Rwandan National Neonatal Care Protocols
This course guides the learner through each of the 12 chapters of the National Neonatal Care Protocols, published by the Republic of Rwanda's Ministry of Health, with an additional chapter on a new Infant Warming Device. It is based on the 2nd edition of the National Protocols published in 2014, and updated to accommodate changes in the 3rd edition published in 2019. All of the chapters are taught by a Rwandan pediatrician and/or nurse, filmed entirely in Rwanda. Each chapter reviews the key concepts of the chapter followed by case studies. At the completion of the course, the learner should be familiar with the contents of the protocols and have had the opportunity to work through relevant clinical scenarios. Though it is based on the Rwandan National Neonatal Protocols it is relevant to medical providers in similar settings. The contents are intended for general guidance and education. They do not replace clinical judgment and experience.
Learning Objectives
Describe key immediate concerns in the routine care of the well newborn
Define and identify which newborns should be labeled as high risk Identify perinatal conditions that increase the risk of needing resuscitation at delivery
Identify key measures to prevent hypothermia in newborns
Describe signs of respiratory distress in a newborn
Identify two presenting symptoms of a patent ductus arteriosus (PDA)
Recognize risk factors for hyperbilirubinemia in full-term and premature infants
Define serious bacterial infection of the newborn
Explain the etiology, investigation, and treatment for anemia
Explain the diagnosis and management procedures for seizures
Describe the four assessments that should be made when deciding whether to discharge a patient.
Identify methods to assist mothers in breastfeeding and increasing milk supply
Understand current trends and statistics surrounding neonatal care in Rwanda
Lessons
Introduction and Routine Care
Stabilization of High Risk Newborn
Resuscitation
Thermoregulation
Repsiratory Care
Cardiology
Nutrition
Hyperbilirubinemia
Infectious Disease
Hematology
Neurolog
Discharge Planning
Non Electric Infant Warmer
Author(s)
Diane Gashumba MD, MMed
Pediatrician | Rwanda to the Nordics
Francois Biziyaremye, RN
Program Manager, Maternal and Child Health | Partners in Health
Hovaire Nsabimana MD, MMed
Pediatrician | Bulter University Teaching Hospital
Pediatric Consultant | Doctors with Africa CUAMM
Christian Umuhoza, MMed
Senior Consultant Pediatrician and Senior Lecturer | University Teaching Hospital of Kigali
Lisine Tuyisenge MD
General Secretary | University Teaching Hospital of Kigali (CHUK)
Hippolyte Bwiza Muhire, MD
Pediatrician | Rwanda Society of Obstetricians and Gynecologists (RSOG)
Pediatrician | Rwamagana Provincial Hospital
Stephenson Musiime MD
Director, Maternal Child and Women Health Services | King Faisal Hospital
Consultant Pediatrician, GLAMERC Polyclinic | King Faisal Hospital
Aicha Uwamahoro MD
Clinical Fellow, Neonatal Perinatal Medicine | Western University
Febronie MushimFebronie Mushimiyimana MD
Pediatrician | Kigali University Teaching Hospital, Rwandaiyimana MD
Merab Nyishime RN, CO, MSc
Neonatal Specialist | Partners In Health
National Associate Director, Maternal & Child Health | Partners in Health
Program Manager, All Babies Count/ Impinja Ntizigapfe | Partners in Health
Marthe Kubwimana, CRN
Partners in Health/Inshuti Mu Buzima
Course Director(s)
Anne Hansen MD, MPH
Medical Director, Neonatal Intensive Care Unit (NICU) | Boston Children's Hospital
Physician in Medicine and Associate Chief, Division of Newborn Medicine | Boston Children's Hospital
Professor of Clinical Pediatrics | Harvard Medical School