12 August 2019
GE & GE Healthcare
|Safe Surgery 2020
• Rolled out SS2020 program in Tanzania in collaboration with MoH, PORALG and local partners
• Collaborated with the Tanzania MoH to develop the National Surgical Obstetric and Anesthesia Plan 2018 – 2015
• 231 Surgical leaders trained in partnership with Jhpiego on leadership and multi-disciplinary team mentorship across Tanzania. An additional 227 clinicians trained on Safer Cesarean Birth in Tanzania and 71 mentors trained to provide ongoing mentorship support.
• 74 hospital staff trained on equipment sterilization best practices from 39 health facilities in Tanzania in partnership with SPECT.
• 71 clinicians from 45 health facilities trained on safe anesthesia practices for obstetrics in Tanzania in partnership with WFSA.
• Placed key equipment and performed infrastructure upgrades at hospitals in Ethiopia and Tanzania.
• Selected 4 provincial hospitals and one national referral hospital in Cambodia for implementation of Safe Surgery 2020 programs in 2019
• Implemented data quality improvement intervention at 20 SS2020 supported hospitals in Ethiopia and Tanzania
• Implemented Safe Surgery and Anesthesia Care Project ECHO tele-mentoring program to connect rural hospitals in Tanzania with experts abroad and in urban centers
• Performed qualitative endline assessment for Ethiopia and qualitative midline assessment for Tanzania
Access to Medical Oxygen
Biomedical Technician Training
ImPACT Nurse Anesthetist Training
Safe Water for Health Facilities in Uganda
Safe Surgery 2020
Access to safe, affordable surgical and anesthetic care is a pressing issue in global health. Safe Surgery 2020 model aims to transform surgical care, reducing maternal and trauma-related mortality and strengthening health systems. Our goal is to drive major improvements in volume and quality of emergency and essential surgical procedures conducted in district-level hospitals. The initiative is set up as a partnership of funders, implementers, thought leaders and MoHs. The first country of implementation is Ethiopia. In partnership with the Federal Ministry of Health (FMoH), Regional Health Bureaus (RHBs) and other country partners, the initiative has been helping to design and implement several innovative programs in Ethiopia. The program is also being implemented in Tanzania since 2017, where we have supported to develop a National Surgical, Obstetric and Anesthesia Plan. The Initiative is made possible by GE Foundation. Lead partners of SS2020 include: Dalberg Advisors, Jhpiego, Assist International (AI), Harvard School of Medicine – PGSSC and the G4 Alliance.
Under the Safe Surgery 2020 initiative, GE Foundation commits to two Oxygen solution programs in Ethiopia in addition to scaling the leadership training in partnership with FMoH and RHBs.
In Kenya and Rwanda, the GE Foundation launched a program to support local health provider training on Continuous Positive Airway Pressure (CPAP) equipment for infants and children. In partnership with Columbia University, the Center for Public Health and Development (CPHD), Health Builders, and AI, providers at district hospitals became trainers who learned to recognize respiratory distress and understand the role of oxygen support. Kenya & Rwanda have adopted the Global CPAP Program as the country standard for resuscitation in children under 5 years old.
Access to Medical Oxygen.
Oxygen is a WHO essential drug that is highly influential in reducing child mortality caused by pneumonia by up to 35%. It is also critical for providing safe anesthesia and treating obstetric emergencies.
The GE Foundation, in collaboration with CPHD, Health Builders, and Assist International, installed 2 state-of-the-art oxygen public-private partnership plants at rural district hospitals that supply the rural catchment area, one in Kenya and one in Rwanda.
Biomedical Technician Training (BMETs)
A sustainable and scalable Biomedical Equipment Technician Training (BMET) program has been implemented in collaboration with AI and Engineering World Health. Trained BMETs are better able to keep lifesaving medical equipment working. This is critical for managing emergency births and neonatal emergencies.
