Impact of Secondary and Tertiary Neonatal Interventions on Neonatal Mortality in a Low- Resource Limited Setting Hospital in Uganda: A Retrospective Study

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dc.contributor.authorKirabira, Victoria Nakibuuka
dc.contributor.authorNakaggwa, Florence
dc.contributor.authorNazziwa, Ritah
dc.contributor.authorNalunga, Sanyu
dc.contributor.authorNasiima, Ritah
dc.contributor.authorNyagabyaki, Catherine
dc.contributor.authorSebunya, Robert
dc.contributor.authorLatigi, Grace
dc.contributor.authorPirio, Patricia
dc.contributor.authorAhmadzai, Malalay
dc.contributor.authorOjom, Lawrence
dc.contributor.authorNabwami, Immaculate
dc.contributor.authorBurgoine, Kathy
dc.contributor.authorBlencowe, Hannah
dc.date.accessioned2023-03-15T11:48:55Z
dc.date.available2023-03-15T11:48:55Z
dc.date.issued2022
dc.description.abstractTo 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.en_US
dc.identifier.citationKirabira, V. N., Nakaggwa, F., Nazziwa, R., Nalunga, S., Nasiima, R., Nyagabyaki, C., ... & Blencowe, H. (2022). Impact of secondary and tertiary neonatal interventions on neonatal mortality in a low-resource limited setting hospital in Uganda: a retrospective study. BMJ open, 12(8), e055698.http://dx.doi.org/10.1136/bmjopen-2021-055698en_US
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/8189
dc.language.isoenen_US
dc.publisherBMJ openen_US
dc.subjectLow- resource limited setting hospitalen_US
dc.subjectImpacten_US
dc.subjectSecondary and tertiary neonatal interventionsen_US
dc.subjectNeonatal mortalityen_US
dc.titleImpact of Secondary and Tertiary Neonatal Interventions on Neonatal Mortality in a Low- Resource Limited Setting Hospital in Uganda: A Retrospective Studyen_US
dc.typeArticleen_US
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