Developing a culturally sensitive training program for recognition of hypoxic ischemic encephalopathy in rural India

Atul Malhotra, Michael C Fahey, Suzanne Miller, Graham Jenkin, JV Singh, Pawankumar Patil, Vishwajeet Kumar, Euan M. Wallace

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Birth asphyxia is a major cause of neonatal deaths in the developing world. The management of an asphyxiated infant includes effective resuscitation at birth and treatment of subsequent hypoxic ischemic encephalopathy (HIE). HIE is frequently under recognized in this setting and this contributes to early infant mortality and morbidity.

Methods: We present the evolution of a HIE recognition training program for rural India. The development of this program involved close community interaction, expert content analysis, and preparation and field-testing of a video education package.

Results: A 10-point assessment method was finalized (3 points for history, and 7 examination markers). An education workshop was developed which included prior assessment of knowledge, a video education package and a formal feedback form. The workshop was well received by the participants.

Conclusions: We believe that for the provision of supportive neonatal management or introduction of novel definitive therapies for HIE, the recognition program will be vital in low resource settings and needs to be integrated into the routine responsibilities of the local community health workers. This will ensure timely treatment and transfer of sick or high-risk infants to relevant health facilities and initiation of therapy.
Original languageEnglish
Number of pages4
JournalInternational Journal of Pediatric Research
Volume2
Issue number2
DOIs
Publication statusPublished - 2016

Cite this

@article{544e07da81b94fefa3cd926728f97606,
title = "Developing a culturally sensitive training program for recognition of hypoxic ischemic encephalopathy in rural India",
abstract = "Background: Birth asphyxia is a major cause of neonatal deaths in the developing world. The management of an asphyxiated infant includes effective resuscitation at birth and treatment of subsequent hypoxic ischemic encephalopathy (HIE). HIE is frequently under recognized in this setting and this contributes to early infant mortality and morbidity.Methods: We present the evolution of a HIE recognition training program for rural India. The development of this program involved close community interaction, expert content analysis, and preparation and field-testing of a video education package.Results: A 10-point assessment method was finalized (3 points for history, and 7 examination markers). An education workshop was developed which included prior assessment of knowledge, a video education package and a formal feedback form. The workshop was well received by the participants.Conclusions: We believe that for the provision of supportive neonatal management or introduction of novel definitive therapies for HIE, the recognition program will be vital in low resource settings and needs to be integrated into the routine responsibilities of the local community health workers. This will ensure timely treatment and transfer of sick or high-risk infants to relevant health facilities and initiation of therapy.",
author = "Atul Malhotra and Fahey, {Michael C} and Suzanne Miller and Graham Jenkin and JV Singh and Pawankumar Patil and Vishwajeet Kumar and Wallace, {Euan M.}",
year = "2016",
doi = "10.23937/2469-5769/1510024",
language = "English",
volume = "2",
journal = "International Journal of Pediatric Research",
issn = "2469-5769",
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number = "2",

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TY - JOUR

T1 - Developing a culturally sensitive training program for recognition of hypoxic ischemic encephalopathy in rural India

AU - Malhotra, Atul

AU - Fahey, Michael C

AU - Miller, Suzanne

AU - Jenkin, Graham

AU - Singh, JV

AU - Patil, Pawankumar

AU - Kumar, Vishwajeet

AU - Wallace, Euan M.

PY - 2016

Y1 - 2016

N2 - Background: Birth asphyxia is a major cause of neonatal deaths in the developing world. The management of an asphyxiated infant includes effective resuscitation at birth and treatment of subsequent hypoxic ischemic encephalopathy (HIE). HIE is frequently under recognized in this setting and this contributes to early infant mortality and morbidity.Methods: We present the evolution of a HIE recognition training program for rural India. The development of this program involved close community interaction, expert content analysis, and preparation and field-testing of a video education package.Results: A 10-point assessment method was finalized (3 points for history, and 7 examination markers). An education workshop was developed which included prior assessment of knowledge, a video education package and a formal feedback form. The workshop was well received by the participants.Conclusions: We believe that for the provision of supportive neonatal management or introduction of novel definitive therapies for HIE, the recognition program will be vital in low resource settings and needs to be integrated into the routine responsibilities of the local community health workers. This will ensure timely treatment and transfer of sick or high-risk infants to relevant health facilities and initiation of therapy.

AB - Background: Birth asphyxia is a major cause of neonatal deaths in the developing world. The management of an asphyxiated infant includes effective resuscitation at birth and treatment of subsequent hypoxic ischemic encephalopathy (HIE). HIE is frequently under recognized in this setting and this contributes to early infant mortality and morbidity.Methods: We present the evolution of a HIE recognition training program for rural India. The development of this program involved close community interaction, expert content analysis, and preparation and field-testing of a video education package.Results: A 10-point assessment method was finalized (3 points for history, and 7 examination markers). An education workshop was developed which included prior assessment of knowledge, a video education package and a formal feedback form. The workshop was well received by the participants.Conclusions: We believe that for the provision of supportive neonatal management or introduction of novel definitive therapies for HIE, the recognition program will be vital in low resource settings and needs to be integrated into the routine responsibilities of the local community health workers. This will ensure timely treatment and transfer of sick or high-risk infants to relevant health facilities and initiation of therapy.

U2 - 10.23937/2469-5769/1510024

DO - 10.23937/2469-5769/1510024

M3 - Article

VL - 2

JO - International Journal of Pediatric Research

JF - International Journal of Pediatric Research

SN - 2469-5769

IS - 2

ER -