Browsing by Author "Nambuya, Harriet"

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    Health system preparedness for newborn care: a health facility assessment in rural Uganda
    (BMC Health Services Research, 2014) Kayemba, Christine; Peterson, Stefan; Tomson, Goran; Guwatudde, David; Kiguli, Juliet; Namazzibner Tagoola4, Gertrude Peter Waiswa1,2; Namutamba, Sarah; Namugaya, Faith; Nambuya, Harriet
    Newborn deaths must be reduced to achieve Millennium Development Goal four. Health facilities have a critical role to play in the fight to save the 2.9 million newborns that die in the world every year. It is not clear if health facilities in rural Uganda have the capacity to care for newborns. To assess the capacity of health facilities to care for newborns in Iganga and Mayuge districts in eastern Uganda for the three main mortality causes: preterm/ low birth weight, asphyxia and sepsis.
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    Improving the quality of neonatal data capture and clinical care at a tertiary-care hospital in Uganda through enhanced surveillance, training and mentorship
    (Paediatrics and International Child Health, 2020) Achan, Jane; Wanzira, Humphrey; Mpimbaza, Arthur; Tumwine, Daniel; Namasopo, Sophie; Nambuya, Harriet; Serwanga, Asadu; Nantanda, Rebecca
    Accurate documentation of neonatal morbidity and mortality is limited in many countries in sub-Saharan Africa. This project aimed to establish a surveillance system for neonatal conditions as an approach to improving the quality of neonatal care. Methods: A systematic data capture and surveillance system was established at Jinja Regional Referral Hospital, Uganda using a standardised neonatal medical record form which collected detailed individual patient level data. Additionally, training and mentorship were conducted and basic equipment was provided. Results: A total of 4178 neonates were hospitalised from July 2014 to December 2016. Median (IQR) age on admission was one day (1–3) and 48.0% (1851/3859) were male. Median (IQR) duration of hospitalisation was 17 days (IQR 10–40) and the longest duration of hospitalisation was 47 days (IQR 41–58). The majority were referrals from government health facilities (54.4%, 2012/3699), though 30.6% (1123/3669) presented as self-referrals. Septicaemia (44.9%, 1962/4371), prematurity (21.0%, 917/4371) and birth asphyxia (19.1%, 833/4371) were the most common diagnoses. The overall mortality was 13.8% (577/4178) and the commonest causes of death included septicaemia (26.9%, 155/577), prematurity (24.3%, 140/577), birth asphyxia (21.0%, 121/577), hypothermia (9.9%, 57/577) and respiratory distress (8.0%, 46/577). The majority of deaths (51.5%, 297/577) occurred within the first 24 h of hospitalisation although a significant proportion of deaths also occurred after 7 days of hospitalisation (24.1%, 139/577). A modest decrease in mortality and improvement in clinical outcome were observed. Conclusion: Improvement in neonatal data capture and quality of care was observed following establishment of an enhanced surveillance system, training and mentorship.