Hospital to Home Adara Group

Hospital to Home

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 infants for six months after discharge. These follow-up visits are led by a network of 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.

Infant growth

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

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.

Hospital to Home Partners

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…to bring quality health and education services to people living in some of the world’s remotest places.

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Child in Nepal