The Experts below are selected from a list of 10797 Experts worldwide ranked by ideXlab platform
Timothy Abuya - One of the best experts on this subject based on the ideXlab platform.
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evaluating quality neonatal care call centre service tele health and community engagement in reducing Newborn Morbidity and mortality in bungoma county kenya
BMC Health Services Research, 2018Co-Authors: Jesse Gitaka, Alice Natecho, Humphrey M. Mwambeo, Daniel Maina Gatungu, David Githanga, Timothy AbuyaAbstract:Neonatal mortality is a major health burden in Bungoma County with the rate estimated at 31 per 1000 live births and is above the national average of 22 per 1000. Nonetheless, out of the nine sub county hospitals, only two are fairly equipped with necessary infrastructure and skilled personnel to manage neonatal complications such as prematurity, neonatal sepsis, neonatal jaundice, birth asphyxia and respiratory distress syndrome. Additionally, with more than 50% of neonates delivered without skilled attendance, in below par hygiene environments such as home and on the roadsides, with non-existent community based referral system, the situation is made worse. The study aims to evaluate the progress made by an intervention “Collaborative Newborn Support Project” geared towards reducing neonatal mortality rate by 30% between October 2015 and December 2018 in Bungoma County, Kenya. This intervention will take a quasi-experimental design approach with experimental and control sites. The project will involve pre- and post-intervention data collection with comparison group to assess intervention effects. The primary outcome will be the percentage reduction of neonatal mortality in Bungoma County. Secondary outcomes include; a) Percentage of mothers or care givers able to identify at least three danger signs in neonates in the project area, b) Proportion of neonates with complications referred to specialized neonatal centers, through the call center, c) Percentage of health providers in neonatal care units who adhere to expected neonatal standards of care (rapid and complete application of standard protocols), d) Percentage increase in neonates with severe complications in the specialized neonatal units and e) Percentage of neonates who stay in neonatal care units beyond 5 days. We outline implementation details of the ongoing ‘Collaborative Newborn Support Project’ in Bungoma County, Kenya. This includes strategies in the operations of the telehealth platform, call centre service, community engagement and measuring of the outputs and outcomes. The funding and ethical approvals have been obtained and the study commenced. PACTR201712002802638 Retrospectively registered on 5th December 2017 at Pan African Clinical Trials Registry.
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Evaluating quality neonatal care, call Centre service, tele-health and community engagement in reducing Newborn Morbidity and mortality in Bungoma county, Kenya
BMC, 2018Co-Authors: Jesse Gitaka, Alice Natecho, Humphrey M. Mwambeo, Daniel Maina Gatungu, David Githanga, Timothy AbuyaAbstract:Abstract Background Neonatal mortality is a major health burden in Bungoma County with the rate estimated at 31 per 1000 live births and is above the national average of 22 per 1000. Nonetheless, out of the nine sub county hospitals, only two are fairly equipped with necessary infrastructure and skilled personnel to manage neonatal complications such as prematurity, neonatal sepsis, neonatal jaundice, birth asphyxia and respiratory distress syndrome. Additionally, with more than 50% of neonates delivered without skilled attendance, in below par hygiene environments such as home and on the roadsides, with non-existent community based referral system, the situation is made worse. The study aims to evaluate the progress made by an intervention “Collaborative Newborn Support Project” geared towards reducing neonatal mortality rate by 30% between October 2015 and December 2018 in Bungoma County, Kenya. Methods/Design This intervention will take a quasi-experimental design approach with experimental and control sites. The project will involve pre- and post-intervention data collection with comparison group to assess intervention effects. The primary outcome will be the percentage reduction of neonatal mortality in Bungoma County. Secondary outcomes include; a) Percentage of mothers or care givers able to identify at least three danger signs in neonates in the project area, b) Proportion of neonates with complications referred to specialized neonatal centers, through the call center, c) Percentage of health providers in neonatal care units who adhere to expected neonatal standards of care (rapid and complete application of standard protocols), d) Percentage increase in neonates with severe complications in the specialized neonatal units and e) Percentage of neonates who stay in neonatal care units beyond 5 days. Discussion We outline implementation details of the ongoing ‘Collaborative Newborn Support Project’ in Bungoma County, Kenya. This includes strategies in the operations of the telehealth platform, call centre service, community engagement and measuring of the outputs and outcomes. The funding and ethical approvals have been obtained and the study commenced. Trial registration PACTR201712002802638 Retrospectively registered on 5th December 2017 at Pan African Clinical Trials Registry
Jesse A Greenspan - One of the best experts on this subject based on the ideXlab platform.
