We are not out to save the world but to tell the stories
of those who are.
© 2009 NEED Communications
A premature baby at the Bac Ninh provincial hospital in Vietnam receives treatment.
health | Breath of Life
writer: Marni Ginther
photographer: Yan Seiler

the names of individuals
have been changed.


© 2009 NEED Communications
Doan was born at a small provincial hospital and sent to the National Hospital of Pediatrics (NHP) in Hanoi due to respiratory failure.

© 2009 NEED Communications
Thiep was born two months premature. He weighs a little more than three pounds but his condition is improving under CPAP treatment at the Bac Giang Provincial Hospital.

A single machine could mean the difference between life and death for 64,000 premature infants born each year in Vietnam. With underdeveloped lungs, these babies suffer from a condition known as respiratory distress syndrome.

Thao and Linh’s son was one of those babies. The hospital where he was born did not have a ventilator to help him breathe, so he was rushed to a larger hospital better equipped to help him. When he arrived it was already too late. The doctors told Thao and Linh that their son could not be saved. Eyes welling up with tears, Thao remembered how it felt to let his baby die. “When they told me to sign the consent form to stop treatment, I could barely hold the pen,” he says. “I cried as I signed the paper. … Until the end of my life, I will never forget that moment.”

Thousands of stories like Thao and Linh’s illustrate the importance of immediate medical care for premature infants suffering from this syndrome. Often that vital treatment requires a Continuous Positive Airway Pressure (CPAP) machine.

The CPAP is a ventilator that gently inflates the lungs of patients who are unable to breathe on their own. Although CPAPs are standard in US neonatal care facilities, most regional hospitals in Vietnam cannot afford them. As a result, 20,000 premature babies die each year in Vietnam.
© 2009 NEED Communications
A premature baby at the Bac Ninh provincial hospital in Vietnam receives treatment.
Evans has long understood the importance of sustainability in medical aid programs. From years of volunteering in Vietnam before starting KSE Medical, he learned that donating foreign equipment to poor hospitals does not remedy a lack of basic medical technology. If the hospital workers do not have the knowledge and resources to properly operate and maintain those foreign machines, then such wellintentioned efforts are futile. The project is about "teaching people how to design and develop these for themselves, how to support them in a spirit of selfsufficiency," Evans says.

This is easier said than done. KSE Medical spent three years developing CPAP machines that met local hospitals' needs. It began to train workers, monitor the machines' quality and provide technical support. "It has been the hardest five working years of my life," Evans says.
© 2009 NEED Communications
Tuong, a KSE medical technician, builds a CPAP device.
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