title: The need for technologies to prevent bilirubin-induced neurologic dysfunction syndrome.
abstract: Dramatic improvements in the overall socioeconomic conditions have yet to impact the unacceptably high maternal (approximately 1500 maternal deaths daily, worldwide) and neonatal morbidity and mortality (more than 10,000 deaths per daily 200,000 live-births, worldwide) in the developing nations. Thus, nations with emerging markets have unique health-societal needs. All infants require a safer transition from a birthing facility to home during the first week after birth and providing for a nurturing environment to prevent neonatal illnesses is integral to "good clinical practice." The unmonitored occurrence of severe hyperbilirubinemia and kernicterus are emblematic of a fractured maternal child healthcare system. The "know-do" gaps that span private versus public health care systems in the emerging markets have led us to conclude that building an interdisciplinary leadership approach to provide innovative strategies and affordable technologies will help bridge and access existing social barriers in the micro- and macro-health environments. Thus, unfettered access, global benchmarks, and culturally relevant strategies are dependent on evidence-based affordable technologies to successfully transform societal health care practices. Implementation of jaundice-related technologies should serve as a template for other affordable newborn health products.
authors.affiliation: Division of Neonatal-Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Lucile Packard Children's Hospital, Stanford, CA 94304, USA. bhutani@stanford.edu
authors.forename: Vinod K
authors.initials: VK
authors.lastname: Bhutani
authors.forename: David K
authors.initials: DK
authors.lastname: Stevenson
mesh_terms: D001663:Bilirubin / Q000097:blood*; D006801:Humans; D051556:Hyperbilirubinemia, Neonatal / Q000097:blood / Q000517:prevention & control*; D007231:Infant, Newborn; D007647:Kernicterus / Q000097:blood / Q000517:prevention & control*; D009422:Nervous System Diseases / Q000097:blood / Q000517:prevention & control*
chemical_list: D001663:Bilirubin