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men s roles in care seeking for maternal and Newborn health a qualitative study applying the three delays model to male involvement in morogoro region tanzania
BMC Pregnancy and Childbirth, 2019Co-Authors: Jesse A Greenspan, Joy J Chebet, Rose Mpembeni, Idda Mosha, Maurus Mpunga, Peter J Winch, Japhet Killewo, Abdullah H BaquiAbstract:Increasing the utilization of facility-based care for women and Newborns in low-resource settings can reduce maternal and Newborn Morbidity and mortality. Men influence whether women and Newborns receive care because they often control financial resources and household decisions. This influence can have negative effects if men misjudge or ignore danger signs or are unwilling or unable to pay for care. Men can also positively affect their families’ health by helping plan for delivery, supplementing women’s knowledge about danger signs, and supporting the use of facility-based care. Because of these positive implications, researchers have called for increased male involvement in maternal and Newborn health. However, data gathered directly from men to inform programs are lacking. This study draws on in-depth interviews with 27 men in Morogoro Region, Tanzania whose partners delivered in the previous 14 months. Debriefings took place throughout data collection. Interview transcripts were analyzed inductively to identify relevant themes and devise an analysis questionnaire, subsequently applied deductively to all transcripts. Study findings add a partner-focused dimension to the three delays model of maternal care seeking. Men in the study often, though not universally, described facilitating access to care for women and Newborns at each point along this care-seeking continuum (deciding to seek care, reaching a facility, and receiving care). Specifically, men reported taking ownership of their role as decision makers and described themselves as supportive of facility-based care. Men described arranging transport and accompanying their partners to facilities, especially for non-routine care. Men also discussed purchasing supplies and medications, acting as patient advocates, and registering complaints about health services. In addition, men described barriers to their involvement including a lack of knowledge, the need to focus on income-generating activities, the cost of care, and policies limiting male involvement at facilities. Men can leverage their influence over household resources and decision making to facilitate care seeking and navigate challenges accessing care for women and Newborns. Examining these findings from men and understanding the barriers they face can help inform interventions that encourage men to be positively and proactively involved in maternal and Newborn health.
Kate M Milner - One of the best experts on this subject based on the ideXlab platform.
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reducing Newborn mortality in the asia pacific region quality hospital services and community based care
Journal of Paediatrics and Child Health, 2013Co-Authors: Kate M Milner, Trevor Duke, Ingrid K BucensAbstract:Improving Newborn health and survival is an essential part of progression toward Millennium Development Goal 4 in the World Health Organization Western Pacific and South East Asian regions. Both community and facility-based services are required. Strategies to improve the quality of care provided for Newborns in health clinics and district- and referral-level hospitals have been relatively neglected in most countries in the region and in the published literature. Indirect historical evidence suggests that improving facility-based care will be an increasing priority for improving Newborn survival in Asia and the Pacific as Newborn mortality rates decrease and health systems contexts change. There are deficiencies in many aspects of Newborn care including immediate care and care for seriously ill Newborns which contribute substantially to regional Newborn Morbidity and mortality. We propose a practical quality improvement approach based on models and standards of Newborn care for primary- district- and referral-level heath facilities and incorporated within existing maternal Newborn and child health programmes. There are examples where such approaches are being used effectively. There is a need to produce more nurses community health workers and doctors with skills in care of the well and the sick Newborn and there are World Health Organization models of training to support this including guidelines on emergency obstetric and Newborn care and the Pocket Book of Hospital Care for Children. There are also simple data collection and analysis programmes that can assist in auditing outcomes problem identification and health services planning. Finally with increased survival rates there are gaps in follow-up care for Newborns at high risk of long-term health and developmental impairments and addressing this will be necessary to ensure optimal developmental and health outcomes for these children. (c) 2013 The Authors. Journal of Paediatrics and Child Health (c) 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians).
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reducing Newborn mortality in the asia pacific region quality hospital services and community based care
Journal of Paediatrics and Child Health, 2013Co-Authors: Kate M Milner, Trevor Duke, Ingrid K BucensAbstract:Improving Newborn health and survival is an essential part of progression toward Millennium Development Goal 4 in the World Health Organization Western Pacific and South East Asian regions. Both community and facility-based services are required. Strategies to improve the quality of care provided for Newborns in health clinics and district- and referral-level hospitals have been relatively neglected in most countries in the region and in the published literature. Indirect historical evidence suggests that improving facility-based care will be an increasing priority for improving Newborn survival in Asia and the Pacific as Newborn mortality rates decrease and health systems contexts change. There are deficiencies in many aspects of Newborn care including immediate care and care for seriously ill Newborns which contribute substantially to regional Newborn Morbidity and mortality. We propose a practical quality improvement approach based on models and standards of Newborn care for primary- district- and referral-level heath facilities and incorporated within existing maternal Newborn and child health programmes. There are examples where such approaches are being used effectively. There is a need to produce more nurses community health workers and doctors with skills in care of the well and the sick Newborn and there are World Health Organization models of training to support this including guidelines on emergency obstetric and Newborn care and the Pocket Book of Hospital Care for Children. There are also simple data collection and analysis programmes that can assist in auditing outcomes problem identification and health services planning. Finally with increased survival rates there are gaps in follow-up care for Newborns at high risk of long-term health and developmental impairments and addressing this will be necessary to ensure optimal developmental and health outcomes for these children. (c) 2013 The Authors. Journal of Paediatrics and Child Health (c) 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians).
