MMC unit, training of nurses in the MMC, accumulating basic supplies such as fabric to wrap the baby's mother, beds, mattresses, bedding, are graduated cup feeding, feeding tubes / spoons / droppers, baby scale weighing, thermometers, and development and adaptation of KMC posters and educational materials, and institutionalize the use of KMC adapted records.

How are you growing the impact of your organization or initiative?
Please select up to three potential pathways in order of relevancy to you.

PRIMARY

SECONDARY

Enhanced existing impact through addition of complementary services

TERTIARY

Repurposed your model for other sectors/development needs

Please describe which of your growth activities are current or planned for the immediate future.

• Raise awareness among professionals involved in the project.
• Determine the physical space required.
• Select personnel according to the required profile.

Do you collaborate with any of the following: (Check all that apply)

NGOs/Nonprofits.

If yes, how have these collaborations helped your innovation to succeed?

Through professionals working in each health unit.