scholarly journals Facility and care provider emergency preparedness for neonatal resuscitation in Kano, Nigeria

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262446
Author(s):  
Fatima Usman ◽  
Fatimah I. Tsiga-Ahmed ◽  
Mohammed Abdulsalam ◽  
Zubaida L. Farouk ◽  
Binta W. Jibir ◽  
...  
Keyword(s):  
Emergency Preparedness ◽  
Assessment Tool ◽  
Healthcare Providers ◽  
Neonatal Resuscitation ◽  
Neonatal Care ◽  
Good Knowledge ◽  
Health Providers ◽  
Care Assessment ◽  
Knowledge And Practice ◽  
Facility Level

Introduction The knowledge, attitude, and practice of emergency neonatal resuscitation are critical requirements in any facility that offers obstetric and neonatal services. This study aims to conduct a needs assessment survey and obtain individual and facility-level data on expertise and readiness for neonatal resuscitation. We hypothesize that neonatal emergency preparedness among healthcare providers in Kano, Nigeria is associated with the level of knowledge, attitudinal disposition, practice and equipment availability at the facility level. Methods A semi-structured, self-administered questionnaire was administered to a cross-section of health providers directly involved with neonatal care (n = 112) and attending a neonatal resuscitation workshop in Kano state. Information regarding knowledge, attitude, practice and facility preparedness for neonatal resuscitation was obtained. Bloom’s cut-off score and a validated basic emergency obstetric and neonatal care assessment tool were adopted to categorize outcomes. Multivariable logistic regression was employed to determine independent predictors of knowledge and practice. Results Almost half (48% and 42% respectively) of the respondents reported average level of self-assessed knowledge and comfort during resuscitation. Only 7% (95% CI:3.2–13.7) and 5% (95% CI:2.0–11.4) of health providers demonstrated good knowledge and practice scores respectively, with an overall facility preparedness of 46%. Respondents’ profession as a physician compared to nurses and midwives predicted good knowledge (aOR = 0.08, 95% CI: 0.01–0.69; p = 0.01), but not practice. Conclusion Healthcare provider’s knowledge and practice including facility preparedness for emergency neonatal resuscitation were suboptimal, despite the respondents’ relatively high self-assessed attitudinal perception. Physicians demonstrated higher knowledge compared to other health professionals. The low level of respondents’ awareness, practice, and facility readiness suggest the current weak state of secondary health systems in Kano.

Evaluating a novel neonatal-care assessment tool among trained delivery attendants in a resource-limited setting

2016 ◽  
Vol 135 (3) ◽  
pp. 285-289 ◽  
Author(s):  
Megan E. Kassick ◽  
Margaret A. Chinbuah ◽  
Magdalena Serpa ◽  
Goldy Mazia ◽  
Alice M. Tang ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Neonatal Care ◽  
Resource Limited Setting ◽  
Resource Limited ◽  
Care Assessment ◽  
Limited Setting

scholarly journals Assessing Quality of Newborn Care at District Facilities in Malawi

2020 ◽  
Author(s):  
Kondwani Kawaza ◽  
Mai-Lei Woo Kinshella ◽  
Tamanda Hiwa ◽  
Jenala Njirammadzi ◽  
Mwai Banda ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Assessment Tool ◽  
Newborn Care ◽  
Neonatal Care ◽  
District Level ◽  
Sub Saharan Africa ◽  
Standards Of Care ◽  
District Hospitals ◽  
Care Assessment

