Each year Adara directly reaches more than 200,000 people living in poverty and countless more through our influence, networks and knowledge sharing.
We believe the knowledge created through our programmes is not ours to keep. We strive to scale the impact of our programmes by sharing the data, research conclusions, training packages and lessons learned.
We are taking our very best ideas and our biggest mistakes, distilled from more than two decades of working in the field, and sharing them locally, nationally and globally.
Hospital to Home Package
The Hospital to Home package enables other hospitals to implement H2H in their own newborn care unit and the surrounding community.
Baby Ubuntu is a community-based programme led by healthcare workers and expert parents that have a child with a neurodisability.
Our knowledge sharing
knowledge sharing is an Ingrained pillar of our work
We believe the bubble continuous positive airway pressure (bCPAP) kit we have developed in partnership with PATH, University of Washington, Seattle Children’s Hospital and Kiwoko Hospital could be a game-changer for newborn units in low-resource settings. After conducting a research study on the ease of use and acceptability of the device, we will share the results of this study to enable other health facilities to access these learnings. With our partners we will do all we can to ensure that this low-cost device is available to newborn facilities across the developing world.
We are implementing a Humla research study, including a comprehensive household-level survey and education assessment. It will provide data on literacy rates, child abuse, girl trafficking, menstrual hygiene, engagement in school activities, and perceptions on traditional gendered and cultural norms. We will use this data to inform programme design, contribute to national understanding, and share with others working in similar areas.
Together with Kiwoko Hospital, we have developed a neonatal intensive care unit (NICU) that the Ugandan Ministry of Health recognises as a centre of excellence. Over the years, we have shared the knowledge we have gained from developing this unit in many ways. This has included working with the National Newborn Steering Committee to inform national strategy; developing and sharing newborn guidelines of care; and welcoming staff from other health facilities and organisations to visit Kiwoko Hospital to witness what is possible in newborn health.
We have partnered with local organisations and communities to develop two model schools in Nepal: the Yalbang School in Humla and the Shree Ghyangfedi School in Nuwakot. In 1998 our partnership with Yalbang School began. In 2017 the Nepal Government named the school the fifth best in the country based on exam results. Drawing on the expertise gained from our work in developing Yalbang School, we then built the Shree Ghyangfedi School after the Nepal earthquake in 2015. It now has more than 330 students, 13 teachers and excellent facilities.
We have ambitious plans to expand the high-impact model we’ve established at Kiwoko Hospital to other Ugandan facilities. We aim to create a real-time, open-access, knowledge-sharing platform that will enable other facilities to access data and resources from this programme. Through this platform, we aim to scale our impact beyond the AdaraNewborn sites to other nations struggling with heavy burdens of maternal and neonatal mortality. This platform will also provide access to our AdaraNewborn training curriculum so other facilities can train their staff.
For many years we have worked with local partners to develop anti-trafficking solutions for Humla, Nepal. We are now expanding this anti-trafficking work to all seven rural municipalities in the district. We are partnering with The Himalayan Innovative Society as well as local, provincial and national governments. This work involves training focal people in child protection in every rural municipality, forming anti-trafficking watchdog committees, continuing awareness raising on radio, setting up anti-trafficking conferences and working with local media to increase anti-trafficking discourse.
Newborn Guidelines of Care
Over the past five years, we have developed Guidelines of Care for nurses in low-resource settings on topics including thermoregulation, infection control, jaundice and sepsis. Our teams crafted the guidelines thinking of the newly graduated nurse, who would have little or no experience in caring for the newborn. In easy-to-understand language, the guidelines not only explain how something is done but also why. We have now shared these with the Ugandan Ministry of Health to support delivery of standardised and high-quality care to newborns throughout the country. Please contact us if you would like a copy.
Hospital to Home
Our Hospital to Home (H2H) programme addresses a critical gap in newborn care – providing follow-up support to high-risk infants in low-resource settings. Our protocol paper describes the programme and our method for evaluating its feasibility, acceptability and early effectiveness. It also incorporates supplementary materials including training, programme and research tools. We will share the outcomes of the study to show the programme’s impact on newborn health outcomes. We will continue to research key aspects of the study, making results available to other organisations so they can adapt or adopt this programme.
Adara’s business-for-purpose model is so much bigger than us and we hope to see it replicated in all the world’s financial services centres. We take every opportunity to share the success of this model through presentations, media opportunities and conversations with like-minded individuals and organisations. Read more about how we share the Adara model with others here.