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Improving Neonatal Health in Malawi: HBB Status Update and Evaluation

This study evaluates the performance of the Helping Babies Breathe (HBB) program in Malawi, focusing on newborn resuscitation services. It covers the training of health workers, implementation consistency, barriers, and facilitators, providing recommendations for enhancing neonatal health services. The research involves a quasi-experimental design with intervention and comparison districts, utilizing baseline and primary data collection methods in various regions. The study aims to assess the availability and quality of neonatal health services in Malawi.

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Improving Neonatal Health in Malawi: HBB Status Update and Evaluation

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  1. HBB Status update – Performance Evaluation in Malawi Shivam Gupta Johns Hopkins University – Institute for International Programs

  2. Intervention • Start in March – April 2011 • Thirteen districts selected for the roll-out of HBB • Northern Region: Chitipa, Rumphi & Nkhatabay • Central Region: Nkhotakota, Kasungu, Dowa & Lilongwe • Southern Region: Thyolo, Machinga, Zomba, Phalombe, Nsanje & Mwanza • 481 health workers trained till end of Feb 2012 • Registered nurse midwife • Nurse midwife technician • Clinicians • Anesthetic clinical officer

  3. Specific questions • Are newborn resuscitation service delivery guidelines and supplies available according to the national rollout plan? • Are the HBB trained health workers able to apply the newborn resuscitation and essential newborn care skills after 12 and 18 months of training? • Is the coverage of HBB implementation at facility level consistent with the national roll out plan? • What barriers exist in the implementation of HBB at the facility level? • What factors have facilitated implementation of HBB at the facility level? • What recommendations can be made for improved availability and quality of neonatal health services in Malawi?

  4. Methods - Design • Quasi-experimental Non-randomized controlled study • 13 intervention districts • 15 comparison districts • Baseline measures using secondary data • Two rounds of primary data • 12 and 18 months after phased intervention roll out • Additional descriptive studies

  5. Methods - Instruments

  6. HBB Malawi Evaluation - Timeline

  7. Questions © 2009, Johns Hopkins University. All rights reserved.

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