Service readiness for inpatient care of small and sick newborns

• Verfasst von: Moxon, Sarah G. [VerfasserIn]
• Verfasst von: Gabrysch, Sabine [VerfasserIn]
• Titel: Service readiness for inpatient care of small and sick newborns
• Titelzusatz: what do we need and what can we measure now?
• Verf.angabe: Sarah G Moxon, Tanya Guenther, Sabine Gabrysch, Christabel Enweronu-Laryea, Pavani K Ram, Susan Niermeyer, Kate Kerber, Cally J Tann, Neal Russell, Lily Kak, Patricia Bailey, Sasha Wilson, Wenjuan Wang, Rebecca Winter, Liliana Carvajal-Aguirre, Hannah Blencowe, Oona Campbell, Joy Lawn
• Jahr: 2018
• Umfang: 18 S.
• Fussnoten: Gesehen am 19.11.2019
• Titel Quelle: Enthalten in: Journal of global health
• Ort Quelle: Edinburgh : Edinburgh Univ. Global Health Soc., 2011
• Jahr Quelle: 2018
• Band/Heft Quelle: 8(2018,1) Artikel-Nummer 010702, 18 Seiten
• ISSN Quelle: 2047-2986
• DOI: doi:10.7189/jogh.08.010702
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1682149579

Abstract

Background: Each year an estimated 2.6 million newborns die, mainly from complications of prematurity, neonatal infections, and intrapartum events. Reducing these deaths requires high coverage of good quality care at birth, and inpatient care for small and sick newborns. In low- and middle-income countries, standardised measurement of the readiness of facilities to provide emergency obstetric care has improved tracking of readiness to provide care at birth in recent years. However, the focus has been mainly on obstetric care; service readiness for providing inpatient care of small and sick newborns is still not consistently measured or tracked. - Methods: We reviewed existing international guidelines and resources to create a matrix of the structural characteristics (infrastructure, equipment, drugs, providers and guidelines) for service readiness to deliver a package of inpatient care interventions for small and sick newborns. To identify gaps in existing measurement systems, we reviewed three multi-country health facility survey tools (the Service Availability and Readiness Assessment, the Service Provision Assessment and the Emergency Obstetric and Newborn Care Assessment) against our service readiness matrix. Findings: For service readiness to provide inpatient care for small and sick newborns, our matrix detailed over 600 structural characteristics. Our review of the SPA, the SARA and the EmONC assessment tools identified several measurement omissions to capture information on key intervention areas, such as thermoregulation, feeding and respiratory support, treatment of specific complications (seizures, jaundice), and screening and follow up services, as well as specialised staff and service infrastructure. - Conclusions: Our review delineates the required inputs to ensure readiness to provide inpatient care for small and sick newborns. Based on these findings, we detail where questions need to be added to existing tools and describe how measurement systems can be adapted to reflect small and sick newborns interventions. Such work can inform investments in health systems to end preventable newborn death and disability as part of the Every Newborn Action Plan.