Abstract Background: Malawi is celebrated as one of the few countries in sub-Saharan Africa to meet the Millennium Development Goal of reducing under-5 mortality by two-thirds between 1990 and 2015. However, within this age range neonatal mortality rates are the slowest to decline, even though rates of facility births are increasing. Examining the quality of neonatal care at district-level facilities where most deliveries occur is warranted. Objective: The objective of this paper is to evaluate the quality of neonatal care in three district hospitals and one primary health centre in southern Malawi as well as to report the limitations and lessons learned on using the WHO integrated quality of care assessment tool. Methodology: These facility assessments were part of the “Integrating a neonatal healthcare package for Malawi” project, a part of the Innovating for Maternal and Child Health in Africa (IMCHA) initiative. The WHO integrated quality of care assessment tool was used to assess quality of care and availability and quantity of supplies and resources. The modules on infrastructure, neonatal care and labour and delivery were included. Facility assessments were administered in November 2017 and aspects of care were scored on a Likert scale from one to five (a score of 5 indicating compliance with WHO standards of care; one as lowest indicating inadequate care). Results: The continuum of labour, delivery and neonatal care were assessed to identify areas that required improvements to meet standards of care. Critical areas for improvements included infection control (mean score 2.9), equipment, supplies and setup for newborn care in the labor ward (2.3), in the surgical theater (3.3), and nursery (3.4 nursery facilities, 3.0 supplies and equipment), as well as for management of sick newborns (3.2), monitoring and follow-up (3.6). Only one of the 12 domains, laboratory, met the standards of care with only minor improvements needed (4.0). Conclusion: The WHO integrated quality of care assessment tool is a validated tool that can shed light on the complex quality of care challenges faced by district-level health facilities. The results reveal that the quality of care needs improvement, particularly for sick and vulnerable newborns.

Effect of monitor positioning on visual attention and situation awareness during neonatal resuscitation: a randomised simulation study

2019 ◽  
Vol 105 (3) ◽  
pp. 285-291
Author(s):  
Brenda Hiu Yan Law ◽  
Po-Yin Cheung ◽  
Sylvia van Os ◽  
Caroline Fray ◽  
Georg M Schmölzer
Keyword(s):  
Visual Attention ◽  
Eye Tracking ◽  
Situation Awareness ◽  
Simulation Study ◽  
Assessment Tool ◽  
Healthcare Providers ◽  
Neonatal Resuscitation ◽  
Protocol Adherence ◽  
Randomised Controlled ◽  
Radiant Warmer

ObjectivesTo compare situation awareness (SA), visual attention (VA) and protocol adherence in simulated neonatal resuscitations using two different monitor positions.DesignRandomised controlled simulation study.SettingsSimulation lab at the Royal Alexandra Hospital, Edmonton, Canada.ParticipantsHealthcare providers (HCPs) with Neonatal Resuscitation Program (NRP) certification within the last 2 years and trained in neonatal endotracheal intubations.InterventionHCPs were randomised to either central (eye-level on the radiant warmer) or peripheral (above eye-level, wall-mounted) monitor positions. Each led a complex resuscitation with a high-fidelity mannequin and a standardised assistant. To measure SA, situation awareness global assessment tool (SAGAT) was used, where simulations were paused at three predetermined points, with five questions asked each pause. Videos were analysed for SAGAT and adherence to a NRP checklist. Eye-tracking glasses recorded participants’ VA.Main outcome measureThe main outcome was SA as measured by composite SAGAT score. Secondary outcomes included VA and adherence to NRP checklist.ResultsThirty simulations were performed; 29 were completed per protocol and analysed. Twenty-two eye-tracking recordings were of sufficient quality and analysed. Median composite SAGAT was 11.5/15 central versus 11/15 peripheral, p=0.56. Checklist scores 46/50 central versus 46/50 peripheral, p=0.75. Most VA was directed at the mannequin (30.6% central vs 34.1% peripheral, p=0.76), and the monitor (28.7% central vs 20.5% peripheral, p=0.06).ConclusionsSimulation, SAGAT and eye-tracking can be used to evaluate human factors of neonatal resuscitation. During simulated neonatal resuscitation, monitor position did not affect SA, VA or protocol adherence.

scholarly journals Knowledge and Practice on Neonatal Care Among Postnatal Mothers in A Selected Teaching Hospital, Kaski District, Nepal

2021 ◽  
Vol 8 (1) ◽  
pp. 279-284
Author(s):  
Muna Bhattarai ◽  
Rajmi Gurung ◽  
Sunita Gurung ◽  
Sharmila Poudel ◽  
Janaki Mahato ◽  
...  
Keyword(s):  
Care Delivery ◽  
Newborn Care ◽  
Sampling Technique ◽  
Neonatal Care ◽  
Good Knowledge ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Postnatal Mothers ◽  
Knowledge And Practice

