20 February 2019

Masimo & Newborn Foundation

2017

Commitment Progress

The BORN Project is reducing newborn deaths through newly developed mobile app-based pulse oximetry technology that supports early detection of the major causes of newborn mortality – pneumonia, sepsis, neonatal infection, and asymptomatic congenital heart defects. Since inception of the EWEC commitment, Masimo and the Masimo Foundation for Ethics, Innovation, and Competition have contributed approximately USD $125,000 in medical devices and the Newborn Foundation has committed $400,000 in  BORN Project training, implementation, research, policy, and programmatic efforts. Masimo’s engineering, technical, and design team have contributed thousands of hours in research, development, and product design to bring mobile pulse oximetry to the field.

Building on the success of the BORN Project in China, the program expanded in September 2016 to include 72,000 births at birth facilities in all 3 island sections of the Philippines. New projects launched in February 2017 in Pakistan, India, Peru, Bolivia, Mexico, Mongolia, and Nigeria. Furthermore, this expansion includes a scalable training and implementation model to fit within a public health framework, screening and data collection on an additional 180,000 newborns.  As of April 2018, the total number of babies being screened across all participating countries is over 300,000. The BORN Project has served as a catalyst in the development of an initiative funded by the Bill and Melinda Gates Foundation to improve early diagnosis and intervention of pneumonia in children under 5, including newborns. Deployment and piloting of a new Masimo-developed pediatric integrated pulse oximetry and respiratory rate technology with embedded training capability began in the fall of 2016, in Ethiopia, Nigeria and India and resulted in a market-ready device for low-resource settings, accompanied by training materials and an awareness campaign: Find PneumoniaSooner.org. This commitment is ongoing through 2018 and has a non-financial value of $242,000 from the Newborn Foundation, and an additional $50,000 from Masimo. The BORN Project has resulted in public health policies for universal screening in China as part of evidence-based research protocol evaluating health worker training, clinical protocols, digital and print educational resources, and field implementation for newborn screening for hypoxemia. The project includes robust data collection to drive screening quality improvement, target regional infrastructure improvements for babies born in low resource settings, and support pulse oximetry screening as a national and global public health imperative to significantly reduce newborn mortality. Results indicate pulse oximetry screening is feasible and effective, even in remote, underserved birth settings – demonstrating earlier diagnosis of hypoxemia related to pneumonia, infection and asymptomatic CHD (addressing NCDs). Screening resulted in timely treatment or referral, reduced mortality, and improved health outcomes for affected newborns. The first two project meetings for the Philippines occurred in Sept/Oct 2016, and a clinical leadership meeting was held in March 2017 in Manila. The BORN Project continues to provide hospital-grade equipment appropriate for measuring blood-oxygen levels in neonates (Masimo signal extraction technology (SET) for mobile and non-mobile devices), health worker training, clinical protocols, digital and print educational resources, and field implementation for newborn screening for hypoxemia. The project includes electronic data collection to drive screening quality improvement, targeted regional infrastructure improvements for babies born in low resource settings, and supporting pulse oximetry screening as a national and global public health imperative to significantly reduce newborn mortality. The project is done in coordination with local and national government (public health agencies) in each of the 9 participating countries, resulting in a 25-32% reduction of mortality associated with the target conditions.

2016

Masimo & Newborn Foundation has rolled over its commitment to help advance the Updated Global Strategy for Women’s, Children’s and Adolescents’ Health. Building on the success of the BORN Project in China, the program expanded in September 2016 to include 72,000 births at 26 birth facilities in the Philippines.  New projects will be launched in February 2017 in Pakistan, India and Peru. Furthermore, this expansion includes training, screening and data collection on an additional 36,000 newborns.

The BORN Project has served as a catalyst in the development of an initiative funded by the Bill and Melinda Gates Foundation to improve early diagnosis and intervention of pneumonia in children under 5, including newborns. Deployment and piloting of a new Masimo-developed pediatric integrated pulse oximetry and respiratory rate technology with embedded training capability began in the fall of 2016, in Ethiopia, Nigeria and India.

This commitment has a non-financial value of $178,000 from the Newborn Foundation, and  $50,000 from Masimo, and will be implemented from 2016 till 2018

Commitment Progress

As of May 2017, the BORN project has supported pilot screening projects impacting approximately 200,000 newborns – and resulting in public health mandate for all newborns in greater Shanghai. The BORN Project screened 33,000 newborns in rural Sichuan province as part of evidence-based research protocol evaluating health worker training, clinical protocols, digital and print educational resources, and field implementation for newborn screening for hypoxemia. The project includes robust data collection to drive screening quality improvement, target regional infrastructure improvements for babies born in low resource settings, and support pulse oximetry screening as a national and global public health imperative to significantly reduce newborn mortality.

Results indicate pulse oximetry screening is feasible and effective, even in remote, underserved birth settings – demonstrating earlier diagnosis of hypoxemia related to pneumonia, infection and asymptomatic CHD (addressing NCDs). Screening resulted in timely treatment or referral, reduced mortality, and improved health outcomes for affected newborns. The first two project meetings for the Philippines occurred in Sept/Oct 2016, and a clinical leadership meeting was held in March 2017 in Manila. The Philippines DOH is in the process of updating the project IRB, training and implementation for 35 phase 1 hospitals is scheduled for August 2017 (72,000 newborns over 12 month period).

2014-Every Newborn Action Plan 

Masimo and the Newborn Foundation commit to working with the National Health and Family Planning Commission of the People’s Republic of China (formerly Ministry of Health), the China Office for Maternal and Child Health Surveillance, and the Mianyang Bureau of Public Health in Sichuan Province to implement the BORN Project. The BORN Project seeks to reduce newborn deaths through newly developed mobile app-based pulse oximetry technology that will support early detection and treatment for the major causes of newborn mortality – pneumonia, sepsis, neonatal infection, and asymptomatic congenital heart defects. Masimo and the Masimo Foundation for Ethics, Innovation, and Competition have contributed approximately USD $100,000 to the Newborn Foundation and the BORN Project’s educational, training, policy, and programmatic efforts. Masimo’s engineering, technical, and design team have contributed thousands of hours in research, development, and product design to bring mobile pulse oximetry to the field.

The BORN Project will provide hospital-grade equipment appropriate for measuring blood-oxygen levels in neonates (Masimo signal extraction technology (SET) for mobile and non-mobile devices), health worker training, clinical protocols, digital and print educational resources, and field implementation for newborn screening for hypoxemia. The project includes electronic data collection to drive screening quality improvement, targeted regional infrastructure improvements for babies born in low resource settings, and supporting pulse oximetry screening as a national and global public health imperative to significantly reduce newborn mortality.
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