Improving the quality of neonatal data capture and clinical care at a tertiary-care hospital in Uganda through enhanced surveillance, training and mentorship

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dc.contributor.authorAchan, Jane
dc.contributor.authorWanzira, Humphrey
dc.contributor.authorMpimbaza, Arthur
dc.contributor.authorTumwine, Daniel
dc.contributor.authorNamasopo, Sophie
dc.contributor.authorNambuya, Harriet
dc.contributor.authorSerwanga, Asadu
dc.contributor.authorNantanda, Rebecca
dc.date.accessioned2022-12-18T15:48:04Z
dc.date.available2022-12-18T15:48:04Z
dc.date.issued2020
dc.description.abstractAccurate 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.en_US
dc.identifier.citationJane Achan, Humphrey Wanzira, Arthur Mpimbaza, Daniel Tumwine, Sophie Namasopo, Harriet Nambuya, Asadu Serwanga & Rebecca Nantanda (2019): 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, DOI: 10.1080/20469047.2019.1638131en_US
dc.identifier.urihttps://doi.org/10.1080/20469047.2019.1638131
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/6414
dc.language.isoenen_US
dc.publisherPaediatrics and International Child Healthen_US
dc.subjectNeonatesen_US
dc.subjectQuality of careen_US
dc.subjectMorbidityen_US
dc.subjectMortalityen_US
dc.subjectQuality improvementen_US
dc.titleImproving the quality of neonatal data capture and clinical care at a tertiary-care hospital in Uganda through enhanced surveillance, training and mentorshipen_US
dc.typeArticleen_US
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