CleanBirth - Saving Mothers and Babies in Laos

CleanBirth.org - Donate $5 Saves 2 Lives

Our Kopernik Campaign is FULLY FUNDED

CleanBirth.org was lucky enough to be selected as a Kopenik Partner organization.

Though their donors, Kopernik generates funds getting affordable technologies “the last mile” to remote areas.

Kopernik donors gave $4,781.00 enough to fund 1000 ayzh birth kits for our moms in Laos!

Here is what the campaign looked like:
PROBLEM:

Laos’ maternal and infant mortality rates are abysmal, even higher than Afghanistan and Sudan. In the villages where our local partner works, women give birth alone in the forest. Many of these deaths are preventable by providing education about clean birthing practices and by providing clean Birth Kits which provide the equipment required for a clean birth.

HOW WE CAN HELP:

By providing clean Birth Kits, we are enabling our local partner to send nurses and volunteers to the villages and educate Lao mothers about safe birthing practices.

WHO WE ARE HELPING:

We will make clean Birth Kits available to ethnic minority mothers aged 14 years and older living in remote villages in Salavan, in southern Laos. The families are subsistence farmers and hunters, living on less than a dollar per day. They have little education and live a very isolated life.

DISTRIBUTION:

Our local partner, CleanBirth.org, will train nurses to use, distribute and track the use of the kits. They will also train village volunteers to do the same. The village volunteers will distribute the kits door-to-door, taking the opportunity to educate mothers about safety in pregnancy and birth. Every pregnant woman in the villages which Cleanbirth.orgserves will be eligible for an AYZH Janma Clean Birth Kit once she is six months pregnant.

TIMEFRAME FOR IMPLEMENTATION:
Six months
REACHING 2000 PEOPLE

July Training Big Success!

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I cannot say enough about the amazing experience of training 53 nurses and health staff last week on the use of birth kits and WHO’s Essentials of Newborn Care. The Yale Nursing team did an amazing job of teaching the latter, which adds so much to the hygienic birth promoted by the birth kits. It was a perfect match!

We used role play extensively in the training: modeling and then giving extensive time for hands on practice.

We learned so much from the 18 returning nurses and health staff about how the kits are working in the field.

Per their suggestions we plan to make the following changes:

  1. Add gloves to the kits. These will NOT be for clean hands – we will still provide soap and clean picture instructions for cleaning hands throughout the birth process. Instead the gloves will be used to help overcome the specific taboo against touching the blood of the mother/baby. The gloves will thus be a tool for encouraging mothers to have a partner at birth.
  2. Add another absorbant sheet for wrapping newborn to the kits. This was much asked for and dovetails nicely into the Yale Midwives teaching about WHO’s Essentials of Newborn Care.
  3. Keep the cord clamps (not cotton ties) in the kits – add a second clamp. The plastic clamps are working once people get enough education about how to use them. The second clamp is needed because mothers usually tie off two place (mother and baby).
  4. Extend education beyond the mom. Have partner present during the education and at the after birth interview. This way, the laboring mother, is not the only one responsible for making sure birth is hygenic.
  5. Continue to train Village Volunteers but have nurses hand out the kits and do the interviews. When nurses visit the villages every 1-3 months they will distribute kits and interview mothers who have used the kits. This is better than the Volunteers, who are often not literate, tracking the kit usage.

In addition to practicing the use of birth kits, we spent time reviewing the data collection procedures. Due to erratic reporting, we decided that our partner organization will contact each nurse on the 1st day of the month and 5th day of the month via calls and texts. If no news by Day 7, the small stipend of $4 per month will be withheld for that month.

At the end of the training, we asked the nurses to tell the most important things they learned from the training. Here’s what they said:

  1. The steps of how to use the birth kit
  2. The importance of a birth partner so that mother is not alone
  3. The importance of clean hands for the birth attendant
  4. How to stimulate the baby
  5. How to use the bag and mask to resuscitate the baby
  6. How to put the baby skin to skin
  7. Why to delay cord clamping
  8. How to accurately record data

Success!  It was a great training, thanks to the wonderful organization of our Lao partner’s staff, to Cele, Lizzie, and Hannah, from the Yale School of Nursing, and the excellent participation of the local nurses!  So exciting to see the project growing!!

Hattie

Spending time with this little miracle, my 5-week old niece Hattie, reminds me of how much care infants need.

So glad we are working with Yale School of Nursing to provide our nurses in Laos with training on the WHO’s essential newborn care protocol.hattie

Training 47 Nurses

Red hat baby and NurseJPGIn one week, *Forty-Seven* nurses will be trained *for the first time* in the World Health Organization (WHO)’s essential newborn care protocol. Thirty two of these nurses are completely new to CleanBirth.org sponsored trainings and will receive training in the use and distribution of Clean Birth Kits. The returning 15 nurses will receive a refresher about Clean Birth Kits, the WHO training from Yale Nurses and a restock of their kits.

The goal of the midwifery trip – which is 75% funded by Yale and 25% by the midwives — are that nurses and village volunteers in Laos are able to:

1. move newborn to mother for skin to skin immediately after birth
2. count newborn respirations and heart beat
3. clear newborn airway of secretions if needed
4. position infant airway if needed
5. apply bag and mask positive pressure if needed
6. tie umbilical cord and cut with a clean blade
7. assist a mother position the newborn for breastfeeding
8. evaluate if the newborn has adequate breast milk intake
9. do a basic newborn physical exam
10. do a basic maternal postpartum exam

Here’s a look at the schedule:

We will be at the Salavan office Monday afternoon when we arrive from Thailand for preparation.

Tuesday we will train returning the 15 nurses.

Wed-Thurs we will train 32 nurses our hotel conference room.

Friday we will observe a Village Volunteer Training about Clean Birth Kits, conducted by our trained nurses.

Saturday we will visit the villages and clinics for the Yale midwives to assess local conditions at the clinics.

Sunday and Monday we will meet with Dr. Nong and her staff to work on capacity building of her staff.

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