Instructor Development Programme Graduates

Graduates of the second Instructor Development Programme with their end of course certificate

16 healthcare professionals have just completed 2 days of Continuing Professional Development facilitated by 5 UK faculty who are in Cameroon to support the local Neonatal Care Course faculty and train 12 more instructors on the GIC at the end of the week. One of the 16, Ethel (second from the left, back row), is a nurse educator and is shadowing Ferenc, one of the European Resuscitation Council’s senior educators (sixth from the left, back row), and learning how to be a GIC educator.

It was an intense 2 days, mainly of educational updates but we had also been asked for some neonatal clinical updates so the material was interspersed with talks on jaundice, seizure management and CPAP, skills workshops on umbilical venous catheterisation and intraosseous needles as well as an evidence based discussion on the merits and dangers of cooling babies with ischaemic encephalopathy (early brain injury due to being without adequate oxygenation for an extended period around the time of birth) in low- and middle-income countries.

These professionals are the front line workers who will drive change in their health care facilities; they are driven by a need to make things better for new born babies in their country and to reduce neonatal mortality. Training and encouraging them as instructors of the Neonatal Care Course empowers them to initiate new practices at the coal face and hopefully effect long term changes for the good of the families they serve.

Empowering local healthcare staff

Mme Ngome Vivian, recently trained NCC instructor, returned to her health facility and delivered training on the oxygen concentrator

The Neonatal Care Course is a short, stand alone course on the care of the newborn baby in the first 28 days of life but the ripple effects of the training are far-reaching. NICHE believes that training local instructors leads to this sort of – hopefully long lasting – empowerment. Many oxygen concentrators are abandoned or broken because they are poorly maintained or not fully understood. Here, Vivian is teaching staff at Nkoabang Baptist Health Centre how to look after this vital piece of equipment.

Nkoabang Baptist Health Centre, 15 miles outside of Yaoundé, Cameroon

The transcript below is Vivian’s WhatsApp message to Grace in Cameroon, delighted that a baby’s oxygen saturations came up so demonstrably after she had overhauled the concentrator and got it working again:

[5:00 pm, 25/05/2022] NDZE GRACE BONGBAN: Greetings to everyone in the house above is my first presentation on oxygen concentrator to the staff body in Nkoabang Baptist health center infact i really thank Ma Grace and Daddy Justin Fombe for the knowledge I have rescued a patient’s life today we had a patient whose saturation stood at 88 just from cleaning changing distilled water, positioning and ventilation saturation is now 91 dear colleagues let’s pass this knowledge to safe lives on another positive note i emphasized on the need for a projector and we bought one to facilitate teaching
[5:00 pm, 25/05/2022] NDZE GRACE BONGBAN: Also did a presentation to MCH Staff today on convulsion and there was a lot of learning
[5:00 pm, 25/05/2022] NDZE GRACE BONGBAN: We keep on putting our knowledge into practice and results will be visible

Today is International women’s day

Dr Alison Earley

It’s a day for dressing up in much of the world, a day to celebrate the work women do to make the world go round, a day of empowerment. The picture here is of Cameroonian women on International Women’s Day in 2018, learning how to resuscitate babies dressed in their International Women’s Day material that they make into powerfully beautiful dresses every year. We should make more of it in the UK really.

There are many achievements to celebrate on International Women’s Day, but we mustn’t forget that in resource poor areas of the world, maternal mortality (death related to pregnancy and childbirth) is still 5 – 10 times higher than in richer countries.

Many mothers still give birth in unclean or unsafe places, and without skilled help or adequate facilities.   This has a direct result on the survival of their babies; two of the leading causes of neonatal mortality are infection and intra-partum related events.

Education for healthcare workers and sustainable improvements in maternal and newborn care are the key to improving this situation.   NICHE International has a mission to improve the care of newborn babies, by the training we give and by supporting nurses, doctors and midwives to maintain their skills and improve the care they give to mothers and babies.

Training (predominantly female) nurses and midwives to be instructors on the Neonatal Care Course (NCC) empowers them to “Choose to Challenge” and make changes to their own healthcare systems from the bottom up.