The Programme for Global Paediatric Research
Workshop: Global Perspectives on Birth Asphyxia
May 18, 2005 Renaissance Washington DC
8 a.m. – 10 a.m.
First Plenary Session
Alvin Zipursky, The Programme for Global Paediatric ResearchTM, The Hospital for Sick Children, Toronto, Canada
Birth asphyxia research in developing countries: research gaps and potential
Zulfiquar Bhutta, Aga Khan University, Karachi, Pakistan
- A review of the current literature on research related to birth asphyxia; with the goal of defining key issues which merit research and for which research is possible
Global communication, networks and linkage of pediatric researchers
Shoo Lee, University of British Columbia, Vancouver, Canada
- A description of existing international neonatal networks and their potential role in collaborative research into birth asphyxia
J. Richard Hamilton, McGill University, Montreal, Canada
- The need for workable communication among the international community of researchers studying birth asphyxia
Requirements for research in developing countries
Juan Lozano,Pontificia Universidad Javeriana (PUJ), Santa Fe de Bogotá,Colombia
- Existing global resources for the study of birth asphyxia, including the potential role of Inclen and Practihc and the need for training and consultative resources for the study of birth asphyxia
William Feldman, University of Toronto, Toronto, Canada
- Review of the May 17 symposium presentations, highlighting research needs and potential in our sample regions
10 a.m. – 10:30 a.m.
10:30 – 2:00 p.m.
Break out group meetings
Chairs: José Ignacio SantosPreciado, Hospital Infantil de México Federico Gómez, Mexico City, Mexico and David Woods, Universityof Cape Town, Cape Town, South Africa
Topic: Group 1 will ascertain the current state of knowledge about birth asphyxia in developing regions. They will use the following discussion framework:
a. Definitions to be used for the purposes of the draft statement
Is there a need for a universally-accepted definition of birth/perinatal asphyxia? If so, how can this be achieved? What definitions currently exist and how can they be used?
b. Existing mortality data
What resources are currently available? What are the priority research needs in the area of data recovery?
c. Existing morbidity data
Can and should research be undertaken to determine the incidence of permanent handicaps in survivors of birth asphyxia? What research should be done and where?
d. Maternal health and birth asphyxia
Is there a need for study of perinatal and pregnancy factors predisposing to the development of birth asphyxia? If so, how and where might such studies be performed? Is there a need to link delivery room service to standard neonatal intensive care in developing regions.
Chairs: Zulfiqar Bhutta, Aga KhanUniversity, Karachi, Pakistanand Ola Didrik Saugstad, NationalHospital, Oslo, Norway
Topic: Group 2 will identify and prioritize research that is needed. They will use the following discussion framework:
a. Identify and prioritize research questions that require attention (including epidemiological research)
In order of priority, what are the research questions relating to birth asphyxia that should now be answered?
b. Determine whether research is possible
Which identified, and prioritized research could be carried out in developing regions? Can specific locations for research be identified?
Chairs: Waldemar Carlo, Universityof Alabama, Birmingham, U.S.A.and Vinod K. Paul, All India Institute of Medical Sciences, New Delhi, India
Topic: Group 3 will ascertain what resources are available and what resources are needed to further research into issues surrounding birth asphyxia in developing regions. They will use the following discussion framework:
a. Identify the essential tools (eg. training)
What is required to establish infrastructure to support research studies in specific places?
b. Identify existing research units
In which developing countries are there effective research units? What conditions were necessary for their establishment? How can they serve as a resource for future research (eg as models, through linkages, etc.)?
c. Identify existing international advisory groups
How can special research programmes, like Inclen and Practihc, contribute to the global study of birth asphyxia?
d. Determine what PGPR should do to assist with research into issues surrounding birth asphyxia in developing regions.
What should be the role(s) of PGPR in facilitating research into issues surrounding birth asphyxia in developing regions?
Chairs: Gary Darmstadt, JohnsHopkinsUniversity, Baltimore, U.S.A.and Bo Sun, FudanUniversity, Shanghai, China
Topic: Group 4 will determine how to further the development of international collaborations for the study of birth asphyxia in developing regions. They will use the following discussion framework:
a. Identify existing bridges of communication between researchers and determine where gaps exist.
This includes a survey of the types of communication currently taking place, the role of neonatal networks, and the value of global data sharing.
There are many international organizations studying global issues of birth asphyxia. Is there a need for an international collaboration of all groups?
How might the various neonatal networks work together to more readily achieve their goals? How can PGPR assist with this cooperation/collaboration?
b. Determine how PGPR can best assist in the development of international communication and collaboration between researchers studying birth asphyxia.
Is web-based communication most effective?
What types of meetings could assist in furthering collaborative study of the specific research issues related to birth asphyxia?
Each of the groups will also be asked to discuss how the international community of paediatric researchers, and PGPR itself, can best contribute to the health services research needs that exist in the area of birth asphyxia.
The ultimate goal for all groups will be determining specific recommendations around which we can draft an authoritative statement regarding major needs, research priorities, and next steps for the study of birth asphyxia.
2 p.m. – 2:30 p.m.
2:30 p.m. – 5 p.m.
Second Plenary Session
- Presentations of recommendations from each break-out group.
- General discussion aimed at preparing first draft of statement on birth asphyxia research needs and plans for action