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BaRT – Baby Resuscitation Trainer: improving neonatal resuscitation techniques of rural healthcare workers

Principal Investigator : Claudia Turner, COMRU

Project Status : On-going

 

Project Summary

  • 47% reduction in the number of death in children under 5. Not seen in children under 4 weeks 

  • 2.9 million neonates die every year, one million of which die in the first day  

  • 10 million babies don’t cry after birth.  30% need bad and mask ventilation in order to live  

  • Proper bag and mask ventilators could reduce death by 20% 

  • They have developed a device that link with a smart phone that can help train the proper use of the bag and ventilator.  

  • Based on lack of good follow up on training in resource limited settings. As such low cost effective training is needed.  

  • Provide neonatal resuscitation training.  

  • Pressure and rate of delivery are specifically monitored by the device those metrics are then shown on the app and can  

  • Bart system comes with the practice doll.  

  • The application also shows other markers of like hear rate, skin colour, and other observable responses.

Since 1990 there has been a 47% reduction in the deaths of children aged less than 5. However, this same decline has not been seen in infants ages 4 weeks or younger. Recent estimates show 2.9million neonates die every year, with one million of those occurring in the first day of life. Current neonatal mortality makes up 44% of all deaths in children under the age of 5. Approximately 10 million babies are born do not breathe on their own immediately after birth, 6 million of which need basic neonatal resuscitation. Recent studies suggest that use of a bag and mask ventilation could prevent 30% of the intrapartum deaths.  Delayed and improper administration of the bag and mask may increase hypoxia and lead to organ damage.  One issue in resource limited settings is the lack of proper and regular follow up training, which has been shown to be vital in the acquisition of new skills. As such the healthcare workers in those settings might not feel adequately trained to administer the bag and mask.  The BaRT system is specifically designed with the objective of delivering a reliable and intuitive neonatal resuscitation training system that is readily available and affordable that can help maintain life-saving techniques. The BaRT system consists of the neonatal mannequin and specialized bag valve mask (BVM). The BVM is connect to a tablet or a personal cell phone and displays real time feedback. Key factors like pressure and rate of delivery will displayed to aid help with learning the proper technique. Beyond that the feedback app with also be able to show other markers of like hear rate, skin colour, and other observable responses.  The low cost and intuitive design will make the device accessible and affordable for healthcare workers in low costs settings and will help its adoption throughout these communities.