Improving newborn care in Ashanti - a look at the role of the Mother and Baby Unit of Komfo Anokye Teaching Hospital, Ghana

A. Boakye-Yiadom
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Abstract

Background One of the targets of the Ghana Newborn Strategy for the period 2019 to 2023 is the reduction of Institutional Neonatal Mortality Rate by at least 40% by 2023. This paper seeks to describe how the Mother Baby Unit (MBU) of Komfo Anokye Teaching Hospital (KATH), is collaborating with other Facilities in the Region to achieve this goal. Methods Admission and Mortality Data was collected from 7 peripheral facilities that have Pediatricians and which admit and manage Newborns in Ashanti Region. This Data was collected in the period immediately before and after MBU began to take deliberate steps to reduce congestion, which was identified as a major challenge to providing good quality care. The data was analyzed to look at the contribution of MBU to Newborn Care in the Ashanti Region and whether these steps were yielding Results Following the partial closure in May 2021, there was a deliberate effort to collaborate more closely with other Facilities in the Ashanti Region. It was found that though the number of admissions reduced by nearly 50%, this did not reflect in a commensurate reduction in Mortality Rates. In the period, KATH MBU, had 45% of facility Newborn admissions but 80% of facility Newborn deaths in the Region. The reduction in admissions did not appear to significantly increase admissions in these 7 other facilities. Mortality rates in the 7 Facilities looked at, ranged from 0.3% to 8.2%. The average newborn Mortality rate of the 7 facilities was 3.05%. Conclusions A reduction in numbers of newborns admitted into MBU is possible through effective collaboration with other Facilities, but further steps need to be taken to improve care and reduce the Units Facility Newborn Mortality Rates.
改善阿散蒂的新生儿护理——看加纳Komfo Anokye教学医院母婴科的作用
背景2019 - 2023年加纳新生儿战略的目标之一是到2023年将机构新生儿死亡率至少降低40%。本文试图描述Komfo Anokye教学医院(KATH)的母婴部(MBU)如何与该地区的其他设施合作以实现这一目标。方法收集阿散蒂地区7家周边有儿科医师的新生儿医院的住院和死亡率数据。这些数据是在MBU开始采取有意措施减少拥堵之前和之后立即收集的,拥堵被确定为提供高质量护理的主要挑战。对这些数据进行了分析,以了解MBU对阿散蒂地区新生儿护理的贡献,以及这些步骤是否产生了效果。在2021年5月部分关闭后,有意与阿散蒂地区的其他设施进行了更密切的合作。研究发现,虽然入院人数减少了近50%,但这并没有反映在死亡率的相应降低上。在此期间,KATH MBU拥有该区域45%的设施新生儿入院,但80%的设施新生儿死亡。入学人数的减少似乎并没有显著增加这7个其他设施的入学人数。在调查的7个设施中,死亡率从0.3%到8.2%不等。7家机构的新生儿平均死亡率为3.05%。结论:通过与其他机构的有效合作,可以减少MBU收治的新生儿数量,但需要采取进一步措施改善护理并降低该机构的新生儿死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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