20 February 2019
Council of International Neonatal Nurses
COINN is committed to improving outcomes in neonatal care. Neonates are among the most vulnerable populations; each year approximately 2.7 million babies die in the first 28 days of life (Ehret, Patterson & Bose, 2017). Furthermore, a child’s risk of death in the first four weeks of life is nearly 15 times greater than any other time before his or her first birthday (The Partnership for Maternal, Newborn and Child Health (PMNCH), 2011). The three major causes of neonatal deaths worldwide are infections including sepsis, tetanus and diarrhea, preterm, and birth asphyxia. COINN is dedicated to training nurses and other personnel in effective care in Helping Babies Breathe ® (HBB), S.T.A.B.L.E. ®, Skin to skin care (Kangaroo Mother Care), and basic neonatal care especially regarding preventing neonatal infections. HBB aims to reduce child mortality through preventing one of the most common causes of neonatal deaths, birth asphyxia. HBB is a resuscitation training model that extends its training to health care professionals at all levels of care. This training is lacking in low resource communities despite a stronger need for them to have low cost interventions such as this.
S.T.A.B.L.E, which stands for Sugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support, is a training model that also focuses on resuscitation training but offers more comprehensive training in terms of stabilizing the infant post-resuscitation or
pre-transport. COINN has focused on Rwanda, Viet Nam, and Papua New Guinea for HBB and essential newborn care the past several years. Ninety-one neonatal nurses trained in HBB in Rwanda and 124 people in Viet Nam. Sixty-two nurses have been trained in HBB in Papua New Guinea. STABLE has trained almost 200,000 students throughout the world, with 536 STABLE instructors trained. Intended outcome is to improve the health of neonates and their families and decrease neonatal mortality.
In support of the Global Strategy (2016-2030), COINN is committed to improving neonatal health outcomes, focusing on the most vulnerable newborns from the first minutes of life until 28 days. COINN and its member associations aim to work together with country health departments to train healthcare workers in the care of the newborn, particularly the preterm and sick newborn. COINN is dedicated to training nurses and other personnel in Helping Babies Breathe, S.T.A.B.L.E., Kangaroo Mother Care, and basic neonatal care especially regarding neonatal infections, and providing leadership development for nurses at local and global level so they advocate for policy changes in terms of neonatal care provision.
COINN commits to: (1) Continue to teach Helping Babies Breathe (HBB) in at least one in Africa, one country in Southeast Asia and one country in the Pacific (Papua New Guinea) by July 1, 2016; (2) Continue to teach the S.T.A.B.L.E. program through the leadership of Dr. Kris Karlsen in at least three countries in Southeast Asia and other parts of the world by July 1, 2016; (3) Advocate for use of Kangaroo Mother Care (KMC); (4) Incorporate the ENAP and neonatal nursing leadership development into COINN’s Strategic Plan for the next five years (2014-2019); and (5) Continue to strengthen the neonatal nursing workforce through leadership development and education.
COINN is the only voice for neonatal nursing globally. COINN is committed to improving neonatal health outcomes, focusing on the most vulnerable newborns from the first minutes of life until 28 days. COINN continues to exceed its goals of training nurses in Helping Babies Breathe and STABLE. This training would not be possible without partnerships with the Global Engagement Institute of Berlin, and STABLE. More than 4,000 individuals-students, professionals, and non-medical personnel were trained through the STABLE Program. Both these programs are resulting in trainers in country that can sustain and expand these training efforts. We continue to advocate for use of Kangaroo Mother Care (KMC) and breastfeeding as part of this work. COINN remains committed to focusing on creating with local organizations sustainable models of training and education to impact newborn/family outcomes.
2014- Every Newborn Action Plan
COINN is committed to education, training, research, and advocacy to improve health outcomes of neonates. As the only international voice for neonatal nursing care and neonatal nursing education, COINN makes the following short- and long-term commitments to realizing the Every Newborn Action Plan (ENAP): continuing to teach Helping Babies Breathe (HBB) in at least two countries in Africa, one country in Southeast Asia, and two countries in the Pacific by July 2015; continuing to teach the S.T.A.B.L.E. program through the leadership of Dr. Kris Karlsen in at least three countries in Southeast Asia and other parts of the world by July 2015; advocating for use of Kangaroo Mother Care (KMC) through the issuance of a position statement and presence on national and international committees dedicated to KMC beginning May 2014; beginning the development of a neonatal basic course for nurses and other health professionals by January 2016; incorporating the ENAP and neonatal nursing leadership development into COINN’s Strategic Plan for the next five years (2014-2019); and launching a workforce database to describe where neonatal nurses work, what they do, and who they are by September 2014.
The Council of International Neonatal Nurses (COINN) remains committed to providing education and advocacy regarding improving neonatal health outcomes in support of the Global Strategy (2010-2015). We commit to supporting the education of those nurses that take care of neonates by linking resources already available with our regional network partners in over 60 countries and developing other materials on areas such as common and emerging neonatal infections that are impacting Millennium Development Goal 4 (child mortality). Our advocacy will engage and contribute to the adoption of policies related to supporting maternal-child health and decreasing risky behaviors, and, when possible, providing spokespersons on maternal-child health issues.