National Collaborative Perinatal Neonatal Network (NCPNN)
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Events / Past Events

NCPNN regional bi-Annual meetings:

Trainings:

Neonatal Resuscitation Program (NRP):

Other:































NCPNN Regional Bi-Annnual Meeting - 2011

Date: March 31, April 1 and April 2, 2011.
Place: Le Bristol Hotel

Please click here to view the agenda of the conference and the poster.

Topics

Maternal Related

  • Towards improving maternal outcomes in pregnancy
  • Maternal Near Misses
  • Preconception Care
  • Cord Blood Banking: Pros and Cons

Newborn Related

  • Environmental toxins: Fetal Effects
  • Neuroprotective effect of Magnesium sulfate
  • Burden of Prematurity
  • Total Body cooling in Hypoxic Ischemic Encephalopathy
  • Head cooling in Hypoxic Ischemic Encephalopathy
  • Neuro protection: future directions
  • New/Update on Neonatal Resuscitation Guidelines
  • Oxygen toxicity: new insights
  • PPHN: New perspective, new approach?
  • NIH guidelines for iNO use in premature infants
  • Protective Lung Ventilation Strategies
  • Probiotics for infants and young children
  • Nutritional challenges in short gut and NEC
  • Workshop: Ventilator management of sick newborns

Parallel Nursing Sessions in:

  • Identification and Safety
  • The late Preterm
  • Breastfeeding the preterm infant
  • Challenges of Discharge planning
  • Identification of a baby in distress
  • Nursing interventions to prevent neonatal distress
  • Developmental Care & Parental Involvement
  • Updates in Neonatal Care

Other Topics

  • Networking, Surveillance, and Quality Improvement
  • Health Reform Strategies
  • Updates on the NCPNN activities

For Registration, please click here.

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Regional Workshop and Biannual Meeting 2008

Objectives

  1. Biannual Meeting and 10th anniversary: November 21, 2008

  • Highlight Millennium Development Goals 4 & 5 all related to Maternal Child Health Maternal and neonatal mortality in the developing world and the need for intervention.
  • Discuss some of the hot topics in perinatal neonatal medicine.

Regional Workshop (Regional Collaboration): November 22, 2008

  • Discuss the maternal and neonatal Health Status in the Eastern Mediterranean Region highlighting the importance of a network
  • Present the NCPNN experience as a unique model of a network in Lebanon and the region.
  • Disseminate new results from the NCPNN
  • Discus the role of epidemiology as a tool for Surveillance
  • Initiate a Regional Network with Colleagues from Jordan, UAE, Bahrain, Yemen, KSA, Qatar, and Palestine.

This meeting is attended by WHO officials from Geneva, EMRO (Cairo), and Lebanon. Also present is the March of Dimes (MOD) and the Cenetr for Disease and Control (CDC) from the United States, physicians from the region in addition to physicians, nurses, public health specialists, and NGO’s from Lebanon.

Agenda

Kindly click here to view the agenda. (PDF Format)

Presentations

N.B. : The files below are in PDF Format.

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National Collaborative Perinatal Neonatal Network Annual meeting 2006

Purpose

  • Discuss the impact of surveillance systems on health care in Lebanon and the region
  • Present the NCPNN experience as a model of a network for Lebanon and for the region
  • Discuss maternal and neonatal health status in the EMR
  • Discuss newborn screening programs.

Agenda

Kindly click here to view the agenda. (PDF Format)

Presentations

N.B. : The files below are in PDF Format.

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National Workshop on Promoting Maternal and Perinatal Health in Lebanon: Collaborative Networking of Perinatal Neonatal Care

Purpose

  1. To discuss the relevance of a collaborative maternal neonatal network in a developing country and its impact on health care (with the NCPNN as an example)
  2. To disseminate the results of the first year of life prospective cohort study entitled “A study on morbidity and mortality among newborn babies, infants and under five year old children in Greater Beirut – Lebanon: The first year of life”.

