scholarly journals MSF Paediatric Days: a step forward in operationalising ‘Humanitarian Paediatrics’

2021 ◽  
Vol 5 (1) ◽  
pp. e001156
Author(s):  
Sophie Janet ◽  
Neal Russell ◽  
Nikola Morton ◽  
Daniel Martinez ◽  
Mona Tamannai ◽  
...  
Keyword(s):  
Best Practice ◽  
Newborn Care ◽  
Models Of Care ◽  
Collective Learning ◽  
Community Based ◽  
Essential Newborn Care ◽  
Care Community ◽  
Resource Limited ◽  
Paediatric Tuberculosis ◽  
Advance Knowledge

Around the world, one in four children live in a country affected by conflict, political insecurity and disaster. Healthcare in humanitarian and fragile settings is challenging and complex to provide, particularly for children. Furthermore, there is a distinct lack of medical literature from humanitarian settings to guide best practice in such specific and resource-limited contexts. In light of these challenges, Médecins Sans Frontières (MSF), an international medical humanitarian organisation, created the MSF Paediatric Days with the aim of uniting field staff, policymakers and academia to exchange ideas, align efforts, inspire and share frontline research and experiences to advance humanitarian paediatric and neonatal care. This 2-day event takes place regularly since 2016. The fourth edition of the MSF Paediatric Days in April 2021 covered five main topics: essential newborn care, community-based models of care, paediatric tuberculosis, antimicrobial resistance in neonatal and paediatric care and the collateral damage of COVID-19 on child health. In addition, eight virtual stands from internal MSF initiatives and external MSF collaborating partners were available, and 49 poster communications and five inspiring short talks referred to as ‘PAEDTalks’ were presented. In conclusion, the MSF Paediatric Days serves as a unique forum to advance knowledge on humanitarian paediatrics and creates opportunities for individual and collective learning, as well as networking spaces for interaction and exchange of ideas.

scholarly journals KNOWLEDGE ON HUMAN MILK BANKING AMONG PAEDIATRIC STAFF NURSES

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Sr. Moncy Francis francis ◽  
Dr. Bimla rani
Keyword(s):  
Human Milk ◽  
Best Practice ◽  
Newborn Care ◽  
Demographic Variables ◽  
Staff Nurses ◽  
Knowledge Level ◽  
Essential Newborn Care ◽  
Human Milk Banking ◽  
Milk Banking ◽  
Level Of Knowledge

Background: Breastfeeding is considered as the best practice which results in optimum growth and development of infants. According to WHO and UNICEF, donor’s human milk is considered as the best alternative in situations where the mother is not able to provide adequate breast milk due to unavoidable circumstances. Objective: The objective of the study is to assess the knowledge level of paediatric staff nurses regarding Human Milk banking and to find out the association of knowledge level with their demographic variables Materials & Methods: This descriptive study was conducted in a selected hospital of Idukki district in Kerala. The data were collected from 45 Paediatric staff nurses regarding human milk banking by convenience sampling method with the use of a structured questionnaire. Results: The data results revealed that 50% of samples belonged to the age group 19 to 27 and 28 to 36 years; the majority of the samples (72%) were Christians; half of the samples (58%) were graduates; and majority of them (62%) were housewives. Concerning the level of knowledge, 15.5% of them had poor, 69% had average and 15.5% had a good level of knowledge regarding essential newborn care.

scholarly journals Community Based Essential New Born Care Practices and Associated Factors among Women in the Rural Community of Awabel District, East Gojjam Zone, Amhara, Ethiopia, 2013

2015 ◽  
Vol 1 (1) ◽  
pp. 17 ◽  
Author(s):  
Teshome Kokebie ◽  
Mekonen Aychiluhm ◽  
Genet Degu Alamneh
Keyword(s):  
Rural Women ◽  
Associated Factors ◽  
Newborn Care ◽  
Educational Status ◽  
Birth Preparedness ◽  
Community Based ◽  
Cross Sectional ◽  
Essential Newborn Care ◽  
New Born ◽  
Care Practices

