Implementation of the WHO guideline on treatment of young infants with signs of possible serious bacterial infection when hospital referral is not feasible in rural Zaria, Nigeria: Challenges and solutions

PloS One
Robinson D WammandaRajiv Bahl

Abstract

Bacterial infection is one of the leading causes of mortality in young infants globally. The standard practice to manage young infants with any sign of possible serious bacterial infection (PSBI) is in a hospital setting with parenteral antibiotics, which may not be feasible for majority of cases in most low resource settings. The World Health Organization developed a guideline on management of PSBI in young infants when referral is not feasible in 2016. We conducted implementation research in selected communities in Zaria Local Government Areas of Kaduna State with an estimated population of 50,000 with the aim of understanding how to implement the WHO PSBI treatment guideline to achieve high coverage with low case fatality and treatment failure rates. Implementation was within the programmatic settings using existing health structure. We conducted policy dialogue with decision makers to adapt the recommendations to their social, cultural and programmatic context in Nigeria, held orientation meetings with program managers, built capacity of the health workers and supported the implementation within the health system. We supported a non-government organization to conduct community sensitization to promote care seeking and adher...Continue Reading

References

Jun 22, 1996·Lancet·N BhandariM K Bhan
Nov 7, 2003·The New England Journal of Medicine·Michael Spiegel, Christoph Pechlaner
Mar 16, 2005·Lancet·Gary L DarmstadtUNKNOWN Lancet Neonatal Survival Steering Team
Mar 26, 2005·Journal of Perinatology : Official Journal of the California Perinatal Association·Abhay T BangMahesh D Deshmukh
Feb 21, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·H S GaladanciU S Umar
Jul 20, 2011·Journal of Health, Population, and Nutrition·Sudhir KhanalBhanu Yengden
Apr 26, 2016·Journal of Community Medicine & Health Education·Judith Aponte
Jul 27, 2017·Vaccine· World Health Organization
Aug 19, 2017·BMJ : British Medical Journal·Anne Cc LeeUNKNOWN CHERG Small-for-Gestational-Age-Preterm Birth Working Group
Oct 6, 2017·Health Policy and Planning·Bereket MathewosEmmanuelle Daviaud
Oct 27, 2018·The Lancet Global Health·UNKNOWN Alliance for Maternal and Newborn Health Improvement (AMANHI) mortality study group

❮ Previous
Next ❯

Citations

Jun 28, 2021·Systematic Reviews·Doris YimgangSanni Yaya

❮ Previous
Next ❯

Software Mentioned

RE
AIM
IMCI
AFRINEST

Related Concepts

Related Feeds

Bacterial Protein Structures (ASM)

Bacterial protein structures can expedite the development of novel antibiotics. Here is the latest research on bacterial proteins and the resolution of their structures.

Bacterial Protein Structures

Bacterial protein structures can expedite the development of novel antibiotics. Here is the latest research on bacterial proteins and the resolution of their structures.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.