Hospital to Home (H2H) is our flagship newborn follow-up programme supporting high-risk infants in the hospital and when they return home.
H2H addresses a critical gap. Babies born small and sick have an increased risk of complications after discharge. While babies are still in hospital, H2H strengthens discharge processes, provides comprehensive parent education, strengthens lactation and breastfeeding practices, and promotes care that encourages healthy brain development.
It also provides regular at-home follow-up support to these vulnerable infants for six months after discharge. These follow-up visits are led by a network of volunteer community health workers (CHWs) who have received specialised training in the care of small and sick newborns. H2H sits in the ‘follow-up and early intervention’ arm of AdaraNewborn.
H2H shows improvements in
Rates of exclusive breastfeeding at six months increased for mothers participating in H2H.
Infants in the H2H programme made notable improvements in growth and weight gain, both at time of discharge from hospital and at six months of age.
Infants who received H2H showed reduced risk of neurodisability.
Vaccination rates increased for infants in the programme.
Parents and community health workers in the H2H programme had more hope that preterm babies could survive and thrive.
How does Hospital to Home work?
Hospital to Home package
We have developed a “Hospital to Home package” that will allow other organisations to roll out H2H in their facilities and communities. Though H2H is part of our AdaraNewborn model and will be rolled out to all AdaraNewborn facilities, it is also available as a standalone package.
This package is targeted at health professionals or leaders working in hospitals in low-resource settings who want to decrease the risk of preventable newborn deaths. It includes all the materials and instructions necessary for other facilities to implement their own programme.
The package has been endorsed by the Uganda Ministry of Health who expressed the shared goal of wanting to see this programme scaled to other public facilities across the country.
Meet Esther and Sally
When baby Sally was born small and sick, her mother, Esther, feared she wouldn’t survive.
Fortunately, Sally was one of the first babies in our Hospital to Home programme. She was admitted to the Kiwoko Hospital neonatal intensive care unit which provided her with the care she needed to grow and develop. After discharge, she then received at-home follow-up support from a designated community health worker.
Now Sally has not only survived – she’s also flourishing.