1. A new low cost, culturally adapted birthing simulator Presentation at Global Maternal Health Conference 2010, Tore Laerdal, Executive Director Laerdal Foundation

2. Conflict of Interest The presenter is Chairman and co-owner of Laerdal Medical. Laerdal offers the new birthing simulator to developing countries on a not for profit basis

5. Used in BEmOC training courses today Commercial models Self made modelsOr - for cost reasons – most typically no models XX X

6. The new low cost culturally adapted model 1.straps on the instructor; to facilitate training in communication

7. 2. focuses on the main problem; PHH 1.straps on the instructor; to facilitate training in communication The new low cost culturally adapted model

8. 3. Can be used to simulate both normal delivery and all relevant complications 2. focuses on the main problem; PHH 1.straps on the instructor; to facilitate training in communication The new low cost culturally adapted model

9. 4.comes with a realistic newborn simulator allowing training in BEmONC 3. Can be used to simulate both normal delivery and all relevant complications 2. focuses on the main problem; PHH 1.straps on the instructor; to facilitate training in communication The new low cost culturally adapted model

10. 4.comes with a realistic newborn simulator allowing training in BEmONC 3. Can be used to simulate both normal delivery and all relevant complications 2. focuses on the main problem; PHH 1.straps on the instructor; to facilitate training in communication 5will be available at $ 100 The new low cost culturally adapted model

11. MamaNatalie features – 1 min video (removed here)

12. MamaNatalie use demo – 3 min video (removed here)

13. The Formula of Survival Il MDG 4 example: Helping Babies Breathe ILCOR/WHO Guidelines Implementation allianceAAP training materials

14. The Formula of Survival Guidelines -IJGO -CMI -FIGO Evidence based,culturally sensitive training material Government /MoH ownership Cascade dissemination model incentives to instructors/facilitators Intergrated BEmONC programs Reach into the communities - plans to scale up health care work force - Incentives for health care facilities -Incentives for mothers -financing of training -Equipment to follow training Reporting/QA Time-efficient course model MDG 5 Need: Helping Mothers Deliver The most critical factor

15. Integrated BEmONC training

16. Field testing by Jhpiego in Tanzania, Etiophia and India

17. Acknowledgements External contributors Hege Ersdal, Johanne Sundby, Harshad Sangvi, Peter Johnson, Jeff Smith, Patricia Gomez, Melissa Eichelberger, Sheena Currie, Joy Lawn Signe Egenberg, Torbjørn Eggebø, Carmen Fogstad, Helga Fogstad, Pius Okong Laerdal contributors Paulina Gonzalez, Tor Inge Garvik, Lise Lørup, Jens Petter Ianke, Olav Turtum, Mathias Molden, Øystein Strømsnes,Harald Eikeland, Anne Jorunn Svalastog Virginie Duprez, Rock Zhou, Peter Du. Paul Zhang, Kevin Wang, Jacky Feng, Michael Yang 12 months evolution