Newborn care is an essential component of the health care delivery system to maintain the optimal health of the newborn and reduce mortality and morbidity in newborn. Neonatal care refers to the services which are provided by the mother to their neonates such as maintaining thermoregulation, breastfeeding, hygiene, immunization, and care of umbilical cord. The objective of the study was to assess the knowledge and practice of neonatal care among postnatal mothers. A descriptive cross-sectional study design was adopted and 150 postnatal mothers were selected using a non-probability, convenient sampling technique. Data were collected by using semi-structured interviews with a Likert scale and analyzed by using descriptive and inferential statistics. The study result revealed that 60.7 percent of the postnatal mother was aged between more than 25 years. The majority of the postnatal mother (60.7%) of had good knowledge and majority of the respondent (80.7%) of had adequate practice regarding neonatal care. Among multigravida mothers, the majority (61.9%) had good knowledge of neonatal care. Where among primigravida mothers, majority (54.2%) had good knowledge. Among multigravida mothers, the majority (78.6%) had adequate practices on neonatal care.Wheres among primigravida mothers; majority (91.7%) had adequate practices. There is a significant association between the level of knowledge and age (P=0.020), occupational status (P= 0.027), and type of family (p= 0.004). It is concluded that multigravida mothers had good knowledge and adequate practices compared to primigravida mothers. Hence, there is a need for awareness programs by government and non-government organizations, especially among first-time pregnant mothers. Int. J. Soc. Sc. Manage. Vol. 8, Issue-1: 279-284

scholarly journals Assessing Quality of Newborn Care at District Facilities in Malawi

2019 ◽  
Author(s):  
Kondwani Kawaza ◽  
Mai-Lei Woo Kinshella ◽  
Tamanda Hiwa ◽  
Jenala Njirammadzi ◽  
Mwai Banda ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Assessment Tool ◽  
Newborn Care ◽  
Neonatal Care ◽  
District Level ◽  
Sub Saharan Africa ◽  
Standards Of Care ◽  
District Hospitals ◽  
Care Assessment

Abstract Background: Malawi is celebrated as one of the few countries in sub-Saharan Africa to meet the Millennium Development Goal of reducing under-5 mortality by two-thirds between 1990 and 2015. However, within this age range neonatal mortality rates are the slowest to decline, even though rates of facility births are increasing. Examining the quality of neonatal care at district level facilities where most deliveries occur is warranted. Objective: The objective of this paper is to evaluate the quality of neonatal care in three district hospitals and one primary health centre in southern Malawi as well as to report the limitations and lessons learned on using the WHO integrated quality of care assessment tool. Methodology: These facility assessments were part of the “Integrating a neonatal healthcare package for Malawi” project, a part of the Innovating for Maternal and Child Health in Africa (IMCHA) initiative. The WHO integrated quality of care assessment tool was used to comprehensively assess quality of care in addition to availability and quantity of supplies and resources. Because this study focused on neonatal care, the modules on infrastructure, neonatal care and labour and delivery were included. Facility assessments were administered in November 2017. Results: The continuum of labour, delivery and neonatal care were all assessed and areas that required improvements to meet standards of care were identified. Critical areas for improvements included the facilities for delivery, including operations and newborn care; for equipment and supplies; for neonatal case management, including sick newborns and routine monitoring and follow-up. Only one of the 12 domains, laboratory, met the standards of care with only minor improvements needed. Conclusion: The WHO integrated quality of care assessment tool is a validated tool that can shed light on the complex quality of care challenges faced by district level health facilities. The results reveal that the quality of care needs improvement, particularly for sick and vulnerable newborns.

