Division of Neonatal-Perinatal Medicine, Department of Pediatrics, School of Medicine, Indiana University, Indianapolis, Indiana;
Eck Institute for Global Health, University of Notre Dame, Notre Dame, Indiana.
Pediatrics. 2020 Oct;146(Suppl 2):S165-S182. doi: 10.1542/peds.2020-016915I.
The Helping Babies Survive (HBS) initiative features a suite of evidence-based curricula and simulation-based training programs designed to provide health workers in low- and middle-income countries (LMICs) with the knowledge, skills, and competencies to prevent, recognize, and manage leading causes of newborn morbidity and mortality. Global scale-up of HBS initiatives has been rapid. As HBS initiatives rolled out across LMIC settings, numerous bottlenecks, gaps, and barriers to the effective, consistent dissemination and implementation of the programs, across both the pre- and in-service continuums, emerged. Within the first decade of expansive scale-up of HBS programs, mobile phone ownership and access to cellular networks have also concomitantly surged in LMICs. In this article, we describe a number of HBS digital health innovations and resources that have been developed from 2010 to 2020 to support education and training, data collection for monitoring and evaluation, clinical decision support, and quality improvement. Helping Babies Survive partners and stakeholders can potentially integrate the described digital tools with HBS dissemination and implementation efforts in a myriad of ways to support low-dose high-frequency skills practice, in-person refresher courses, continuing medical and nursing education, on-the-job training, or peer-to-peer learning, and strengthen data collection for key newborn care and quality improvement indicators and outcomes. Thoughtful integration of purpose-built digital health tools, innovations, and resources may assist HBS practitioners to more effectively disseminate and implement newborn care programs in LMICs, and facilitate progress toward the achievement of Sustainable Development Goal health goals, targets, and objectives.
拯救婴儿（HBS）倡议提供了一系列基于证据的课程和基于模拟的培训计划，旨在为中低收入国家（LMICs）的卫生工作者提供预防、识别和管理导致新生儿发病率和死亡率的主要原因的知识、技能和能力。HBS 倡议在全球范围内迅速推广。随着 HBS 倡议在 LMIC 环境中推出，在服务前和服务中连续体中，该计划的有效和一致传播和实施出现了许多瓶颈、差距和障碍。在 HBS 计划大规模推广的第一个十年中，中低收入国家的手机拥有率和移动网络接入也同时飙升。在本文中，我们描述了一些 HBS 数字健康创新和资源，这些创新和资源是从 2010 年到 2020 年开发的，旨在支持教育和培训、监测和评估数据收集、临床决策支持和质量改进。HBS 合作伙伴和利益相关者可以通过多种方式将描述的数字工具与 HBS 的传播和实施工作整合在一起，以支持低剂量高频技能练习、面对面复习课程、继续医学和护理教育、在职培训或同伴学习，并加强关键新生儿护理和质量改进指标和结果的数据收集。有针对性地整合专门设计的数字健康工具、创新和资源可以帮助 HBS 从业人员更有效地在 LMICs 中传播和实施新生儿护理计划，并促进实现可持续发展目标的健康目标、具体目标和指标。
