Essential Newborn Care 1 – Facilitator

Essential Newborn Care 1

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Essential Newborn Care 1 (ENC1) – Immediate Care and Helping Babies Breathe at Birth is the first part of the WHO ENC Basic Course. This is an updated version of Helping Babies Breathe (HBB), and focuses on essential newborn care from birth to 60 minutes after birth. The updated course was launched in May 2023.

Key updates from HBB to ENC1

The WHO ENC course incorporates all content of the Helping Babies Survive courses, updated to align with WHO recommendations and guidelines

Summary of changes ENC1 – PDF

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.

If you would like to learn about all ENC courses, you can have a look at the information we have gathered here.

Share with your course participants

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

Learning materials

Here you can find online materials and PDFs to view and download.

You can choose whether to facilitate the course using either traditional printed materials, or the ENC1 online course which can also be used to facilitate remotely. The content in both alternatives is the same, so choose whichever suits your needs best. If you need help deciding which may be best for you, you can check this document comparing in-person and online course facilitation.

ENC1 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 though 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 ENC1 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
Download video collection (466 MB)


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

  • Newborn simulator – we suggest NeoNatalie or NeoNatalie Live
  • 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
How to run Case Scenario A (video)
How to run Case Scenario B (video)


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

ENC1 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 ENC1 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.

Read more

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