ArticleBMC pediatrics2012
A rapid assessment of the quality of neonatal healthcare in Kilimanjaro region, northeast Tanzania.
Article in BMC pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Health seeking behaviour and knowledge on neonatal danger signs among neonatal caregivers in Upper Denkyira East Municipality, Ghana.BMC pediatrics · 2024Article
- Parental Satisfaction towards Care Given at Neonatal Intensive Care Unit and Associated Factors in Comprehensive and Referral Hospitals of Southern Ethiopia.Journal of pregnancy · 2023Article
- Audit identified modifiable factors in Hospital Care of Newborns in low-middle income countries: a scoping review.BMC pediatrics · 2022Article
- The utility of delivery ward register data for determining the causes of perinatal mortality in one specialized and one general hospital in south Ethiopia.BMC pediatrics · 2022Article
- Implementation of a Newborn Clinical Decision Support Software (NoviGuide) in a Rural District Hospital in Eastern Uganda: Feasibility and Acceptability Study.JMIR mHealth and uHealth · 2021Observational
- An investigation on workload indicator of staffing need: A scoping review.Journal of education and health promotion · 2019Article
- Article
- Quantifying nursing care delivered in Kenyan newborn units: protocol for a cross-sectional direct observational study.BMJ open · 2018Observational
- Burden of severe neonatal jaundice: a systematic review and meta-analysis.BMJ paediatrics open · 2017Article
- Rational development of guidelines for management of neonatal sepsis in developing countries.Current opinion in infectious diseases · 2015Review
- Assessment of neonatal care in clinical training facilities in Kenya.Archives of disease in childhood · 2015Article
- 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 neonatal healthcare in Kilimanjaro region, northeast Tanzania: learning from mothers' experiences.BMC pediatrics · 2013Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile child mortality is declining in Africa there has been no evidence of a comparable reduction in neonatal mortality. The quality of inpatient neonatal care is likely a contributing factor but data from resource limited settings are few. The objective of this study was to assess the quality of neonatal care in the district hospitals of the Kilimanjaro region of Tanzania.
methodsClinical records were reviewed for ill or premature neonates admitted to 13 inpatient health facilities in the Kilimanjaro region; staffing and equipment levels were also assessed.
resultsAmong the 82 neonates reviewed, key health information was missing from a substantial proportion of records: on maternal antenatal cards, blood group was recorded for 52 (63.4%) mothers, Rhesus (Rh) factor for 39 (47.6%), VDRL for 59 (71.9%) and HIV status for 77 (93.1%). From neonatal clinical records, heart rate was recorded for3 (3.7%) neonates, respiratory rate in 14, (17.1%) and temperature in 33 (40.2%). None of 13 facilities had a functioning premature unit despite calculated gestational age <36 weeks in 45.6% of evaluated neonates. Intravenous fluids and oxygen were available in 9 out of 13 of facilities, while antibiotics and essential basic equipment were available in more than two thirds. Medication dosing errors were common; under-dosage for ampicillin, gentamicin and cloxacillin was found in 44.0%, 37.9% and 50% of cases, respectively, while over-dosage was found in 20.0%, 24.2% and 19.9%, respectively. Physician or assistant physician staffing levels by the WHO indicator levels (WISN) were generally low.
conclusionKey aspects of neonatal care were found to be poorly documented or incorrectly implemented in this appraisal of neonatal care in Kilimanjaro. Efforts towards quality assurance and enhanced motivation of staff may improve outcomes for this vulnerable group.
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