Surveys of hospitals in Ethiopia have found large shortages of doctors, nurses and midwives who are trained in neonatal resuscitation. This shortage has led to countless deaths of newborns in their first week of life that could have been prevented if personnel skilled in neonatal resuscitation had been available. At present, a person trained in these life-saving skills is only available at 10% of the births. For this and related reasons, the Ethiopian Ministry of Health (MOH) has named pre-service and in-service training in neonatal resuscitation (NRP) and essential newborn care (ENC) as one of their strategic goals.
The College of Medicine and Health Sciences of the University of Gondar is the major referral center for the surrounding region and has 5000 deliveries at their Hospital every year. The neonatal nursery has an average daily census of 20 infants.
Learning about this significant need, a team of doctors from the United States, working with personnel at the University of Gondar and Rotarians in Ethiopia have put together a 2-year Training of Trainers Program in neonatal resuscitation and care of the newborn after resuscitation. The goal is to alleviate the critical shortage of instructors in these life-saving techniques at the University of Gondar and potentially at other medical universities throughout the country.
The team leader and her colleague Pediatrician have written a thoroughly inclusive Plan of Action, based on extensive research in the subject Country. This program provides for a three-part program lasting two years in which the San Diego Instructor Group will train 16 members from the U of Gondar College of Medicine and Health Sciences to become instructors in neonatal resuscitation (NRP) and 16 instructors in the care of the newborn after resuscitation (ENC). This 2-year program is further broken down into three well-defined parts taking place during the 2-year period. The result will be 32 New Instructors who will train up to 416 providers during the course of this same 2-year period. A more complete recitation of the training methodology which includes sustainability of this Program can be seen in the document section of this Grant.
An outline budget, a copy of which is on the document page, shows that approximately $20,000 of the prepared budget for the Program covers the direct costs of medical teaching equipment and supplies; $35,000 is for course costs for training; with an allowance of $43,000 required for travel expense of the trainers who will come from the United States on 4 separate occasions during the 2-year training period, and $10,000 contingency covering all categories . All training will be carried out at the University of Gondar Medical School where San Diego Instructors and Gondar University are providing Matching and In-Kind Costs of approximately $110,000 -- bringing the value of this Grant project to being worth nearly $220,000.
The project has scheduled the first training to occur in Gondar, Ethiopia beginning February 2015 with successive training trips at approximate six month intervals. Communication with team members and participants here and in Gondar will be continuous throughout the project via email and telecommunication. Medical equipment which requires special ordering will be purchased prior to travel. For this reason, Application for this project, #1525173 has been completed and is ready to be sent to TRF upon authorization of the District DDF.
Completed
This project is "Completed". This means the project has been implemented and the report was accepted by The Rotary Foundation. The project will stay listed on this website as a testimony of the achievements of the project partners.
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History Log Entries
13-Aug-14
System Entry
Creation of project page.
14-Aug-14
System Entry
Pledge of $5,000 with $5,000 DDF by Steve Brown of the Rotary Club of La Jolla Golden Triangle, District 5340.
30-Aug-14
by Peggy Martin
Mr. Yoshikazu Ihashi, DRFC of D2770 has made a donation from District 2770 of DDF $15,000 DDF to this project.
31-Aug-14
System Entry
Pledge of $15,000 DDF by Makoto Ihara of the Rotary Club of Saitama Shintoshin, District 2770.
4-Sep-14
System Entry
Pledge of $2,000 with $2,000 DDF by Wayne Cusick of the Rotary Club of Blythe, District 5340.
22-Sep-14
System Entry
Pledge of $1,500 with $1,500 DDF by Doug Clements of the Rotary Club of Valley Center, District 5340.
22-Sep-14
System Entry
Project is now "Fully Pledged".
16-Oct-14
by Marge Cole
The District 5340 Rotary Foundation Committee approved this grant at its October 13, 2014 Committee meeting and awarded $13,500. in DDF to the grant. The Global Grant may proceed to application with The Rotary Foundation.
21-Nov-14
by Peggy Martin
Grant application has been authorized and submitted to TRF for approval. All parties are requested to be prepared to send their contributions for GG#1525173 to TRF within a short time.
17-Dec-14
System Entry
Application Sent to The Rotary Foundation through Member Access.
17-Dec-14
System Entry
Application approved by The Rotary Foundation.
28-Dec-14
by Peggy Martin
All pledged funds should now have been sent to TRF marked for Grant #1525173. RCDel Mar funds were sent 12/22/2014.
4-Mar-15
by Peggy Martin
The first Team Training trip to the College of Medicine and Health Sciences in Gondar, Ethiopia took place during February and was deemed highly successful with 84 Ethiopian health care professionals receiving certificates as newly trained NRP providers. A second trip is scheduled for October 2015.
4-Mar-15
System Entry
Payment has been issued by The Rotary Foundation.
2-Oct-15
by Peggy Martin
Second training trip successfully completed September 10-28. Next training to be in April 2016
31-Jan-16
by Peggy Martin
Interim Report, authorized by both Presidents, submitted Jan 22,2016
30-Apr-16
by Peggy Martin
A detailed summary, including pictures, of the VTT 3rd training trip to Univ. of Gondar Medical Hospital, in April 2016, has been uploaded on the Documents sheet.
29-Sep-16
by Peggy Martin
The fourth training trip scheduled for October 2016 has been postponed due to civil unrest in Gondar. Project remains on track despite this upset in plans.
12-Apr-17
by Karin Davies
During the period of Civil Unrest in Ethiopia our colleagues at the University of Gondar Hospital have continued to teach classes in neonatal resuscitation and post-resuscitation care of seriously ill newborns. To date they have taught over 600 providers of these life-saving skills. The country has remained calm for the several months and we have rescheduled our 4th VTT trip in May of this year. We will help our colleagues develop an instructor training program to teach new instructors to replace those instructors who have moved on. We will also help them develop a refresher course for all providers to help maintain and to update skills as recommendations changes well as to continue development ofteamwork and effective communication skills.
8-May-17
by Karin Davies
The fourth and final VTT trip for GG 1525173 is scheduled May 25 through June 11, 2017. The goals of this trip are to train our colleagues to teach teacher-training courses in newborn resuscitation and post-resuscitation care of seriously ill newborns. In addition we will help them develop a refresher course to ensure maintenance of skills and to update current practices. We plan to teach a neonatal skills seminar focusing on surgical emergencies in the newborn and a practicum in teamwork and communication using the TeamSTEPPS model. If all goes as planned we hope to be abl to close the grant by June 30, 2017.
1-Jul-17
by Karin Davies
The 4th and Final VTT trip for GG1525173 took place May 25 through June 10 2017. The trip focused on training current instructors to train new instructors to teach neonatal resuscitation and post resuscitation care of seriously ill newborns to medical, nursing,and midwife students, interns, Residents and hospital staff. The VTT also conducted training programs in advanced neonatal skills and communication and teamwork using the TeamSTEPPS model. The trip was very successful and we are currently awaiting final financial documentation before closing the grant.
7-Aug-17
by Karin Davies
System Entry: Final Report sent to The Rotary Foundation.
2-Oct-17
by Karin Davies
System Entry: Final Report approved by The Rotary Foundation.
