Browsing by Author "Kirabira, Victoria Nakibuuka"

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    Impact of Secondary and Tertiary Neonatal Interventions on Neonatal Mortality in a Low- Resource Limited Setting Hospital in Uganda: A Retrospective Study
    (BMJ open, 2022) Kirabira, Victoria Nakibuuka; Nakaggwa, Florence; Nazziwa, Ritah; Nalunga, Sanyu; Nasiima, Ritah; Nyagabyaki, Catherine; Sebunya, Robert; Latigi, Grace; Pirio, Patricia; Ahmadzai, Malalay; Ojom, Lawrence; Nabwami, Immaculate; Burgoine, Kathy; Blencowe, Hannah
    To assess the impact of secondary and tertiary level neonatal interventions on neonatal mortality over a period of 11 years.During the study period, a total of 25 316 neonates were admitted, of which 1853 (7.3%) died. The average inpatient mortality reduced from 8.2% during phase I to 5.7% during phase II (p=0.001). The CFR for prematurity reduced from 16.2% to 9.2% (p=0.001). There was a trend in reduction for the CFR of perinatal asphyxia from 14.9% to 13.0% (p=0.34). The CFR for sepsis had a more than a twofold increase (3%–6.8% p=0.001) between phase I and phase II. Implementation of secondary and tertiary neonatal care in resource-limited settings is feasible. This study shows that these interventions can significantly reduce the neonatal mortality, with the largest impact seen in the reduction of deaths from perinatal asphyxia and prematurity. An increase in sepsis related deaths was observed, suggesting emphasis on infection control is key.
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    Improving Survival among Preterms: Nsambya Hospital Experience 10 Years
    (Gates Open Res, 2019) Kirabira, Victoria Nakibuuka; Nazziwa, Ritah; Sebunya, Robert; Baigana, Patrick; Nyagabyaki, Catherine; Nalunga, Sanyu; Ninsiima, Ritah; Santos, Nicole
    Surviving prematurity poses a great challenge in neonatal care in Uganda and Africa at Large and yet it remains the major cause of under-five mortality.While many preterm babies survive in high-income countries, in low- and middle-income countries lack of adequate newborn care puts the lives of many preterm babies at risk. Uganda is ranked 13th among the countries with high preterm birth deliveries worldwide.It is estimated that up to 2/3 of these deaths would be saved if secondary level interventions low cost interventions such as Kangaroo mother care (KMC), Use of antenatal steroids and Continuous positive air way Pressure, Early feeding with breast milk, use of Oxygen are scaled up.