Background; Essential newborn care is important for the proper development and healthy life of a baby. Although 70% of infant deaths occur during the first month of life, the policy-makers and health professionals in developing countries, until recently, gave little attention for the new born care. But, the principles of essential newborn care are simple, requiring no expensive high technology equipment.Objective: the main aim of this study was to assess level of community based essential new born care practices and associated factors among rural women who gave birth in the last 12 months preceding the survey in Awabel District, Amhara, Ethiopia.Method: A community-based cross-sectional study was conducted in September and October 20013. Data were collected from randomly selected 570 women by interview. The collected data were entered into computer using Epi-Data version3.1 and analyzed using SPSS version 16. Logestic regression was fitted to assess possible associations and the strength of association was measured using odds ratio with 95% CI.Results: the study revealed that the level of Essential New born Care practices was 23.1%. Educational status, (OR=7.02, 95%, CI=2.27,21.74), immediate PNC visit, (OR=3.22,95%CI = 1.18,9.48), advise about Essential New born Care practices during monthly pregnant mothers group meeting (OR=4.77,95%CI=1.11, 19.79) advise about birth preparedness during ANC visits (OR=9.05,95% CI =2.76,29.61) and presence of radio in the household (OR=7.91,95%CI=2.64,23.67) were found to have statistically significant association with essential new born care practices.Conclusion: The study identified low comprehensive practices of essential new born care in the study area. Community oriented promotion of essential new born care practices including women empowerment through education, promotion of suitable IEC materials and emphasizing and providing information and education to all pregnant women is recommended.

scholarly journals Community-Based Essential Newborn Care Practices and Associated Factors among Women of Enderta, Tigray, Ethiopia, 2018

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Gebrehiwot Gebremariam Weldeargeawi ◽  
Zenawi Negash ◽  
Alemayehu Bayray Kahsay ◽  
Yemane Gebremariam ◽  
Kidanemaryam Berhe Tekola
Keyword(s):  
Associated Factors ◽  
Newborn Care ◽  
Educational Status ◽  
Outcome Variable ◽  
Care Practice ◽  
Community Based ◽  
Cross Sectional ◽  
Essential Newborn Care ◽  
Newborn Care Practice ◽  
Care Practices

Introduction. Neonatal mortality contributes a higher percentage of infant mortality, especially in developing countries including Ethiopia where the rate of institutional delivery is low. In Ethiopia, scientific evidences on the level of community-based essential newborn care practice were scanty and inconclusive. Objectives. The aim of the study was to assess community-based essential newborn care practices and associated factors among women who have infant<12 months. Methods. A community-based cross-sectional study was employed among 634 randomly selected women who have infant<12 months from June 23, 2017, to August 29, 2017, at Enderta district. Data was collected by a face-to-face interview through structured questionnaires, and it was coded, entered, and cleaned using EpiData version 3.1. Then, the data was exported to SPSS version 21 for analysis. Odds ratios and p value were computed to know the association between the independent variables with the dependent variable. Finally, a variable at p values of p<0.05 was considered statistically significant with the outcome variable. Result. The overall community-based essential newborn care practice was found 40.7%. Educational status (AOR=6.6, 95% CI, 2.49-11.97), previous ANC follow-up (AOR=1.7, 95% CI, 1.2-3.80), weight of the child during birth (AOR=1.3, 95% CI, 1.12-2.98), and place of delivery (AOR=2.1, 95% CI, 1.50-4.63) were found to be significantly associated with community-based essential newborn care. Even though overall newborn practice was found to be good, the cord care practices were found to be poor that indicated there is a need to rise community awareness.

scholarly journals Evaluation of an educational program for essential newborn care in resource-limited settings: Essential Care for Every Baby

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Anu Thukral ◽  
Jocelyn Lockyer ◽  
Sherri L. Bucher ◽  
Sara Berkelhamer ◽  
Carl Bose ◽  
...  
Keyword(s):  
Educational Program ◽  
Newborn Care ◽  
Resource Limited Settings ◽  
Essential Newborn Care ◽  
Resource Limited

scholarly journals Evaluating implementation strategies for essential newborn care interventions in low- and low middle-income countries: a systematic review

2020 ◽  
Vol 35 (Supplement_2) ◽  
pp. ii47-ii65
Author(s):  
Kimberly Peven ◽  
Debra Bick ◽  
Edward Purssell ◽  
Torill Alise Rotevatn ◽  
Jane Hyldgaard Nielsen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Implementation Research ◽  
Newborn Care ◽  
Implementation Strategies ◽  
Community Based ◽  
Essential Newborn Care ◽  
Middle Income ◽  
Middle Income Countries ◽  
Implementation Outcomes ◽  
Low Middle Income Countries

