Global Health Nursing & Midwifery

Dear Debra,
How could we extend these technological innovations to other low resource countries like Nigeria. Although I am a currently a physician, before attending medical, I trained and worked as a nurse and midwife in Nigeria and the United States for many years . I consider myself as a nurse and midwife first and identify strongly with the causes of the nurses and midwives. My interest is in strengthening the health system in Nigeria through improved training for nurses and midwives.
I would appreciate your imput on how we could extrapolate these innovations to improve health services especially in Sub-Saharan Africa countries.
Sincerely,
Adanze Aguwa MD, BS, RN, MD
313 525 6718

Dear Adanze,

I'm so glad to hear that you think these videos will be useful to health workers in low resource setting -- because this is exactly our target audience. These were shot in Nigeria, the Dominican Republic, and India (a short clip) -- and they are free-of-charge to be downloaded to mobile devices and laptops. We realize many regions of the developing world don't yet have the technological capacity to view them in remote clinics -- but even now, they can be used as complementary training tools in preservice and inservice education in classrooms and workshops. Health workers that do have computers or tablets can take them on USB key.

We see the most promising technology so far to be their use on mobile phones with video capability. We shoot the videos specifically for the small screens of mobile phones. HealthPhone (India), working with UNICEF and the Indian government, will be distributing our videos on a memory card in mobile phones—this initiative has the potential to give more than two million health workers access to visual training tools in 15 Indian languages without the need for internet connectivity. There are mobile phones now that also have projector capability so ...

Dear Adanze,

I'm so glad to hear that you think these videos will be useful to health workers in low resource setting -- because this is exactly our target audience. These were shot in Nigeria, the Dominican Republic, and India (a short clip) -- and they are free-of-charge to be downloaded to mobile devices and laptops. We realize many regions of the developing world don't yet have the technological capacity to view them in remote clinics -- but even now, they can be used as complementary training tools in preservice and inservice education in classrooms and workshops. Health workers that do have computers or tablets can take them on USB key.

We see the most promising technology so far to be their use on mobile phones with video capability. We shoot the videos specifically for the small screens of mobile phones. HealthPhone (India), working with UNICEF and the Indian government, will be distributing our videos on a memory card in mobile phones—this initiative has the potential to give more than two million health workers access to visual training tools in 15 Indian languages without the need for internet connectivity. There are mobile phones now that also have projector capability so the videos can be viewed on a bigger "screen." Some of our videos will be adapted to the needs of mothers and caregivers -- so this type of viewing device can be used in teaching after delivery or in waiting rooms.

We hope to have the videos narrated in other languages and would be interested in collaborating with organizations or Ministries of Health to expedite that work.

We have ~ 25 more newborn videos in the pipeline and will then move on to other key global health topics. We're grateful for any feedback, especially from those using the videos with frontline health workers.

kind regards,

Deb

Deborah Van Dyke, Director
Global Health Media Project
802-496-7556

Dear Debra,
Thanks for replying. I am please to hear that the setting for some of these videos were Nigeria. I can imagine how much of the topics are intergrated into the health care workers training in the country itself. My experience is that most of the health care workers are deficient in the basic nursing skills. Our non- profit would like to collobrate with you to expedite introducing these videos into Nigeria. Send me your private email for us to connect.
My email is .
Best regards
Adanze.

Thanks Adanze. I'm happy to provide it:

regards,

Deb

Deborah Van Dyke, Director
Global Health Media Project
802-496-7556

Dear Deborah,

I view the video on gastric tube feeding so beautiful and educative and i
have some questions.
My question are listed below:

- As for a neonate who is to be fed via gastirc tube, which is the most
prefare way of feeding? Nasogatric or orogastric?
- Is the tube ought to be lubricated or not?
- Any one in contact with a new born should have his or her nail cut.

Lawal Olubunmi
Paediatric Nurse
National Hospital Abuja
Nigeria.
+2348034907554.

Hi Lawal,

I'm so glad to hear that you liked the video. I've answered your questions below.

1. As I understand, either route is fine, though I see more providers using the nasal route. The video mentions to put the tube in a nostril if the baby is breathing easily; and put it in the mouth if he has breathing problems, if the stomach needs to be drained, or if you don’t have a very narrow tube. Besides those reasons the oral route has been shown to not interfere with feeding, and cause less nasal edema/obstruction. I hear the oral route is being used more commonly in neonatal units in the developed world.
2. Lubricating the tube is optional and water would be fine for that.
3. Yes, good hand hygiene, including short nails is important for health workers in contact with newborns.

I hope that helps.

All the best,

Deb

Hi,
Thank you for your response. Nursing is science and evidence base.
Neonate are obligatory nasa breather, which implies that they can not
breath else where rather than the nostriles.
If not for giving oxygen, is much better to feed neonate via orogastric in
order not to occlude the small orifices.

In any case, if we are using the nasal route, is good to lubricate because
of the mucosal lining, for easy passage and avoidance of bleeding/adhension.

Lawal Olubunmi.