ArticleTropical medicine & international health : TM & IH2009
Are hospitals prepared to support newborn survival? - An evaluation of eight first-referral level hospitals in Kenya.
Article in Tropical medicine & international health : TM & IH, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- A multifaceted intervention to implement guidelines and improve admission paediatric care in Kenyan district hospitals: a cluster randomised trial.PLoS medicine · 2011Trial
- Developing context-sensitive, comprehensive newborn care protocols: integrating technologies with clinical care pathways for level 2 newborn units in Kenya.Journal of global health · 2025Article
- Using verbal and social autopsy approaches to understand why neonates die in rural settings: a case study of a remote rural district in Uganda.BMJ public health · 2024Article
- Structural quality of labor and delivery care in government hospitals of Ethiopia: a descriptive analysis.BMC pregnancy and childbirth · 2022Article
- Missed nursing care in newborn units: a cross-sectional direct observational study.BMJ quality & safety · 2020Observational
- Exploring the space for task shifting to support nursing on neonatal wards in Kenyan public hospitals.Human resources for health · 2019Article
- Article
- Quantifying nursing care delivered in Kenyan newborn units: protocol for a cross-sectional direct observational study.BMJ open · 2018Observational
- Effective coverage of essential inpatient care for small and sick newborns in a high mortality urban setting: a cross-sectional study in Nairobi City County, Kenya.BMC medicine · 2018Article
- Article
- Observational
- Article
- Investigating Preterm Care at the Facility Level: Stakeholder Qualitative Study in Central and Southern Malawi.Maternal and child health journal · 2016Article
- Heliotherapy for Neonatal Hyperbilirubinemia in Southwest, Nigeria: A Baseline Pre-Intervention Study.PloS one · 2016Observational
- Estimating the cost of referral and willingness to pay for referral to higher-level health facilities: a case series study from an integrated community case management programme in Uganda.BMC health services research · 2015Article
- Factors associated with low birth weight among neonates born at Olkalou District Hospital, Central Region, Kenya.The Pan African medical journal · 2015Article
- Assessment of neonatal care in clinical training facilities in Kenya.Archives of disease in childhood · 2015Article
- Evaluating the implementation of community volunteer assessment and referral of sick babies: lessons learned from the Ghana Newhints home visits cluster randomized controlled trial.Health policy and planning · 2014Article
- Learning from health care workers' opinions for improving quality of neonatal health care in kilimanjaro region, northeast Tanzania.Annals of medical and health sciences research · 2014Article
- Quality of newborn care: a health facility assessment in rural Ghana using survey, vignette and surveillance data.BMJ open · 2013Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveTo assess the availability of resources that support the provision of basic neonatal care in eight first-referral level (district) hospitals in Kenya.
methodsWe selected two hospitals each from four of Kenya's eight provinces with the aim of representing the diversity of this part of the health system in Kenya. We created a checklist of 53 indicator items necessary for providing essential basic care to newborns and assessed their availability at each of the eight hospitals by direct observation, and then compared our observations with the opinions of health workers providing care to newborns on recent availability for some items, using a self-administered structured questionnaire.
resultsThe hospitals surveyed were often unable to maintain a safe hygienic environment for patients and health care workers; staffing was insufficient and sometimes poorly organised to support the provision of care; some key equipment, laboratory tests, drugs and consumables were not available while patient management guidelines were missing in all sites.
conclusionHospitals appear relatively poorly prepared to fill their proposed role in ensuring newborn survival. More effective interventions are needed to improve them to meet the special needs of this at-risk group.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.