Yes I am involved in bringing this program to the three Bishop Shanahan Hospitals in Nsukka, Nigeria - an area of extreme poverty. We are seeing reductions in infant mortality and the reliance on intubation on a baby that is not breathing at birth has decreased as they are using Helping Babies Breathe. Challenges are many for sustainability including ongoing paper documentation as they do not have electricity more than one hour per day. While we have provided them with generators, they use the generators for surgery and direct patient care rather than computers. The other challenge is having a champion physician or midwife - at the largest facility our champion physician left for another city. So ongoing measurement and staffing are our major challenges in this area. Helping Babies Breathe is a wonderful program and helps to standardize some common delivery procedures and how to assist a baby that has stopped breathing rather than using intubation (of which intubation almost always ends up in infant death as clinicians are not trained in high risk infant intubation).