Agenda

Kindly click here to view the agenda. (PDF Format)

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Regional Training Workshop I, II, and III in collaboration with WHO

Objective

The objective of this activity is to train nurses and midwives from the East Mediterranean Region (EMR) on the surveillance techniques of the National Collaborative Perinatal Neonatal Network (NCPNN) and give them a general overview on epidemiology. A major objective was also to train these professionals on the newly developed NCPNN software for electronic data submission.

Activities

The activities of the workshops included lectures on the different techniques of surveillance, its importance, and the urgent need for networking to achieve well-established health statistical information systems in our region. The presenter also gave an update on some perinatal and neonatal indicators from the NCPNN database to emphasize on the importance of having accurate data that will help understand the severity of the problems our developing countries have and be able to set priorities and interventions.  Some basic interpretation on the epidemiology and study designs was also presented to help trainees interpret numbers and differentiate between the various study designs. The workshops included also discussions on quality improvement, all possible pitfalls in data collection and their proposed solutions, difficulties some nurses might face in their own countries, and the database management lifecycle at the coordinating center that includes how to manage the data entered to the NCPNN database, data checking, data cleaning, and data analysis. An applied session on birth defects was introduced in the third workshop to train participants on the various birth defects observed in the region.
















Training Workshop I

Date: February 20 and 21, 2009.
Place: American University of Beirut Medical Center, Beiut - Lebanon

Agenda

Kindly click here to view the agenda of training workshop I. (PDF Format)

Participating Countries

Three countries participated in these training workshops:

  • Bahrain
  • Jordan
  • Yemen

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Training Workshop II

Date: August 17 and 18, 2009.
Place: American University of Beirut Medical Center, Beiut - Lebanon

Agenda

Kindly click here to view the agenda of training workshop II. (PDF Format)

Participating Countrues

Four countries participated in these training workshops:

  • Bahrain
  • Kuwait
  • Palestine
  • Yemen

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Training Workshop III

Date: April 5 and 6, 2011.

Place: American University of Beirut Medical Center, Beiut - Lebanon

Agenda

Kindly click here to view the agenda of training workshop III. (PDF Format)

Participating Countries

Four countries participated in these training workshops:

  • Kuwait
  • Qatar
  • Syria
  • Palestine

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Neonatal Resuscitation Program (NRP) Training Workshop I - Training of Trainers

Course Description

  • Outlining the importance of implementing the neonatal resuscitation program in Lebanon
  • Training health care personnel to become certified as trainers to give the course atthe member health institutions of the NCPNN in Lebanon, urban and rural, on neonatal resuscitation.
  • Aiming to decreasing in-hospital neonatal mortality rates at the member health institutions of the NCPNN in Lebanon.
  • Demonstrating the practice of resuscitation upon different scenarios.
  • Focusing on: following the diagram of resuscitation, practicing the initial steps, initiating positive pressure ventilation, coordinating positive pressure ventilation and chest compression, giving medications, endotracheal suction for meconium stained amniotic fluid, and working as a team during resuscitation.

Agenda
Kindly click here to view the agenda.

(PDF Format)

Place: Gefinor Rotana Hotel - Beirut

Course Evaluation

  • Knowledge evaluation was done before and after the workshop (pre-test/post-test), and the percent improvement was calculated to be 15%.
  • The hands-on skills evaluation was done according to the “Mega-code Assessment Form”.
  • A course evaluation/feedback form was asked to be rated on the following objectives: the content organization and clarity, the speaker’s knowledge on the topic, the materials applicability, the scenarios and practice tables usefulness, the information usefulness, and the environment conductivity. Most of the participants rated maximum ratings.

