Changes in maternal and neonatal care after a quality improvement intervention in a sub-Saharan setting
The Journal of Maternal-Fetal & Neonatal Medicine, March 2019
The aim of this study was to assess the non-technical skills of the midwifery staff at Mozambique’s Beira Central Hospital to manage complex health situations. Indicators assessed included staff members’ management of their own tasks (e.g., the ability to understand priorities and to use available resources), team work (e.g., the ability to coordinate and to [...]
Our study reviewed and evaluated the neonatal stimulation of 150 newborns at the Beira Central Hospital in Beira, Mozambique. In low-resource settings, such manual stimulation can be of critical importance in the resuscitation of infants who are having difficulty breathing. Monitoring the stimulations performed on the 150 newborns, for a total of 546 separate episodes [...]
Africa has the world’s highest burden of risk factors for poor child development and health, most of which are associated with infectious diseases and the social environments in which children live. This study analyzed the activity volumes of 15 at-risk child clinics (ARCCs) in Beira, Mozambique, in order to determine the health profiles of the [...]
Every year more than 2.5 million newborns die worldwide, often due to delivery-related causes. Most of these deaths take place in limited-resource countries with poor or inadequate access to health care. In such settings, the Neonatal Resuscitation Program (NRP) is of fundamental importance, training staff so that they can acquire the skills needed to reduce [...]
Malaria is a serious public health problem, with some 212 million new cases and nearly half a million malaria deaths worldwide in 2015 alone. Despite recent progress in control and treatment of the disease, the African region continues to bear the brunt of the global malaria burden. Most of the population there continues to lack [...]
Abdominal distension and urinary retention are rare conditions in infants. In the case of female newborns, these two conditions, particularly when concurrent, also include hydrocolpos caused by an imperforate hymen. The prognosis for the latter is generally good, and although severe nephrological, urological and infectious complications can arise they are predictable and can be treated [...]
The sub-Saharan African region has some of the world’s highest rates of neonatal mortality, with neonatal hypothermia being one of the leading causes of death in preterm infants. The aim of this randomized controlled trial (RCT) was to assess the effectiveness of using woolen caps and booties together with the kangaroo mother care (KMC) method [...]
Gastroschisis is a birth defect of the abdominal wall that involves the incomplete closure of the abdominal muscles and skin. It is one of the most common surgical problems arising in infants, and its incidence is increasing worldwide. Management of the condition in limited-resource countries is often complicated, with much higher mortality rates than those [...]