World Health Organization Collaborating Centre (WHOCC ) for Perinatal/Neonatal Health

In August 2008, Texas Children's Newborn Center received designation from the World Health Organization (WHO) to be the WHO Collaborating Centre (WHOCC) for Perinatal-Neonatal Health in the Americas. As a WHO Collaborating Centre, Texas Children's Hospital is part of the inter-institutional, multinational collaborative network set up by WHO/Pan American Health Organization (PAHO) in support of its programs at a regional, national and global level. The partnership targets regions in the Americas of greatest need to address and improve maternal and child health.

To address the issue of preventable deaths from slow identification and treatment of very sick children arriving at health facilities, the WHO developed the Emergency Triage Assessment and Treatment (ETAT) Program to familiarize health workers with ETAT guidelines and provide workers with skills to apply the guidelines. ETAT teaches health workers to effectively triage sick children and provide emergency treatment for life-threatening conditions. At the request of the WHO, Texas Children’s Pediatric Emergency Medicine section developed supplemental teaching material to the ETAT curriculum, translated it into Spanish and adapted it to the Latin American context. Texas Children’s Hospital has assessed, trained and rolled out the program in El Salvador, Guatemala, Nicaragua, and Panama.

Community Impact 2012

  • 275 healthcare providers were trained in ETAT.
  • 48 healthcare providers became ETAT facilitators and trained other healthcare providers in ETAT using a train-the trainer model.
  • An effective formal triage system was successfully implemented at Hospital Nacional Pedro de Bethancourt in Guatemala, having a positive impact on the quality of health services provided to the 30,000 patients seen every year in its emergency room.
  • The Guatemala site transitioned from a pilot site to the first Centre of Excellence for ETAT trainings in Latin America and participated in the extension of ETAT training to other countries.
  • PAHO and the Ministries of Health of Nicaragua, El Salvador, Panama and Peru identified the expansion of this program as a priority and reached out to Texas Children's to receive training in CETEP.