Photos

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Neonatal Resuscitation Program (NRP) Training Workshop II - Training of Providers

Course Description

  • To train local health care providers (including midwives) in the Area in Lebanon on neonatal resuscitation.
  • Aiming to decreasing in-hospital neonatal mortality rates at the member health institutions of the NCPNN in Lebanon.
  • Demonstrating the practice of resuscitation upon different scenarios.
  • Focusing on: following the diagram of resuscitation, practicing the initial steps, initiating positive pressure ventilation, coordinating positive pressure ventilation and chest compression, giving medications, endotracheal suction for meconium stained amniotic fluid and working as a team during resuscitation.

Agenda

Kindly click here to view the agenda. (PDF Format)

Place: Kadri Grand Hotel - Zahle, Bekaa

Course Evaluation:

  • Knowledge evaluation was done before and after the workshop (pre-test/post-test), and the percent improvement was calculated to be 14%.
  • The hands-on skills evaluation was done according to the “Mega-code Assessment Form”.
  • A course evaluation/feedback form was asked to be rated on the following objectives: the content organization and clarity, the speaker’s knowledge on the topic, the materials applicability, the scenarios and practice tables usefulness, the information usefulness, and the environment conductivity. Most of the participants rated maximum ratings.

Photos

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Neonatal Resuscitation Program (NRP) Training Workshop III - Training of Providers

Course Description

  • To train local health care providers (including midwives) in the North Area in Lebanon on neonatal resuscitation.
  • Aiming to decreasing in-hospital neonatal mortality rates at the member health institutions of the NCPNN in Lebanon.
  • Demonstrating the practice of resuscitation upon different scenarios.
  • Focusing on: following the diagram of resuscitation, practicing the initial steps, initiating positive pressure ventilation, coordinating positive pressure ventilation and chest compression, giving medications, endotracheal suction for meconium stained amniotic fluid, and working as a team during resuscitation.

Agenda

Kindly click here to view the agenda. (PDF Format)

Place: Quality Inn Hotel - Tripoli, North

Course Evaluation:

  • Knowledge evaluation was done before and after the workshop (pre-test/post-test), and the percent improvement was calculated to be 19.6%.
  • The hands-on skills evaluation was done according to the “Mega-code Assessment Form”.
  • A course evaluation/feedback form was asked to be rated on the following objectives: the content organization and clarity, the speaker’s knowledge on the topic, the materials applicability, the scenarios and practice tables usefulness, the information usefulness, and the environment conductivity. Most of the participants rated maximum ratings.

Photos

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Neonatal Resuscitation Program (NRP) Training Workshops IV - Training of Providers

Course Description

  • To train local health care providers (including midwives) in the South Area in Lebanon on neonatal resuscitation.
  • Aiming to decreasing in-hospital neonatal mortality rates at the member health institutions of the NCPNN in Lebanon.
  • Demonstrating the practice of resuscitation upon different scenarios.
  • Focusing on: following the diagram of resuscitation, practicing the initial steps, initiating positive pressure ventilation, coordinating positive pressure ventilation and chest compression, giving medications, endotracheal suction for meconium stained amniotic fluid, and working as a team during resuscitation.

Agenda

Kindly click here to view the agenda. (PDF Format)

Place: Al-Arabi Restaurant - Sidon, South

Course Evaluation

  • Knowledge evaluation was done before and after the workshop (pre-test/post-test), and the percent improvement was calculated to be 20.8%.
  • The hands-on skills evaluation was done according to the “Mega-code Assessment Form”.
  • A course evaluation/feedback form was asked to be rated on the following objectives: the content organization and clarity, the speaker’s knowledge on the topic, the materials applicability, the scenarios and practice tables usefulness, the information usefulness, and the environment conductivity. Most of the participants rated maximum ratings.

