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Advancing Neonatal Survival

Advancing Neonatal Survival: Vayu bCPAP Development and Health Technology Assessment in India

Transforming newborn survival in India by introducing a proven, low-cost respiratory technology designed for low-resource health systems. By combining global innovation with national policy engagement, we are working to make life-saving neonatal care accessible where it is needed most.

Vayu Bubble CPAP (Vayu bCPAP) is a frugal, electricity-free, battery -independent and easy-to-use innovative respiratory support device designed and developed by
 by Prof. Dr. Thomas Burke of Harvard University. Deployed so far in 48 countries, it has demonstrated its potential as a scalable solution for improving neonatal survival in low-resource settings.  

Vayu bCPAP delivers safe, effective respiratory support for newborns and children up to 5 years. It operates without compressed air or electricity, using oxygen concentrators and cylinders, making it ideal for district hospitals, SNCUs, NBSUs, and even during transport.

As India works toward its SDG goal of reducing neonatal and child mortality, technologies like Vayu bCPAP can fill critical programmatic gaps under the Facility-Based Newborn Care (FBNC) framework — ensuring that no child dies for lack of breathing support.

At the Health Continuum, we are proud to anchor the Vayu India Initiative to scale up this innovation and bring equitable respiratory care closer to every newborn — even in the most remote corners of India. Our work focuses on facilitating Health Technology Assessment (HTA) of Vayu b CPAP, advocacy with national and state health authorities, and building consensus among paediatric and neonatal experts in government and private sector for adoption of the technology.

Our Achievements:
  • THC is anchoring the Health Technology Assessment (HTA) process with the Department of Health Research for Vayu b CPAP. The process involves evaluating the device for its the clinical efficacy, clinical effectiveness, cost-effectiveness, and feasibility of health system integration. Through sustained efforts of THC, HTA process progressed rapidly through the screening and prioritization stages and has now been assigned to an institutional partner for detailed evaluation. This process will generate evidence to inform potential national adoption and scale-up under India’s public health programmes, strengthening efforts to reduce preventable neonatal mortality.
  • As an outcome of sustained advocacy and strategic engagement led by THC, we were successful in receiving government orders from the National Health Mission (NHM), Madhya Pradesh for Vayu bCPAP Demonstration Project in 5 Medical Colleges and 12 District Hospitals to implement Vayu bCPAP. (Implementation to begin after CDSCO approval)
  • At PEDICON 2026, The Health Continuum secured a high-visibility platform to introduce Vayu bCPAP to India’s paediatric and neonatal community. The session, featuring a keynote by Thomas Burke and chaired by Dr. Rajiv Tandon, helped engage thousands of practitioners and build momentum for adoption of this frugal respiratory innovation for newborn survival.
Next Steps:
  • Support rollout across the 17 identified districts and selected Government Medical Colleges and district hospitals.
  • Provide strategic guidance and technical oversight to the Madhya Pradesh demonstration project.
  • Develop and deliver training modules for postgraduate paediatric residents who will act as trainers.
  • Support capacity building for clinicians and facility staff on the use of Vayu b CPAP
  • Support systematic monitoring, documentation, and evaluation of the demonstration project.
  • Continue advocacy and engagement with state health leadership (NHM MP) to ensure institutional ownership and adoption.
  • Conduct national advocacy and engagement with central government stakeholders and key institutions.

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