Abdullah H Baqui - One of the best experts on this subject based on the ideXlab platform.
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men s roles in care seeking for maternal and Newborn health a qualitative study applying the three delays model to male involvement in morogoro region tanzania
BMC Pregnancy and Childbirth, 2019Co-Authors: Jesse A Greenspan, Joy J Chebet, Rose Mpembeni, Idda Mosha, Maurus Mpunga, Peter J Winch, Japhet Killewo, Abdullah H BaquiAbstract:Increasing the utilization of facility-based care for women and Newborns in low-resource settings can reduce maternal and Newborn Morbidity and mortality. Men influence whether women and Newborns receive care because they often control financial resources and household decisions. This influence can have negative effects if men misjudge or ignore danger signs or are unwilling or unable to pay for care. Men can also positively affect their families’ health by helping plan for delivery, supplementing women’s knowledge about danger signs, and supporting the use of facility-based care. Because of these positive implications, researchers have called for increased male involvement in maternal and Newborn health. However, data gathered directly from men to inform programs are lacking. This study draws on in-depth interviews with 27 men in Morogoro Region, Tanzania whose partners delivered in the previous 14 months. Debriefings took place throughout data collection. Interview transcripts were analyzed inductively to identify relevant themes and devise an analysis questionnaire, subsequently applied deductively to all transcripts. Study findings add a partner-focused dimension to the three delays model of maternal care seeking. Men in the study often, though not universally, described facilitating access to care for women and Newborns at each point along this care-seeking continuum (deciding to seek care, reaching a facility, and receiving care). Specifically, men reported taking ownership of their role as decision makers and described themselves as supportive of facility-based care. Men described arranging transport and accompanying their partners to facilities, especially for non-routine care. Men also discussed purchasing supplies and medications, acting as patient advocates, and registering complaints about health services. In addition, men described barriers to their involvement including a lack of knowledge, the need to focus on income-generating activities, the cost of care, and policies limiting male involvement at facilities. Men can leverage their influence over household resources and decision making to facilitate care seeking and navigate challenges accessing care for women and Newborns. Examining these findings from men and understanding the barriers they face can help inform interventions that encourage men to be positively and proactively involved in maternal and Newborn health.
Slawa Rokicki - One of the best experts on this subject based on the ideXlab platform.
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shedding light on quality of care a study protocol for a randomized trial evaluating the impact of the solar suitcase in rural health facilities on maternal and Newborn care quality in uganda
BMC Pregnancy and Childbirth, 2019Co-Authors: Slawa Rokicki, Brian Mwesigwa, Laura Schmucker, Jessica L CohenAbstract:Continued progress in reducing maternal and Newborn Morbidity and mortality in low-income countries requires a renewed focus on quality of delivery care. Reliable electricity and lighting is a cornerstone of a well-equipped health system, but most primary maternity care facilities in sub-Saharan Africa are either not connected to the electrical grid or suffer frequent blackouts. Lack of reliable electricity and light in maternity facilities may contribute to poor quality of both routine and emergency obstetric and Newborn care, by hindering infection control, increasing delays in providing care, and reducing health worker morale. The “Solar Suitcase” is a solar electric system designed specifically for maternity care facilities in low-resource environments. The purpose of this trial is to evaluate the impact of the Solar Suitcase on reliability of light, quality of obstetric and Newborn care, and health worker satisfaction. We are conducting a study with 30 maternity care facilities in rural Uganda that lack access to a reliable, bright light source. The study is a stepped wedge cluster randomized controlled trial. Study facilities are identified according to predefined eligibility criteria, and randomized by blocking on baseline covariates. The intervention is a “Solar Suitcase”, a complete solar electric system that provides essential lighting and power for charging phones and small medical devices. The primary outcomes are the reliability and quality of light during intrapartum care, the process quality of obstetric and Newborn care, and health worker satisfaction. Outcomes will be assessed via direct clinical observation by trained enumerators (estimated n = 1980 birth observations), as well as interviews with health workers and facility managers. Lighting and blackouts will be captured through direct observation and via light sensors installed in facilities. A key feature of a high quality health system is appropriate infrastructure, including reliable, bright lighting and electricity. Rigorous evidence on the role of a reliable light source in maternal and Newborn care is needed to accelerate the “electrification” of maternity facilities across sub-Saharan Africa. This study will be the first to rigorously assess the extent to which reliable light is an important driver of the quality of care experienced by women and Newborns. ClinicalTrials.gov : NCT03589625 (July 18, 2018); socialscienceregistry.org : AEARCTR-0003078 (dated June 16, 2018).