PATH Safe Delivery Kit
The PATH Safe Delivery Kit includes sanitary, intuitive tools to help mothers and newborns avoid acquiring infections during childbirth. The kits can be modified to accommodate cultural birth practices.
Africa, Asia, Middle East and North Africa (MENA).
Price range from anywhere between $0.50 to $3.00 USD
Traditional tools, Janma Kit
Goal 3: to improve and promote good health.
Clean birth kits ensure that mothers and newborns avoid acquiring infections during childbirth. Approximately 3.2 million infant deaths occur within the first week of life each year. Many of the neonatal deaths that take place after the first week result from events occurring during the period immediately before and after birth.
Medical institutions, skilled mid-wives, nurses, community health workers, traditional birth attendants, non-profit aid organizations, family members, and women who give birth unassisted in the home.
Manually produced in accordance with PATH’s Basic Delivery Kit Guide, a step by-step manual for developing kits.
Users can acquire Kits via maternal and child health programs within target regions. Community health workers and traditional birth attendants are oriented to the kits so they can either provide it as part of their birth delivery services or encourage families to purchase the kit for home deliveries. The kits are also designed to be sold through retail distribution outlets. PATH invests in building the capacity of local organizations and small businesses, such as woman-owned business, community health promoters, to produce and distribute or sell kits.
Maternal and child health program representatives interested in deploying kits within Nepal, can order them from Maternal and Child Health Products Pvt., Ltd., Purano, Baneshwor, P.O.B. 7136, Kathmandu, Nepal, Email: firstname.lastname@example.org. To purchase delivery kits from UNFPA, contact Procurement Services.
More than half a million delivery kits have been sold in Nepal and in Tanzania
The Path Kit contents are clean, new, and packaged in a clearly labeled plastic bag or cardboard box that is adapted for local settings. A basic clean-delivery kit includes the following five essential elements:
• A piece of soap for cleaning the birth attendant’s hands and the mother’s perineum.
• A plastic sheet about one square meter for use as a clean delivery surface.
• Clean string for tying the umbilical cord (usually two pieces).
• A clean razor blade for cutting the cord.
• Pictorial instructions that explain how to use each item in the kit.
Pictorial instructions that explain how to use each item in the kit are included.
Sold as a kit only, not by individual components.
90% biodegradable, can be disposed safely in a seal-able bag provided with the kit.
Ensure that the WHO’s Six Principles of Cleanliness at Birth are achieved. Specifically, that the hands of the birth attendant are washed with water and soap, as well as the perineum of the woman. The surface on which the infant is delivered is clean. Instruments for cutting the cord and cord care (razor blade, cutting surface, cord ties) are clean.
PATH conducted a study in partnership with the National Institute of Medical Research and the Tanzania Ministry of Health to evaluate the impact of delivery kits.The results suggested that use of clean delivery kits, especially when the mother bathes before delivery, is a worthwhile and effective intervention. Newborns of mothers who used a kit were 13 times less likely to develop cord infection than were newborns whose mothers did not use a kit. The mothers themselves were three times less likely to develop puerperal sepsis, or genital tract infection, after childbirth. The probability of developing infections was smallest when the kit was used and mothers had bathed.
UNICEF, UNFPA, Ministry of Health Nepal.
For single use only.
WHO specified guideline: clean hands, clean perineum, clean delivery surface, clean cord cutting and tying instruments, and clean cutting surface
Use of A Clean Delivery Kit and Factors Associated with Cord Infection and Puerperal Sepsis in Mwanza, Tanzania: London School of Hygiene and Tropical Medicine, Londinium, England, United Kingdom Journal of midwifery & women’s health (Impact Factor: 1.04). 01/2007; 52(1):37-43.
Beun M, Wood S. Acceptability and use of clean home delivery kits in nepal: a qualitative study. Journal of Health and Popular Nutrition. 2003;21(4):367–73.
PATH cites the the ‘six cleans’ (clean hands, clean perineum, clean delivery surface, clean cord cutting and tying instruments, and clean cutting surface), as specified by WHO’s sanitation and sterility at the time of childbirth
PATH conducted a study in partnership with the National Institute of Medical Research and the Tanzania Ministry of Health to evaluate the impact of delivery kits. Researchers enrolled 3,262 pregnant women during prenatal visits at local health centers in Tanzania’s Mwanza Region. Trained health workers visited mothers and their newborns on the fifth day after birth, conducted structured interviews with mothers, and examined the infants for infection.
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