ImPACT Nurse Anesthetist Training
GE Foundation in partnership with the Kenyan MOH, Kenya Medical Training College, Vanderbilt University, Kijabe Hospital, Center for Public Health and Development (CPHD) and Assist International implemented an Anesthesia and Emergency Obstetric Care training program in Kenya to train and accredit nurse anesthetists, build provider capacity, and reduce perioperative morbidity and mortality.
Safe Water in Uganda
According to the WHO, 38% of health facilities in LMIC countries lack a water source protected from contamination. In partnership with Emory University and AI, the program installed water treatment systems at health facilities across Uganda.
GE Healthcare and the GE Foundation are committed to partnering in the creation of value solutions to deliver affordable and sustainable health outcomes, in support of the new 2030 Sustainable Development Goals.
As part of its Every Woman Every Child commitment, GE will implement a number of programs and partnerships with the aim of improving maternal and infant mortality globally:
- GE commits to implementing an NICU modernization pilot program in low-resource rural settings in Ethiopia. The modernization pilot will aim to improve access to critical life saving devices and provide integrated health training and M&E to evidence a reduction in newborn mortality, increase in end-user job satisfaction and improvement in quality, access and affordability of newborn ICU care.
- GE Healthcare and Universitas Indonesia also commit to co-developing a telemedicine solution to reduce maternal and infant mortality in Indonesia leveraging GE Healthcare’s portable ultrasound device.
- The GE Foundation is launching a Safe Surgery 2020 initiative to accelerate access to safe surgery in low and middle income countries by strengthening healthcare facilities and fostering learning and innovation. Some of the Safe Surgery initiative activities include implementation of a biomedical training program in Nigeria & Ethiopia, oxygen program in Kenya & Rwanda, safe anaesthesia and safe water programs in Kenya and Uganda respectively.
Underpinning these initiatives is a commitment by GE Healthcare to make a $1 billion global training investment to train 2 million healthcare professionals by 2020.
Commitment Progress from the GE Foundation
1. CPAP Program: This program has supported the training of local health providers on the Continuous Positive Airway Pressure (CPAP) equipment, learning to recognize respiratory distress, repeat vital signs in critically ill patients and understand the role of oxygen support.
2. Access to Medical Oxygen: GE Foundation has implemented modern practices related to anesthesia delivery and monitoring, as well as oxygen therapy and ventilation, to improve outcomes for patients requiring surgery.
3. Safe Surgery by 2020 Initiative: This is a partnership of funders, implementers and MoHs. The first country of implementation is Ethiopia. In partnership with the Federal Ministry of Health (FMoH), the initiative has been helping to design and implement several innovative programs in Ethiopia. The program will expand into Tanzania in 2017.
4. Nurse Anesthesia Training: In partnership with the Ministry of Health in Kenya, Kenya Medical Training College, Vanderbilt University, Kijabe Hospital, Center for Public Health and Development (CPHD) and Assist International has implemented a scalable in-service Anesthesia and Emergency Obstetric Care training program in Kenya to train and accredit Nurse Anesthetists to build the capacity of properly trained providers to reduce perioperative morbidity and mortality.
5. Development of affordable technologies: GE Foundation is invested in the Development of Affordable Base of the Pyramid technologies in partnership with Johns Hopkins University and Jhpiego to tackle priority global-health needs by identifying and creating appropriate technologies and alternate solutions for complex problems.
6. Biomedical Technicians Training: Developing Health Globally™, a sustainable and scalable Biomedical Equipment Technician Training (BMET) program has been implemented in collaboration with our partners at Assist International across 5 countries globally.
GE, including Healthymagination, GE Healthcare and the GE Foundation, commit to further expanding maternal-infant care through several new initiatives in Africa. In Nigeria, GE’s $20M Healthymagination Mother & Child collaboration will focus on supporting Nigeria’s “Saving One Million Lives” program to reduce preventable maternal and infant deaths. The initiative will deploy relevant solutions via sustainable models of delivery to increase capacity in the primary healthcare system through adapted technologies, training & capability building as well as affordable financing options. It will also provide a 3-year, $1.5 million Biomedical Equipment Technician training grant aimed at building a sustainable pipeline of qualified medical engineers to help address the persistent need for repairing of medical equipment.