Abstract Neonatal mortality remains a significant health problem in low-income settings. Low-cost essential newborn care (ENC) interventions with proven efficacy and cost-effectiveness exist but have not reached high coverage (≥90%). Little is known about the strategies used to implement these interventions or how they relate to improved coverage. We conducted a systematic review of implementation strategies and implementation outcomes for ENC in low- and low middle-income countries capturing evidence from five medical and global health databases from 1990 to 2018. We included studies of implementation of delayed cord clamping, immediate drying, skin-to-skin contact (SSC) and/or early initiation of breastfeeding implemented in the first hour (facility-based studies) or the 1st day (community-based studies) of life. Implementation strategies and outcomes were categorized according to published frameworks: Expert Recommendations for Implementing Change and Outcomes for Implementation Research. The relationship between implementation strategies and outcomes was evaluated using standardized mean differences and correlation coefficients. Forty-three papers met inclusion criteria. Interventions included community-based care/health promotion and facility-based support and health care provider training. Included studies used 3–31 implementation strategies, though the consistency with which strategies were applied was variable. Conduct educational meetings was the most frequently used strategy. Included studies reported 1–4 implementation outcomes with coverage reported most frequently. Heterogeneity was high and no statistically significant association was found between the number of implementation strategies used and coverage of ENC. This review highlights several challenges in learning from implementation of ENC in low- and low middle-income countries, particularly poor description of interventions and implementation outcomes. We recommend use of UK Medical Research Council guidelines (2015) for process evaluations and checklists for reporting implementation studies. Improved reporting of implementation research in this setting is necessary to learn how to improve service delivery and outcomes and thereby reduce neonatal mortality.

scholarly journals Essential newborn care in rural settings: The case of Warrap State in South Sudan

2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Alfonso C. Rosales ◽  
Juli A. Hedrick ◽  
Dennis T. Cherian ◽  
Erin C. Moore ◽  
Kelley M. Brown ◽  
...  
Keyword(s):  
Rural Areas ◽  
Healthcare Delivery ◽  
Newborn Care ◽  
Common Element ◽  
Predominant Role ◽  
Community Based ◽  
Essential Newborn Care ◽  
Rural Settings ◽  
Survey Results ◽  
Low Coverage

Essential newborn care is taking a predominant role in addressing under-five healthcare delivery interventions. There are no current well-established guidelines or common methodologies on how to assess the situation of newborn care in countries with weak health information systems, especially when addressing situational needs in rural settings. The main objective of this study was to test the feasibility of collecting information using a community based approach to assess the level of coverage of essential newborn care, especially for rural settings. Six indicators related to promotion and provision of thermal care, early initiation of exclusive breastfeeding, and hygienic cord care, were measured. A two-stage stratified and weighted random sampling was carried out. Standard sample calculations were used to determine a sample of 511 respondents. Descriptive results from the population survey showed that the prevalence of newborns receiving all recommended elements of essential new born care in the surveyed area was 1%. The most common element completed, with nine out of ten respondents, was wrapping the newborn immediately after birth, but only 1% were not bathed within the first six hours after birth. Survey results confirmed low coverage of systematic application of essential newborn care measures in rural areas of Warrap State in South Sudan.This observational study indicates that the collection of information on health care behaviours around essential newborn care indicators (thermal, cord and eye care, and breastfeeding) can be reliably achieved, especially in hard-to-reach areas, at the community level.

scholarly journals The level of Community-Based Essential Newborn Care utilization and associated factors among rural women in Southern Ethiopia, 2020: Based on the updated Community-Based Essential Newborn Care guideline

2022 ◽  
Vol 10 ◽  
pp. 205031212110676
Author(s):  
Aklilu Habte ◽  
Kaleegziabher Lukas ◽  
Temesgen Tamirat
Keyword(s):  
Confidence Interval ◽  
Rural Women ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Newborn Care ◽  
Sampling Technique ◽  
Southern Ethiopia ◽  
Care Utilization ◽  
Community Based ◽  
Essential Newborn Care

Background: A Community-Based Essential Newborn Care is a national initiative that incorporates a newborn care program into the continuum of maternal and child health care through enhancing community participation to reduce child morbidity and mortality and encourage healthy growth and development. This study aimed at assessing the level of Community-Based Essential Newborn Care service uptake and its associated factors among rural women in the Guraghe zone, Southern Ethiopia, 2020. Methods: A community-based cross-sectional study was conducted in the rural districts of Southern Ethiopia, from 1 to 31 May 2020. A multistage sampling technique was applied. Using a systematic random sampling technique, a total of 818 respondents were selected. The data collected by a pretested structured questionnaire were entered into EpiData 3.1 and exported to the Statistical Package for Social Sciences (Version 23) for analysis. To identify significant predictors of Community-Based Essential Newborn Care utilization, a multivariable logistic regression analysis was fitted. Adjusted odds ratios with 95% confidence intervals were used to estimate the strength of associations, and statistical significance was declared at a p value <0.05. Results: One-third, 269 (33.1%) (95% confidence interval = 30.0–36.2), of women and their newborns got the entire packages of the Community-Based Essential Newborn Care program. Desire on the last pregnancy (adjusted odds ratio = 2.66, 95% confidence interval = 1.56–4.51), birth preparedness and complication readiness plan (adjusted odds ratio = 4.82, 95% confidence interval = 3.26–7.12), timing of the postpartum visit (adjusted odds ratio = 3,56, 95% confidence interval = 2.00–6.34), attending monthly pregnant women conference (adjusted odds ratio = 3.01, 95% confidence interval = 1.99–4.57), and being a certified model household (adjusted odds ratio = 1.88, 95% confidence interval = 1.24–2.85) were identified as key predictors of Community-Based Essential Newborn Care utilization. Conclusion: The uptake of the full Community-Based Essential Newborn Care packages in the study area was low. Health care providers at the health institution and community level should give due emphasis to improve contraceptive service delivery. Besides, health extension workers at the community level should work on providing immediate postpartum visits, creating model households, and strengthening pregnant women conferences.

