Neonatal Resuscitation Training and Systems Strengthening to Reach the Sustainable Development Goals.

* Abbreviations:\n HBB — : Helping Babies Breathe\n HRH — : human resources for health\n LMICs — : low-income and lower-middle–income countries\n QI — : quality improvement\n SDG — : Sustainable Development Goal\n WHO — : World Health Organization\n\nOn the eve of the 10th anniversary of Helping Babies Breathe (HBB), we are clearly on the precipice of a new era. Currently, the coronavirus disease 2019 pandemic has made in-person gatherings challenging, if not impossible. Health systems are stretched far beyond the typical limits. We see innovation in infection control approaches, personal protective equipment, and communication with health care professionals and families. Crisis can be the stimulus for innovation, and this will surely spur a new approach to preparation of health care workers. This preparation will go far beyond traditional concepts of training and is best conceptualized as supporting the success of health care workers as measured by their impact within a health system on the population it serves. After all, if the health of a population is not supported or improving, the health care worker is not achieving his or her goal.\n\nHBB was launched in 2010 during the Millennium Development Goals era, in which the world set 8 measurable goals that ranged from halving extreme poverty and hunger to reducing child mortality by the target date of 2015. At this time, there was a critical need to develop training materials that could be used at a local level in resource-limited settings without relying on sophisticated technology. HBB materials are available for free online and are easily downloadable so that they can be used by those with intermittent Internet access. Hard copies of the materials can be purchased or printed locally in-country. Countless labor and delivery units have the action plan hanging on the wall near the site of resuscitation, and thousands of flip charts for training … \n\nAddress correspondence to Janna Patterson, MD, MPH, Global Child Health and Life Support, American Academy of Pediatrics, 345 Park Blvd, Itasca, IL 60613. E-mail: jpatterson{at}aap.org