International Activities

Helping Babies Survive

Helping Babies Survive (HBS) is a suite of evidence-based educational training programs developed by the American Academy of Pediatrics (AAP) to reduce neonatal mortality in resource-limited environments. The HBS initiative consists of three training modules:  Helping Babies Breathe (HBB), Essential Care for Every Baby (ECEB) and Essential Care for Small Babies (ECSB). 

      • - HBB focuses on teaching birth attendants newborn resuscitation techniques that can save the lives of babies who need help breathing at birth, with the goal of having at least one person who is skilled in neonatal resuscitation at the birth of every baby.
  • - ECEB trains health providers in essential newborn care practices to keep all babies healthy from the time of birth to discharge from the facility, with a special focus on areas that are most critical to newborn survival. 
  • - ECSB provides education on the essential skills necessary to care for preterm and low birthweight babies, emphasizing the vital practices that ensure small babies remain well and thrive.

Together, these programs address the three leading causes of preventable neonatal deaths worldwide – preterm birth complications, complications during childbirth (birth asphyxia) and neonatal infections – equipping health workers with the knowledge and tools necessary to resuscitate and provide skilled care to all babies.

HBS is an initiative of AAP in collaboration with the US Agency for International Development (USAID), Laerdal Global Health, Johnson & Johnson, Saving Newborn Lives, the National Institute of Child Health and Development, and a number of other global health organizations.  The HBS modules have a systems-based focus designed to strengthen and improve clinical practices across systems of care. 

How is HBB different than NRP?

The evidence-based resuscitation techniques in the HBB training module and the Neonatal Resuscitation Program (NRP) are based on the International Liaison Committee on Resuscitation (ILCOR) guidelines; however, they are designed for different care environments, especially with respect to resources.

The point of entry for HBS programs often, but not exclusively, will be at the interface between resource-limited health systems and individual births with their multidisciplinary birth attendants, including traditional birth attendants (TBAs).

HBB is appropriate for low-resource circumstances.  In situations where resources (human and technical) will support NRP, it should be taught and encouraged.  There will be countries where both programs coexist.  Since they have the same foundation, system integration should not be an issue.

It is anticipated that each geographic area that is interested in NRP and HBB will do their own self-assessment to determine which curriculum to use and how to integrate. 

HBS Resources

HBS programs have been implemented in more than 70 countries across the globe.  The use of low-cost, realistic simulators and highly pictorial learning materials makes the HBS suite of programs very accessible to audiences in resource-limited countries around the world. 

Each HBS training module includes visual guidebooks, flipcharts and posters containing clear, specific instructions for healthcare providers to follow after the birth of a baby.  To facilitate implementation, HBS resources have been translated into many languages.  All HBS training materials are available for free access and download by visiting the AAP International Resources site.

Translation Information

HBS materials may be adapted and translated to fit country needs.  Changes in materials may include adaptations of images for the local setting and minor content modifications to align with local health authority guidelines for newborn care. Guidance on modification and adaptation is available on the American Academy of Pediatrics’ Helping Babies Survive website.

Please address your requests for modification of learning materials to the American Academy of Pediatrics at hbs@aap.org. You will need to provide the following information:

  • - The name of the organization requesting the modification and contact person
  • - The name of the country where the materials are to be used
  • - Confirmation that the request is consistent with local Ministry of Health guidelines
  • - Specific and image or wording change descriptions, with page number and location


Upon review and approval by the AAP, detailed specifications will be provided for each of the print files. All adapted materials must contain a specific and complete copyright and acknowledgement statement, which will be provided by the American Academy of Pediatrics. Organizations or agencies requesting modifications and translations will be responsible for executing all approved changes.

Canadian Pediatric Society

In Canada, NRP is administered by the Canadian Paediatric Society and is designed to teach individuals and teams who may be required to resuscitate newborn babies. NRP course content is evidence-based and is delivered across Canada in both English and French. The Canadian Paediatric Society NRP Research Grant and Young Investigator Award is open to US applicants, and awards up to $25,000 (CAD$) annually.