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dc.contributor.authorKayemba Nalwadda, Christine
dc.contributor.authorGuwatudde, David
dc.contributor.authorWaiswa, Peter
dc.contributor.authorKiguli, Juliet
dc.contributor.authorNamazzi, Gertrude
dc.contributor.authorNamutumba, Sarah
dc.contributor.authorTomson, Goran
dc.contributor.authorPeterson, Stefan
dc.date.accessioned2022-04-30T10:29:11Z
dc.date.available2022-04-30T10:29:11Z
dc.date.issued2013
dc.identifier.citationKayemba Nalwadda, C., Guwatudde, D., Waiswa, P., Kiguli, J., Namazzi, G., Namutumba, S., ... & Peterson, S. (2013). Community health workers–a resource for identification and referral of sick newborns in rural Uganda. Tropical medicine & international health, 18(7), 898-906. doi:10.1111/tmi.12106en_US
dc.identifier.other10.1111/tmi.12106
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3043
dc.description.abstractTo determine community health workers’ (CHWs) competence in identifying and referring sick newborns in Uganda. methods Case-vignettes, observations of role-plays and interviews were employed to collect data using checklists and semistructured questionnaires, from 57 trained CHWs participating in a community health facility–linked cluster randomised trial. Competence to identify and refer sick newborns was measured by knowledge of newborn danger signs, skills to identify sick newborns and effective communication to mothers. Proportions and median scores were computed for each attribute with a pre-defined pass mark of 100% for knowledge and 90% for skill and communication. results For knowledge, 68% of the CHWs attained the pass mark. The median percentage score was 100 (IQR 94 100). 74% mentioned the required five newborn danger signs unprompted. ‘Red umbilicus/cord with pus’ was mentioned by all CHWs (100%), but none mentioned chest in-drawing and grunting as newborn danger signs. 63% attained the pass mark for both skill and communication. The median percentage scores were 91 (IQR 82 100) for skills and 94 (IQR 89, 94) for effective communication. 98% correctly identified the four case-vignettes as sick or not sick newborn. ‘Preterm birth’ was the least identified danger sign from the case-vignettes, by 51% of the CHWs. conclusion CHWs trained for a short period but effectively supervised are competent in identifying and referring sick newborns in a poor resource setting.en_US
dc.language.isoenen_US
dc.publisherTropical medicine & international healthen_US
dc.subjectCommunity health workersen_US
dc.subjectKnowledgeen_US
dc.subjectCommunication, skill, newborn, danger signs, referral, Ugandaen_US
dc.subjectCommunicationen_US
dc.subjectSkillen_US
dc.subjectNewbornen_US
dc.subjectDanger signsen_US
dc.subjectReferralen_US
dc.subjectUgandaen_US
dc.titleCommunity health workers – a resource for identification and referral of sick newborns in rural Ugandaen_US
dc.typeArticleen_US


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