How to address neonatal mortality in SSA

Neonatal mortality continues to be a pressing issue in Sub-Saharan Africa, with high rates linked to hypothermia and a lack of essential medical equipment. Doris Mollel, the Executive Director of the Doris Mollel Foundation, has been at the forefront of the fight against neonatal death, emphasizing the critical need for tailored solutions and medical devices to address this crisis. Mollel, who was born prematurely herself, has made it her mission to advocate for premature babies and raise awareness about the preventable complications that claim the lives of many infants in the region. She highlights the importance of comprehensive support systems, including awareness campaigns, access to essential equipment, and well-trained healthcare professionals. In addition, Mollel stresses the significance of policies that benefit both parents and healthcare providers. Mollel's foundation has taken a multifaceted approach to tackling neonatal mortality. Through collaborations with influential figures such as musicians and footballers, the foundation raises awareness and funds for essential medical equipment that is then donated to hospitals. These efforts have reached over 73 hospitals, providing crucial support to healthcare facilities that are often ill-equipped to handle premature births. The foundation's initiatives also involve income-generating activities, ensuring sustainable support for neonatal care. One of the key initiatives spearheaded by the Doris Mollel Foundation is Tibbalabs, a partnership with biomedical engineers to develop locally-led solutions for healthcare facilities. These innovative devices, including warmers and phototherapy machines, are designed to be cost-effective, environmentally friendly, and user-friendly for healthcare workers at dispensaries and health centers where the majority of premature births occur. By prioritizing local solutions, Mollel aims to address the unique challenges faced by communities in Sub-Saharan Africa and improve the quality of care for premature babies. One of the primary concerns in neonatal care is the affordability and accessibility of medical equipment, especially for families without insurance coverage. Mollel emphasizes the importance of local solutions in addressing this issue, citing the production of a multi-functional device at a cost of 600 USD, significantly lower than the expenses associated with importing individual pieces of equipment. By investing in local innovation, Mollel believes that not only can healthcare costs be reduced, but employment opportunities can also be created, fostering a culture of problem-solving and entrepreneurship in the region. As part of her advocacy efforts, Mollel has worked with the Association of Tanzanian Insurers to incorporate coverage for premature birth care into health insurance plans, alleviating the financial burden on parents. By championing policy changes such as extending maternity leave to accommodate the needs of mothers caring for premature babies, Mollel strives to create a supportive environment for families facing the challenges of neonatal care. Through these initiatives, Mollel and her foundation have made significant strides in improving access to quality healthcare for premature infants in Tanzania and beyond. In conclusion, Mollel's journey of advocating for premature babies over the past nine years offers valuable insights and lessons for governments and stakeholders in the region. She underscores the critical role of proper care in ensuring the survival of premature babies and calls for increased support for women's empowerment programs, paternal involvement in childcare, and employer policies that prioritize the well-being of new parents. By addressing neonatal mortality through tailored solutions and comprehensive support systems, Mollel envisions a future where every infant has the opportunity to thrive and grow into a healthy, thriving member of society.