scholarly journals Common care practices among effective community-based specialist palliative care teams: a qualitative study

2017 ◽  
Vol 10 (1) ◽  
pp. e3-e3 ◽  
Author(s):  
Hsien Seow ◽  
Daryl Bainbridge ◽  
Melissa Brouwers ◽  
Deanna Bryant ◽  
Sue Tan Toyofuku ◽  
...  
Keyword(s):  
Palliative Care ◽  
Qualitative Study ◽  
Team Building ◽  
Physical Symptom ◽  
Models Of Care ◽  
Specialist Palliative Care ◽  
Community Based ◽  
Care Community ◽  
Palliative Care Teams ◽  
Care Practices

ObjectiveEvidence has shown that, despite wide variation in models of care, community-based specialist palliative care teams can improve outcomes and reduce acute care use at end of life. The goal of this study was to explore similarities in care practices among effective and diverse specialist teams to inform the development of other community-based teams.MethodsInterviews with 78 providers and administrators from 11 distinct community-based specialist palliative care teams from Ontario, Canada were conducted. Interviews were audio-recorded, transcribed and analysed using an inductive approach to identify common themes.Results3 key themes across all teams emerged. First, the distinct models of care were generally summarised into 3 models: primary care and specialist providers either collaborated by transferring, sharing or consulting in care. Second, teams explicitly or implicitly followed 7 common care practices related to: specialised expertise 24/7; intrateam communication; timeliness; physical symptom and psychosocial–spiritual management; education; peace and fulfilment; and advocacy for patient preferences. Third, all teams emphasised the importance of team building, even more than using clinical tools and processes.ConclusionsDespite wide variation in models of care among community-based specialist palliative care teams, this large qualitative study identified several common themes in care practices that can guide the development of other teams.

scholarly journals Community Based Essential Newborn Care Practices and Associated Factors among Women Who Gave Birth at Home in Last Twelve Months in Amaro Woreda, Southern Ethiopia, 2019

2019 ◽  
Author(s):  
Mamush Agonafir ◽  
Mulugeta Shegaze Shimbre ◽  
Sultan Hussen ◽  
Gebremaryam Temesgen ◽  
Goytom Girmay ◽  
...  
Keyword(s):  
Newborn Care ◽  
Educational Status ◽  
Southern Ethiopia ◽  
Care Practice ◽  
Birth Preparedness ◽  
Community Based ◽  
Essential Newborn Care ◽  
Complication Readiness ◽  
Care Practices ◽  
At Home

Abstract Introduction:- Significant numbers of women are giving birth at home; in this case community based newborn care is a means of bringing life-saving care to mothers and newborns at the community level. However, practice is challenging within the Ethiopian health system. Objective:- The aim of this study was to assess prevalence of community based newborn care practices and its associated factors among women who gave birth at home in Amaro Woreda, southern Ethiopia, 2019. Methods:- Across-sectional study was conducted on 490 women in the reproductive age groups of 15-49 in Amaro district and by using simple random sampling technique individual was recruited. Data collected through face-to-face interview at household level. EpiData version 3.1 statistical software was used for entry and SPSS version 20 for was used for data cleaning, management and analysis. Bi-variate and multivariate logistic regression analysis employed for analysis of factors associated with Community based newborn care practices. Results:- A total 490 of study participants were included in the analysis and only 29% practiced community based essential newborn care. Educational status of father [AOR=2.28; 95%CI:1.07-4.84] & mother [AOR=0.35; 95%CI: 0.16-0.75], last delivery assisted by relative/friends [AOR=3.58; 95%CI: 1.66-7.73], having awareness about Community based newborn care [AOR=3.49; 95%CI: 2.11-5.77], awareness about newborn danger sign [AOR=2.18; 95%CI: 1.29-3.68] and having birth preparedness and complication readiness plan [AOR=3.52; 95%CI: 1.97-6.29] were an identified independent factors associated with Community based newborn care Practice. Conclusion and recommendation:- Around three-fourth (71%) of mothers were not practicing Community based newborn care. Educational status of family, awareness about community based newborn care and newborn danger sign, last delivery assisted by relative or friends at home, and having birth preparedness and complication readiness plan were identified as independent factors for community based newborn care practice. Promotion of information at community level, women empowerment and health extension program strengthening are recommending.

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