In addition, GE is launching an integrated health training program for newborn ICU care in Ethiopia. This collaborative effort will expand access to quality standardized care and impact the lives of low weight and preterm babies throughout Ethiopia. GE Ethiopia has also made a USD $500,000 commitment to Pink Ribbon Red Ribbon (PRRR) interventions aimed at reducing deaths from breast and cervical cancer via education, screenings and advanced treatment. Working with the Ministry of Health in Ghana, GE will introduce a program to deploy GE’s handheld portable ultrasound (Vscans) into 400 Community-based Health Planning and Services (CHPS) compounds along with a comprehensive training & education curriculum for midwives on the use of ultrasound to detect basic complications. For the EWEC commitment, the GE Foundation will also focus on maternal and infant health initiatives in biomedical equipment technician training, anesthesia training for nurses, safe water solutions in health facilities, and oxygen delivery in low resource settings.
GE is proud to continue with our commitment in support of UN Secretary-General’s Every Woman Every Child movement focused on the realization of MDG’s 4 and 5. Globally GE has invested $6 billion through its healthymagination initiative to deliver on this commitment through research initiatives, task-shifted training models, advocacy in healthcare delivery, and partnerships. In addition, healthymagination is focused on the critical healthcare elements that can make a different in rural communities in Africa and around the world. By reducing costs and increasing access and quality, GE is partnering with local communities to provide intuitive medical equipment to address the basic needs in healthcare delivery.
Through GE’s US $6 billion commitment in September 2010, GE Healthcare is committed to helping achieve the Millennium Development Goals 4 and 5 to reduce child mortality and improve maternal health. Protecting the health of mothers and babies in rural areas is GE’s foremost priority in rural health. GE Healthcare’s goal is to continuously develop innovations that help clinicians and healthcare providers deliver high-quality healthcare at lower cost to more people around the world, particularly in rural areas. GE Healthcare’s rural health strategy is driven by technology and innovation; designing healthcare equipment that can address health needs in remote and underserved areas, through a diverse portfolio of maternal-infant care products, which ranges from ultrasound, fetal monitoring devices, baby warmers and phototherapy devices, and offers midwives effective tools that support a continuum of care from conception to childbirth and infant care. Developing regions such as sub-Saharan Africa are where GE’s commitments come face to face with the greatest need. The company is striving to enable greater access to high-quality healthcare for more people at an affordable cost. To this end, GE Healthcare is expanding its maternal-infant care portfolio to offer more products to over 80 lower-income countries. Included already are safety-tested, affordable and easy-to-use infant care products that provide warmth for newborns, phototherapy to treat jaundiced infants and incubators for babies. By providing effective, high-quality and easy-to-use products, with basic education, we believe we can make a major difference in the region.
GE & GE Healthcare commit, as part of GE’s $6 billion healthymagination initiative, to expand its Maternal-Infant Care technology portfolio to increase local access to care in more than 80 countries and reduce maternal and infant mortality, more than doubling its presence in the developing world. Additionally, the company will continue to deploy its signature program, Developing Health Globally™, which has already impacted the lives of more than 5.3 million people in Africa, Latin America and Asia.
· 200 Biomedical Equipment Technicians (BMET) trained across 4 countries, resulting in a 35% increase in up-time of equipment and 7.6% decrease in out of service equipment and higher quality of care in hospitals with trained technicians
· 33,000 community health workers across Rwanda trained in RapidSMS, an innovative approach to health interventions and service delivery using mobile health technology
· 27 hospitals in Uganda increased maternal and newborn health standards with 91% of women delivering in a hospital with a trained health worker
· Improved health facility performance in Maternal Newborn Health standards from 46% to 84% as a result of GE Foundation training programs
· Increased ultrasound usage – from 7% to 28% – amongst antenatal care attendants in the GE Midwives Program in Tanzania
· Increased enrollment of girls in primary school from 50% to 100% and 15,000 girls provided with quality mentoring and education through the company’s Girls Education program