Health providers’ perception of quality of care for neonates in health facilities in a municipality in Southern Ghana

2016 ◽  
Vol 29 (8) ◽  
pp. 907-920 ◽  
Author(s):  
Kokui Elikplim Pomevor ◽  
Augustine Adomah-Afari
Keyword(s):  
Health Care ◽  
Neonatal Resuscitation ◽  
Neonatal Care ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Health Providers ◽  
Policy Makers ◽  
Content Type ◽  
Southern Ghana

Purpose The purpose of this paper is to assess available human resources for neonatal care and their skills, in order to explore health providers’ perceptions of quality of neonatal care in health facilities in Ghana. Design/methodology/approach Data were gathered using qualitative interviews with health providers working in the maternity and paediatric wards and midwives; direct observation; and documentary review at a regional hospital, a municipal hospital and four health centres in a municipality in a region in Southern Ghana. Data were analysed using thematic framework through the process of coding in six phases to create and establish meaningful patterns. Findings The study revealed that health providers were concerned about the number of staff available, their competence and also equipment available for them to work more efficiently. Some essential equipment for neonatal care was either not available or was non-functional where it was available, while aseptic procedures were not adhered to. Moreover, personal protective equipment such as facemask, caps, aprons were not used except in the labour wards where staff had to change their footwear before entering. Research limitations/implications Limited number of health providers and facilities used, lack of exploration of parents of neonates’ perspective of quality of neonatal care in this study and other settings, including the teaching hospitals. The authors did not examine issues related to the ineffective use of IV cannulation for neonates by nurses as well as referral of neonates. Additionally, the authors did not explore the perspectives of management of the municipal and regional health directorates or policy makers of the Ministry of Health and Ghana Health Service regarding the shortage of staff, inadequate provision of medical equipment and infrastructure. Practical implications This paper suggests the need for policy makers to redirect their attention to the issues that would improve the quality of neonatal health care in health facilities in Ghana and in countries with similar challenges. Social implications The study found that the majority of nursing staff catering for sick newborns were not trained in neonatal nursing. Babies were found sleeping in separate cots but were mixed with older children. The study suggests that babies should be provided with a separate room and not mixed with older babies. Originality/value There seemed to be no defined policy framework for management of neonatal care in the country’s health care facilities. The study recommends the adoption of paediatric and neonatal care nursing as a specialty in the curricula of health training institutions. In-service trainings should encompass issues related to management of sick babies, care of preterm babies, neonatal resuscitation and intravenouscannulation, among others.

scholarly journals Mental-physical multimorbidity treatment adherence challenges in Brazilian primary care: A qualitative study with patients and their healthcare providers

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251320
Author(s):  
Magdalena Rzewuska ◽  
Ana Carolina Guidorizzi Zanetti ◽  
Zoë C. Skea ◽  
Leonardo Moscovici ◽  
Camila Almeida de Oliveira ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Treatment Adherence ◽  
Health Care Providers ◽  
Assessment Tool ◽  
Treatment Options ◽  
Healthcare Providers ◽  
Health Behavior Change ◽  
Care Providers ◽  
Care Assessment

Improved understanding of multimorbidity (MM) treatment adherence in primary health care (PHC) in Brazil is needed to achieve better healthcare and service outcomes. This study explored experiences of healthcare providers (HCP) and primary care patients (PCP) with mental-physical MM treatment adherence. Adults PCP with mental-physical MM and their primary care and community mental health care providers were recruited through maximum variation sampling from nine cities in São Paulo State, Southeast of Brazil. Experiences across quality domains of the Primary Care Assessment Tool-Brazil were explored through semi-structured in-depth interviews with 19 PCP and 62 HCP, conducted between April 2016 and April 2017. Through thematic conent analysis ten meta-themes concerning treatment adherence were developed: 1) variability and accessibility of treatment options available through PHC; 2) importance of coming to terms with a disease for treatment initation; 3) importance of person-centred communication for treatment initiation and maintenance; 4) information sources about received medication; 5) monitoring medication adherence; 6) taking medication unsafely; 7) perceived reasons for medication non-adherence; 8) most challenging health behavior change goals; 9) main motives for initiation or maintenance of treatment; 10) methods deployed to improve treatment adherence. Our analysis has advanced the understanding of complexity inherent to treatment adherence in mental-physical MM and revealed opportunities for improvement and specific solutions to effect adherence in Brazil. Our findings can inform research efforts to transform MM care through optimization.

scholarly journals Assessing Quality of Newborn Care at District Facilities in Malawi