Photos

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Neonatal Resuscitation Program (NRP) Training Workshops V - Training of Providers

Course Description

  • To train nursers and residents at the American University of Beirut Medical Center on neonatal resuscitation.
  • Aiming to decreasing in-hospital neonatal mortality rates at the member health institutions of the NCPNN in Lebanon.
  • Demonstrating the practice of resuscitation upon different scenarios.
  • Focusing on: following the diagram of resuscitation, practicing the initial steps, initiating positive pressure ventilation, coordinating positive pressure ventilation and chest compression, giving medications, endotracheal suction for meconium stained amniotic fluid, and working as a team during resuscitation.

Place: Amercian University of Beirut Medical Center - Beirut

Course Evaluation

  • Knowledge evaluation was done before and after the workshop (pre-test/post-test), and the percent improvement was calculated to be 12.8% for third year pediatric residents and 10% for Neonatal Intensive Care Unit nurses.
  • The hands-on skills evaluation was done according to the “Mega-code Assessment Form”.
  • A course evaluation/feedback form was asked to be rated on the following objectives: the content organization and clarity, the speaker’s knowledge on the topic, the materials applicability, the scenarios and practice tables usefulness, the information usefulness, and the environment conductivity. Most of the participants rated maximum ratings.

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Neonatal Resuscitation Program (NRP) Training Workshop VI - Training of Providers

Two workshops were held on March 7, 2009 and March 28, 2009 for 53 health care professionals from dirrerent health care institutions in Greater Beirut Area.

Course Description

  • To train local health care providers (including midwives) in the Greater Beirut Area in Lebanon on neonatal resuscitation.
  • Aiming to decreasing in-hospital neonatal mortality rates at the member health institutions of the NCPNN in Lebanon.
  • Demonstrating the practice of resuscitation upon different scenarios.
  • Focusing on: following the diagram of resuscitation, practicing the initial steps, initiating positive pressure ventilation, coordinating positive pressure ventilation and chest compression, giving medications, endotracheal suction for meconium stained amniotic fluid, and working as a team during resuscitation.

Agenda

Kindly click here to view the agenda. (PDF Format)

Place: Gefinor Rotana Hotel - Beirut

Course Evaluation:

  • Knowledge evaluation was done before and after the workshop (pre-test/post-test), and the average percent improvement was calculated to be 27.65% for the first workshop: 26.14% for Nurses and Midwives, and 28.46% for MDs. The average percent improvement for the second workshop was calculated to be 15%: 17.36% for Nurses and Midwives, and 12.7% for MDs.
  • The hands-on skills evaluation was done according to the “Mega-code Assessment Form”.
  • A course evaluation/feedback form was asked to be rated on the following objectives: the content organization and clarity, the speaker’s knowledge on the topic, the materials applicability, the scenarios and practice tables usefulness, the information usefulness, and the environment conductivity. Most of the participants rated maximum ratings.

Photos

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Consultative meeting for strengthening maternal, perinatal and neonatal health surveillance systems in the Eastern Mediterranean Region

The World Health Organization - EMRO has organized this meeting in collaboration with the NCPNN.

Time: October 28-30, 2010
Place: Golden tulip Hotel

Objectives

Share information and experiences on existing maternal, perinatal, and neonatal surveillance systems in countries of the Region Determine the required steps for establishing an integrated maternal, perinatal and neonatal surveillance system under the umbrella of a collaborative network among private and public health care institutions in the Region, and Identify appropriate mechanisms and actions for operating the established network and utilizing its generated data in the participating countries and the Region for formulating supportive maternal and newborn health policies; implementing evidence-based interventions; and conduct relevant research activities.

