Essential Newborn Care 1 – Facilitator

Essential Newborn Care 1


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Essential Newborn Care 1 (ENC 1) is the first part of the ENC course, called Immediate Care and Helping Babies Breathe at Birth. ENC 1 is the new version of the Helping Babies Breathe course, and at the moment it is available as an interim version for piloting. A final version will be available soon.

On this page you will find what you need to plan and facilitate the course: Learning materials, Equipment, Videos, Assessments and LDHF practice. The course materials are very flexible. You can use them for different settings, both pre-service and in-service. You can also adapt the course duration so it meets your needs.

Share with your course participants

We have gathered all the resources that you need to share with your course participants in one place. Share this link with them

Learning materials

Here you can find online materials and PDFs to view and download. Since this is an interim version for piloting, printed materials are not available yet. If you have questions about the interim materials have a look at the information we have gathered here.

You have two alternatives to facilitate the course: use the traditional printed Flip Chart or the ENC 1 online course. The content in both alternatives is the same, choose the one that fits your needs best.

ENC 1 Online

Use the online course to facilitate remotely, in person, or in a combination, whenever internet access is available. The online course includes interactive content like demonstration videos, exercises and more to support you and your participants. Even thought the course is facilitator-led, participants have the option of going through some parts on their own, reviewing the content at their own pace before and after the training.

Flip Chart

Use the printed Flip Chart to facilitate the course when internet access is limited. The PDF has interactive links that you can explore. You can also download the same videos that are available in the online course here, to use alongside the Flip Chart.

Action Plan

The Action Plan will guide the training. Make sure participants have a printed version available. After the course, it can be used in the facility as a job aid.

Provider Guide

Every participant should ideally have a printed Provider Guide to keep. The guide will support them to continue practice and improve the quality of care.

Simulation Practice Cards

During the course you will introduce the Practice Cards for Group practice. These cards have different scenarios where the participants practice the roles of mother and provider. Every participant should have access to the online or printed version, also after the course.

In-depth modules

You can complement ENC 1 with the one or more of the 14 modules for more in-depth learning, also created by WHO. You may register to use the pilot materials from WHO.


Real birth videos by Global Health Media and demonstrations for practice

Welcome Mother
Prepare for birth
Dry Thoroughly
Is the Baby Crying/Breathing Well?
Keep Warm, Check Breathing
Clamp and cut the cord
Clear the Airway, if Needed
Stimulate breathing
Is the Baby Breathing Well?
Where to Resuscitate
Begin to Ventilate
Is the chest moving well?
Improve Ventilation
Is the Heart Rate Normal or Slow?
Decide on Advanced Care
Disinfect Equipment
Disassemble Ventilation Bag
Demonstration: Welcome mother and assess
Demonstration: Is the baby breathing
Demonstration: Wash hands
Demonstration: Dry thoroughly
Demonstration: Keep warm, check breathing
Demonstration: Assess Crying breathing
Demonstration: Clamp or tie and cut the umbilical cord
Demonstration: Continued skin to skin care
Demonstration: Help initiate breastfeeding
Demonstration: Monitor with mother
Demonstration: Is the heart rate normal or slow?
Demonstration: Improve ventilation
Demonstration: Is the chest moving or is the baby breathing
Demonstration: Call for help, Clamp and cut cord, Ventilate
Demonstration: Is the baby breathing well?
Demonstration: Keep warm, stimulate, clear airway if needed


In addition to the learning materials, each pair of participants will need:

  • Newborn simulator – we suggest NeoNatalie
  • Pen and paper
  • Hand cleaner
  • Gloves
  • Clock
  • Head covering (for baby)
  • Cloths (dry and clean)
  • Cord ties/clamps
  • Stethoscope
  • Ventilation bag and mask
  • Suction device
  • Scissors
  • Thermometer
  • Syringe

Remote facilitation

  • If you are facilitating remotely, both you and your participants will need a tablet or computer with camera and microphone.

Sustainable practice

Regular practice reinforces new knowledge and skills. Practice also develops skills and improves teamwork and clinical decision-making. After the course, participants can use the same Simulation Practice Cards that you introduced during the course. Support participants to continue practice in short, often sessions at their place of work.


Download and print these documents to check the knowledge and skills of the participants

Pre-course Knowledge Check

Post-course Knowledge Check

Bag-mask skills check

Case Scenario A

Case Scenario B


Download and modify these documents to fit your purposes.

Face to face training — Invitation to the course for participants

Face to face training — Agenda for course in short sessions

Face to face training — Agenda for 2-day course

Remote training — Invitation to the course for participants

Remote training — Invitation to evaluation session

Remote training — Agenda for 2-day course

Remote training — Agenda for course in short sessions


A WHO and AAP collaboration

ENC 1 is one of the components of the Essential Newborn Care Course. It was created by WHO in collaboration with the American Academy of Pediatrics, as an update of the course Helping Babies Breathe

WHO and AAP designed the ENC 1 to support health workers to save lives, prevent disabilities, and ensure all newborns reach their full potential. Participants will respond to the essential needs of newborns everywhere, including some of the most difficult contexts such as fragile and humanitarian settings.

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