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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Evidence-based training and mentorship combined with enhanced outcomes surveillance to address the leading causes of neonatal mortality at the district hospital level in Ghana
Tropical Medicine and International Health, Volume 19, No. 4, Year 2014
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Description
Objective: To evaluate the impact of a district hospital intervention focused on enhancing healthcare provider capacity to address leading causes of neonatal death: birth asphyxia, infection and prematurity. Methods: The neonatal quality improvement initiative was launched at two intervention referral district hospitals in Ghana. Local Health and Demographic Surveillance Systems were enlisted to enhance recording of neonatal and infant deaths in the community and at the facility. After baseline site assessments, a team of local paediatric experts conducted three clinical trainings on-site at each intervention hospital. Assessments were conducted to evaluate participant knowledge before and after participation in training modules. Monthly mentorship visits provided additional training to support the adoption of essential early neonatal care practices. Results: In the first year of implementation, the initiative provided focused clinical training to 278 participants. A comparison of pre- and post-training test results demonstrates significant improvement in provider knowledge (73% vs. 89% correct, P < 0.001), with even greater improvement among trainees receiving recurrent refresher training (86% vs. 94% correct, P < 0.001). Participant feedback following training revealed enthusiasm about the programme and improved confidence. Conclusions: Locally led initiatives that invest directly in healthcare provider education and health systems strengthening represent a promising avenue for reducing neonatal morbidity and mortality. The NQI initiative demonstrates the positive impact of a district hospital intervention that combines on-site training, mentorship and enhanced demographic surveillance. © 2014 John Wiley & Sons Ltd.
Authors & Co-Authors
Brantuo, Mary
Switzerland, Geneva
Organisation Mondiale de la Santé
Cristofalo, Elizabeth
United States, Baltimore
Johns Hopkins School of Medicine
Mehes, Mira M.
United States, Baltimore
Johns Hopkins School of Medicine
Ameh, Juliana
Ghana, Accra
La General Hospital
Brako, Nana Okai
Ghana, Accra
Ridge Regional Hospital
Boahene, Frederick
Ghana, Accra
Ridge Regional Hospital
Adjei, Stella B.
Ghana
Sunyani Regional Hospital
Opoku, Ernest
Ghana
Upper East Regional Health Directorate
Banda, Harriet N.
United States, Baltimore
Johns Hopkins School of Medicine
Wang, Yu T.
United States, Baltimore
Johns Hopkins School of Medicine
Forgor, Abdulai A.
Ghana
Kintampo District Hospital
Punguire, Damien
Ghana
Navrongo War Memorial Hospital
Brightson, Kennedy T.C.
Ghana
Shai-osodoku District Hospital
Sottie, Cynthia Akorfa
Ghana, Accra
Ghana Health Service
Owusu-Agyei, Seth
Ghana, Kintampo
Kintampo Health Research Centre
Williams, John Kino
Ghana, Navrongo
Navrongo Health Research Center
Abubakari, Sulemana Watara
Ghana, Navrongo
Navrongo Health Research Center
Oduro, Abraham Rexford
Ghana, Navrongo
Navrongo Health Research Center
Gyampong, Margaret
Ghana, