利比里亚|概述
质量改进并帮助婴儿在利比里亚农村呼吸
挑战：利比里亚的新生儿死亡率为2017年每千只活产25次，这是世界上最高的。系统和质量差距是导致孕产妇和新生儿结果不佳的主要因素。了解质量改进（QI）策略可以帮助克服这些差距。
Where We Started
欧宝彩票平台波士顿儿童医院与Partners in Health在PIH支持的地区医院和医疗中心，提供新生儿复苏培训，称为Helping Babies Breathe。教授儿科和孕妇护士，护理助手，社区卫生工作者和助产士。波士顿儿童和PIH员工还提供了质量改进研讨会，以使员工熟悉质量改进的策略。在儿科和产妇病房中提供了指导，以帮助与当地护理人员一起加强护理实践。
我们的影响
向32名参与者提供了动手培训，他们都成功完成了培训课程。J.J.的儿科和产妇病房开始了几项质量改进计划。哈珀的多森医院。
前进
团队将在参与者制定和实施质量改进项目时继续为他们提供支持，并继续支持J.J.开发NICU的计划。多森医院，包括向那里的护理人员提供指导。目前，帮助婴儿呼吸训练正在扩展到其他地区医院。
Contact
全球护理研究员Deb O’Dowd
Building a Pediatric Workforce
挑战
利比里亚在儿科医疗和护理中严重意义不足。目前，该国拥有超过200万儿童，只有11名儿科医生。
Where We Started
Over the past 12 years, Boston Children's has worked with partners in Liberia to create and implement a pediatric residency training program to generate the only nine Liberian-trained pediatricians. Now that the program is established, the partnership focuses on extending the reach of high-quality pediatrics to other facilities and into the community to support newborn care at clinics and the development of nutrition programs.
我们的影响
在一起,波士顿儿童和利比里亚pediatrics department has successfully trained the country’s first nine pediatricians. The partnership has expanded to collaborate with theAfrican Federation for Emergency Medicineto pilot a curriculum for nurses and physicians in pediatric emergency care that will be able to be used all over Africa to train other providers.
Moving Forward
Over the next year, nurses from the Boston Children’s Global Health Nursing Fellowship will be working with nurses and midwives in Liberia to implement nurse training curriculums in general pediatric and NICU care, to try to reduce the high neonatal mortality rate both at the hospital and in the referral clinics and health centers.
Contact
Michelle Niescierenko, Global Health Program Director and Pediatric Emergency Medicine Attending
Cash to Improve Dietary Diversity: A Cluster Randomized Trial
挑战
利比里亚有超过230,000名患有慢性营养不良的儿童，5岁以下的儿童受阻（遭受增长和发展受损）。饮食多样性不足与2岁以下儿童的发育迟缓有关，以改善饮食多样性的干预措施以防止发育迟缓，包括发育受损和减少未来的经济收入。
Where We Started
与之合作UNICEF Liberia，利比里亚卫生部和国家利比里亚国家公共卫生研究所，波士顿儿童团队开发了一项群集随机试验，以通过社区健康助理来评估现金转移和营养教育计划的功效，以提高饮食多样性并改善健康状况利比里亚大吉德县6至23个月大的儿童。
Moving Forward
A multi-pronged interventional package aimed at strengthening the household environment may result in improved dietary diversity for young children. Such programming may serve as a model for governmental and non-governmental organizations working in childhood nutrition in resource-limited settings.
Contact
Chris Rees, Pediatric Emergency Medicine and Global Health Fellow; Michelle Niescierenko, Global Health Program Director and Pediatric Emergency Medicine Attending
Saving Healthcare Workers’ Lives in Liberia
埃博拉疫情在利比里亚的开始in the spring of 2014 and by June 2015 had claimed more than 4,800 lives. Tragically, many frontline health care workers (HCWs) were affected, with over 390 cases and 189 fatalities reported in Liberia. The Ebola outbreak severely strained Liberia’s healthcare system that was still improving post-war. Beginning in the fall of 2014, Dr. Michelle Niescierenko, working with the Academic Consortium Combating Ebola in Liberia (ACCEL) and the Liberian Post Graduate Medical Council (LPGMC), implemented an Emergency Infection Prevention and Control (IPC) training, mentorship, supply, and quality improvement intervention to stop the spread of Ebola. The program acquired Personal Protective Equipment (PPE) and disseminated the gear to health care workers in Liberian governmental hospitals accompanied by training on proper use. The project’s core intervention was the development of teams of Liberian physician and nurse trainers who worked with midwives, water/sanitation technicians, and psychosocial support/social mobilization providers to educate health care workers. The teams used the Liberian Ministry of Health and Social Welfare-endorsed “Keep Safe, Keep Serving” training package to provide education about Ebola safety techniques for health care workers and patients. They also implemented elements of water/sanitation infrastructure improvement, community engagement, and social mobilization. The ACCEL teams delivered the “Keep Safe, Keep Serving” training to more than 2,800 health facility staff at Liberia’s 21 government hospitals. They imparted training, provided a three-month supply of PPE, and conducted water and sanitation quality improvement projects, completing more than $221,000 in water and sanitation infrastructure improvements. Through these interventions the ACCEL emergency IPC teams were able to raise hospital safety scores from an unacceptable 56 percent to a positive 82 percent, supporting the safe operation of Liberian hospitals during the Ebola Outbreak and beyond.