Participants

Health Care Professionals from:

  • Bahrain
  • Iraq
  • Jordan
  • Kuwait
  • Lebanon
  • Palestine
  • Saudi Arabia
  • Syria
  • United Arab Emirates
  • Republic of Yemen
  • United Nations Population Fund (UNFPA)
  • United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA)
  • Royal College of obstetricians and Gynecologists
  • Centers for Disease Control and Prevention
  • Aga Khan Foundation

Conclusions

Continuing discrepancies in maternal and neonatal health data at the country, regional and global levels lead to uncertainty and inadequate response to maternal and neonatal health needs. Insufficient reporting, surveillance and information systems, and poor quality of available data, jeopardize national efforts aiming at improving maternal and neonatal health. Poor utilization of already available data in decision making and planning is hampering efforts for improving maternal and neonatal health and is resulting in inefficient use of already scarce resources. The participants acknowledged the urgent need for introducing effective and sustainable maternal and neonatal health surveillance systems. Successful maternal, perinatal and neonatal health surveillance systems demonstrated by some countries and UNRWA, serve as role model to other interested Member States. Existence of parallel service delivery systems of multiple governmental sectors in addition to public and private health care sectors jeopardizes efforts in sandardization of health service quality assurance. Health surveillance systems in Member States are at different levels of development, ranging from nascent and fragmented data collection to operational advanced computerized ones. Populations that mainly rely on the private sector and other non-public health services are usually not included by the national health information system limits representativeness of health data available in most Member States.

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Dissemination Workshop in Collaboration with UNICEF and Ministry of Health

Objective

The objectives of the dissemination workshop are:
1) To shed a light on the current state of pregnant women and their neonates in Lebanon
2) To compare available data from the different available sources including hospital based surveillance systems and national household surveys: National Perinatal Survey (1999-2000), MICS II 2000, PAPFAM 2004 and NCPNN 2001-2007.
3) To identify and discuss gaps in data availability and accuracy
4) To share this data with stakeholders and policy/decision makers
5) To identify areas of priorities for future national interventions

Agenda

Kindly click here to view the agenda. (PDF Format)

Date: Tuesday April 28, 2009

Time: 8:30 am - 2:00 pm

Place: Gefinor Rotana Hotel

Participating Institutions

Four institutions participated in this dissemination workshop:

  • Ministry of Public Health
  • Central Administration for Statistics
  • Epidemiological Surveillance Unit
  • National Collaborative Perinatal Neonatal Network

Activities

Approximately thirty public health professionals from different public, private and academic health institutions.

The workshop started with an opening speech by Dr. Walid Ammar, the director general of the ministry of public health who introduced all the participating institutions and hoped that this workshop will result in a fruitful discussion to reach a consensus on the suitable methodology that will provide accurate data. Accordingly, Dr. Ammar stressed on the importance of specifying the areas of priorities that is best for improving the state of maternal and child health in Lebanon.
Dr. Tutelian, the director general in the central administration of statistics, presented the PAPFAM data that was published in 2004 and the Multiple Indicator Cluster Survey II (MICS II) that was published in the year 2000. Dr. Nada Ghosn from the Epidemiological Surveillance Unit in the Ministry of Public Health presented the National Perinatal Health Survey published in 1999-2000. Dr. Loulou Kobeissi along with Ms. Reem El-Rafei presented the National Collaborative Perinatal Neonatal Network’s data for the years 2001 and up to 2007.
All the presentations revolved around the methodology used to collect and analyze data for each project in addition to the dissemination of the main perinatal and neonatal results. Presentations also included a brief background on each project and a listing of the major priorities for future interventions. Common discussed indicators include rates and the main causes of neonatal mortality, consanguinity, prenatal care, pregnancy related complications, maternal lifestyle, maternal obstetric history, mode of delivery, type of anesthesia used, prematurity, and others.
Dr. Mary Deeb, the president of the Lebanese Epidemiological Association, moderated the workshop and wrapped it up afterwards with a discussion on how to select and evaluate the different perinatal and neonatal sources of data available, the limitations and inadequacies of data sources and the challenges of health information systems in Lebanon. Dr. Deeb concluded with the need for a national agenda for health informatics in Lebanon that will facilitate the integration and utilization of data from different sources and will allow for the establishment of collective evaluation procedures.
Finally, the day was adjourned with a discussion session on the necessity of further discussing the surveys available for maternal and neonatal health in Lebanon.

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