Saving the Lives of Asphyxiated Newborns in Public Health Facilities: An Implementation Research

IF 0.6 Q4 PEDIATRICS Research and reports in neonatology Pub Date : 2022-08-01 DOI:10.2147/rrn.s366328
Sanjay Shinde, Firew Tiruneh, Dinaol Abdissa
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Abstract

Back Ground: Globally, 2.6 million children died in their first month of life—approximately 7 000 newborn deaths per day—with approximately one million dying on the first day and nearly one million dying within the next six days. Perinatal asphyxia plays a significant role in this mortality. Even those who survive will suffer from mental retardation and other complications. One programme to save the lives of asphyxiated newborns is “Helping Baby Breathe.” However, it has yet to be successful in Ethiopia. Objective: To assess the status of implementation of helping baby breath and to design alternative best way to improve the service, in public hospitals of Bench-Maji, Kaffa and Sheka zones. Methods: Concurrent triangulation was used in the design. We used a phenomenological and descriptive cross-sectional study design. The subjects of the study were key informants, postnatal mothers, and health care providers in the delivery ward. Atlas Ti and SPSS software were used to analyze qualitative and quantitative data, respectively. Results: We reported on the knowledge and skills of health care providers in neonatal resuscitation in this study. The findings revealed that participants with good knowledge and skill were 54% and 27%, respectively. A number of contextual factors that may be impeding neonatal resuscitation were also identified qualitatively. Conclusion: The majority of health care providers’ skill and knowledge of neonatal resuscitation were far below the minimum expected competency. mocking me, hahaha, who cares about the quality of a specific service?” Let me be bold and state that newborn resuscitation has never been on the agenda of a meeting. “We’re doing everything we can to assist baby breathe”, said the participant. According to specialists, however, the newborn may face challenges such as cold stress or illness. Due to the fact that these two elements are commonly disregarded. Our rash is designed to help us breathe and begin breathing.
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公共卫生机构抢救窒息新生儿生命的实施研究
背景:在全球范围内,有260万儿童在出生的第一个月死亡,每天约有7000名新生儿死亡,其中约有100万儿童在第一天死亡,近100万人在接下来的六天内死亡。围产期窒息在这种死亡率中起着重要作用。即使那些幸存下来的人也会遭受智力迟钝和其他并发症的折磨。拯救窒息新生儿生命的一个项目是“帮助婴儿呼吸”。然而,该项目在埃塞俄比亚尚未成功。目的:评估Bench Maji、Kaffa和Sheka地区公立医院帮助婴儿呼吸的实施情况,并设计改进服务的替代最佳方式。方法:采用并行三角测量法进行设计。我们采用了现象学和描述性的横断面研究设计。这项研究的受试者是关键的信息提供者、产后母亲和产房的医疗保健提供者。使用Atlas Ti和SPSS软件分别对数据进行定性和定量分析。结果:本研究报告了医护人员在新生儿复苏方面的知识和技能。研究结果显示,具有良好知识和技能的参与者分别占54%和27%。还定性地确定了可能阻碍新生儿复苏的一些背景因素。结论:大多数医护人员的新生儿复苏技能和知识远低于最低预期能力。嘲笑我,哈哈哈,谁在乎特定服务的质量?”让我大胆地说,新生儿复苏从未列入会议议程。参与者说:“我们正在尽一切努力帮助婴儿呼吸。”。然而,根据专家的说法,新生儿可能会面临冷应激或疾病等挑战。由于这两个要素通常被忽略。我们的皮疹是为了帮助我们呼吸和开始呼吸。
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