"We call them miracle babies": How health care providers understand neonatal near-misses at three teaching hospitals in Ghana

PloS One
April J BellCheryl A Moyer

Abstract

Neonatal mortality is a significant problem in many low-resource countries, yet for every death there are many more newborns who suffer a life-threatening complication but survive. These "near-misses" are not well defined, nor are they well understood. This study sought to explore how health care providers at three tertiary care centers in Ghana (each with neonatal intensive care units (NICUs)) understand the term "near-miss." Eighteen providers from the NICUs at three teaching hospitals in Ghana (Korle Bu Teaching Hospital in Accra, Komfo Anokye Teaching Hospital in Kumasi, and Cape Coast Teaching Hospital in Cape Coast) were interviewed in depth regarding their perceptions of neonatal morbidity, mortality, and survival. Near the end of the interview, they were specifically asked what they understood the term "near-miss" to mean. Participants included nurses and physicians at various levels and with varying years of practice (mean years of practice = 9.33, mean years in NICU = 3.66). Results indicate that the concept of "near-misses" is not universally understood, and providers differ on whether a baby is a near-miss or not. Providers disagreed on the utility of a near-miss classification for clinical practice, with some sugge...Continue Reading

References

Dec 13, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Brigette HalesWilliam Sibbald
Mar 24, 2009·Best Practice & Research. Clinical Obstetrics & Gynaecology·Lale SayUNKNOWN WHO working group on Maternal Mortality and Morbidity classifications
Sep 7, 2012·PloS One·Joao Paulo SouzaUNKNOWN Brazilian Network for Surveillance of Severe Maternal Morbidity
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Dec 7, 2017·Revista de saúde pública·Pauline Lorena KaleKátia Silveira da Silva

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Citations

Oct 26, 2021·Global Health Action·Mengstu Melkamu AsayeKerstin Erlandsson

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