20 February 2017
Since our last progress report, we have continued to work in close partnership with Kiwoko Hospital in central Uganda to provide exceptional evidence-based care to mothers and their newborns. This holistic care includes both primary and tertiary programmes. The Kiwoko Hospital neonatal intensive care unit (NICU) cared for over 1,000 babies in 2017 with an overall survival rate of 89%. In the past year, over 2,800 babies were delivered in the maternity ward, 6,000 mothers received antenatal care, and over 8,000 children received immunisations through the community based healthcare programme.
After 20 years of partnership with Kiwoko Hospital, Adara is now expanding its reach in Uganda, beginning in the Nakaseke district. In September 2017, we began providing clinical training and mentorship in newborn care at Nakaseke Hospital, a public health facility. We are providing technical assistance as the hospital develops a special care nursery to care for sick or premature newborns. Adara is offering guidance on logistics, staffing, equipment, supplies, and is providing expert training and mentorship in clinical care of newborns. We are currently working to engage other partners to expand this work throughout the country. This service delivery activity is providing important training to Ugandan clinicians. Our overarching goal of this activity is to reduce neonatal mortality and morbidity in Uganda to meet or exceed the targets set by the Sustainable Development Goals.
Adara has made progress developing its newborn care training manual, especially designed for sick and premature infants in low-resource settings, and hopes to complete this project in 2018. This manual will provide the background, theory and practical guidelines for delivering best-practice newborn care. This work, as well as our work with Nakaseke and other Ugandan partners, will help make progress in the Quality, Equity, and Dignity focus area.
Adara continued our strong partnership with PATH and the University of Washington/Seattle Children’s Hospital to develop the Safe Bubble CPAP Kit, a low-cost solution for delivering this important therapy that does not require electricity and can blend air and oxygen.
In partnership with UVRI/MRC and London School of Hygiene and Tropical Medicine, we began conducting a Randomised Control Trial, called the ABAaNA study, to test an Early Intervention Programme designed to improve functioning and quality of life for babies with disabilities and their caregivers. This work is directly contributing to progress in the Early Childhood Development focus area.
We continued to share our unique business-for-purpose model through multiple platforms, with the Adara Businesses contributing 100% of their profits to Adara Development. Since inception, the Adara Businesses have contributed more than US$10 million to fund Adara’s core support and emergency project costs, allowing 100% of all other donations received by Adara Development to go directly to project-related costs.
All areas of work have progressed in accordance with our proposed timelines. We are proud members of the EWEC community and are committed towards advancing the global goals related to reproductive, maternal, newborn and child health.
The Adara Group commits to strengthening maternal, newborn and child health services in Central Uganda to reduce maternal and neonatal mortality and morbidity. We will do this through holistic program development, high-impact interventions and training across the continuum of care to bridge tertiary and primary-level services. Adara will reach women and children in need of services in four districts in central Uganda – home to 600,000 people. Adara commits USD $4.5 million from September 2015 to September 2018 to this effort.
Adara will use social, behavioural and clinical research to implement this work in order to understand the communities we are working with and to continually evaluate our programme objectives to identify gaps in delivery of health services for women and babies. The interventions outlined in this commitment will be implemented through targeted research, capacity building, programme design and monitoring, and careful introduction of equipment and technology to serve the catchment area of 600,000 people. Through this commitment, Adara also seeks to change the way people think about the role of business in the world and the power of business/non-profit partnerships, by showcasing globally our innovative business-for-purpose model. Adara’s corporate advisory businesses donate 100% of profits to Adara Development. This covers all administration and core support costs, to allow other donors’ funds to be 100% directed towards projects.
In partnership with Kiwoko Hospital, we have implemented best practice tertiary care programmes for women and newborns through the neonatal intensive care unit, maternity ward, and community based health care programme. The survival rate for low-birthweight infants (< 2.5kg) in the NICU has improved by 29% since 2005. We have seen a 26% increase in maternity ward admissions in the past six years, and a 27% increase in antenatal appointments since 2013. We have begun making preparations for our scale up programme but implementation has not yet begun. Our team of neonatal experts is writing a newborn clinical care training manual with theory and practical training. We have further developed guidelines on the minimum resources required for newborn care and are establishing expert training teams to lead facility-based training activities and held preliminary discussions at a regional health facility.
Together with our collaborators from London School of Hygiene and Tropical Medicine and the Medical Research Council, we received a grant that will allow us to test an Early Intervention Programme, designed to support babies at risk of disability and their families. We are hopeful that this intervention will improve the functioning and quality of life including stigmatisation for these babies and their families. Adara continues to change the way people think about the role of business in the world and the power of business/non-profit partnerships, by showcasing globally our innovative business-for-purpose model.