2020 ◽  
Author(s):  
Kondwani Kawaza ◽  
Mai-Lei Woo Kinshella ◽  
Tamanda Hiwa ◽  
Jenala Njirammadzi ◽  
Mwai Banda ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Assessment Tool ◽  
Newborn Care ◽  
Neonatal Care ◽  
District Level ◽  
Sub Saharan Africa ◽  
Standards Of Care ◽  
District Hospitals ◽  
Care Assessment

Abstract Background: Malawi is celebrated as one of the few countries in sub-Saharan Africa to meet the Millennium Development Goal of reducing under-5 mortality by two-thirds between 1990 and 2015. However, within this age range neonatal mortality rates are the slowest to decline, even though rates of facility births are increasing. Examining the quality of neonatal care at district-level facilities where most deliveries occur is warranted. Objective: The objective of this paper is to evaluate the quality of neonatal care in three district hospitals and one primary health centre in southern Malawi as well as to report the limitations and lessons learned on using the WHO integrated quality of care assessment tool. Methodology: These facility assessments were part of the “Integrating a neonatal healthcare package for Malawi” project, a part of the Innovating for Maternal and Child Health in Africa (IMCHA) initiative. The WHO integrated quality of care assessment tool was used to assess quality of care and availability and quantity of supplies and resources. The modules on infrastructure, neonatal care and labour and delivery were included. Facility assessments were administered in November 2017 and aspects of care were scored on a Likert scale from one to five (a score of 5 indicating compliance with WHO standards of care; one as lowest indicating inadequate care). Results: The continuum of labour, delivery and neonatal care were assessed to identify areas that required improvements to meet standards of care. Critical areas for improvements included infection control (mean score 2.9), equipment, supplies and setup for newborn care in the labor ward (2.3), in the surgical theater (3.3), and nursery (3.4 nursery facilities, 3.0 supplies and equipment), as well as for management of sick newborns (3.2), monitoring and follow-up (3.6). Only one of the 12 domains, laboratory, met the standards of care with only minor improvements needed (4.0). Conclusion: The WHO integrated quality of care assessment tool is a validated tool that can shed light on the complex quality of care challenges faced by district-level health facilities. The results reveal that the quality of care needs improvement, particularly for sick and vulnerable newborns.

Primary Care Assessment Tool--Adult Edition

2001 ◽  
Author(s):  
Leiyu Shi ◽  
Barbara Starfield ◽  
Jiahong Xu
Keyword(s):  
Primary Care ◽  
Assessment Tool ◽  
Care Assessment ◽  
Primary Care Assessment Tool

scholarly journals Knowledge and Practice of Health Professionals in the Management of Dysphagia

2021 ◽  
Vol 18 (4) ◽  
pp. 2139
Author(s):  
Eduardo Sánchez-Sánchez ◽  
Ylenia Avellaneda-López ◽  
Esperanza García-Marín ◽  
Guillermo Ramírez-Vargas ◽  
Jara Díaz-Jimenez ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Clinical Settings ◽  
Sectional Study ◽  
Swallowing Disorder ◽  
Cross Sectional ◽  
Anonymous Questionnaire ◽  
Knowledge And Practice ◽  
Definition Of ◽  
Management Of Dysphagia

The aim of this study was to determine healthcare providers’ knowledge and practices about dysphagia. A descriptive cross-sectional study was carried out based on a self-administered and anonymous questionnaire addressed to healthcare providers in Spain. A total of 396 healthcare providers participated in the study. Of these, 62.3% knew the definition of dysphagia as a swallowing disorder. In addition, up to 39.2% of the participants reported that they did not know whether the EatingAssessmentTool (EAT-10) dysphagia screening test was usedin their own clinical settings. Similarly, up to 49.1% of them did not know the ClinicalExaminationVolume-Viscosity (MECV-V) method. Nearly all participants (98.8%) reported that thickeners must be used forall liquids administered to patients. A higher percentage of respondents based the choice of texture on patient’s tolerance (78.2%) rather than on the MECV-V result (17.3%). In addition,76.4% of the professionals had witnessed a bronchoaspiration; after it, 44.4% (n = 175) of them reported the appearance of pneumonia, and 14.5% (n = 57) the death of the patient (p = 0.005). The participants revealeda moderate/low knowledge ofthe definition, diagnosis, and clinical management of liquid dysphagia, which indicates some room for improvements.

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