Get the Basics Right: A Description of the Key Priorities for Establishing a Neonatal Service in a Resource-Limited Setting in Cambodia

Journal of Tropical Pediatrics
Shivani Fox-LewisClaudia Turner

Abstract

Worldwide, reduction in under-five mortality has not sufficiently included neonates, who represent 45% of deaths in children of age under five years. The least progress has been observed in resource-limited settings. This mixed methods study conducted at a Cambodian non-governmental paediatric hospital described the key priorities of the ongoing neonatal service. Routinely collected data from the hospital and microbiology databases included the number of admissions, discharges and deaths and the number of cases of bacteraemias (2011-2016). Semi-structured interviews with the management staff explored the essential features of the service. There were 2127 neonatal admissions and 247 deaths. The incidence of facility-based neonatal mortality decreased by 81%. Bacteraemic healthcare-associated infections decreased by 68%. A dedicated area for neonatal care was perceived as crucial, allowing better infection control and delivery of staff training. In this hospital, the neonatal service prioritized basic measures, particularly, having a dedicated neonatal area. Facility-based mortality and bacteraemic healthcare-associated infections decreased.

References

Mar 30, 2005·Lancet·Anita K M ZaidiDonald A Goldmann
Jun 21, 2007·Journal of Tropical Pediatrics·Jacqueline J Ho, Alvin S M Chang
Nov 24, 2007·Journal of Perinatology : Official Journal of the California Perinatal Association·R D White
Sep 14, 2012·Journal of Paediatrics and Child Health·Alma M MartinezJohn Colin Partridge
Aug 31, 2013·PloS One·Claudia TurnerFrançois Nosten
Nov 21, 2013·The Lancet Infectious Diseases·Ramanan LaxminarayanOtto Cars
Nov 20, 2016·Pediatrics International : Official Journal of the Japan Pediatric Society·Raid Mr Umran, Asjad Al-Jammali
Mar 23, 2017·PloS One·Rathmony HongEtienne Poirot

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