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The success of Peru's Neonatal Resuscitation Initiative
  1. Ashley N Elsensohn1,
  2. Daniel J Ricks2,
  3. Arturo Ota3,
  4. Steven W Nevers4,
  5. Natalie Channell1,
  6. Maryam Liaqat1,
  7. Jane H Ricks1,
  8. Ana Marìa Villanueva3
  1. 1 Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah, USA
  2. 2 Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah, USA
  3. 3 Department of Neonatology, Hospital Edgardo Rebagliati Martins, Lima, Peru
  4. 4 Brigham Young University, Provo, Utah, USA
  1. Correspondence to Dr Daniel J Ricks, 1440 Sunnyside Ave., Salt Lake City, UT 84105, USA; d_j_ricks{at}

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The WHO estimates that 814 000 infants die of birth asphyxia annually, making asphyxia the fifth most common cause of under-five death worldwide.1 The majority of these deaths occur in developing nations where rates of birth asphyxia are as high as 260 per 10 000.2 Bag and mask has been found to be the most effective method for reducing birth asphyxia mortality,3 costing about USD $13 per life saved, making it one of the most cost-effective strategies for reducing childhood mortality.4 This study describes Peru's Neonatal Resuscitation Initiative and quantitates its success.

To decrease birth asphyxia nationwide, the Social Security System (EsSalud) implemented Peru's Neonatal Resuscitation Initiative in 1999. Prior to the initiative, forms were designed to collect data on all births, and …

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  • Contributors All authors included in the paper fulfill the following criteria of authorship: conception and design, or analysis and interpretation of data; drafting the article or revising it critically for important intellectual content; final approval of the version to be published.

  • Competing interests None.

  • Ethics approval This study was granted IRB approval by the University of Utah's Research Integrity and Compliance Office.

  • Provenance and peer review Not commissioned; internally peer reviewed.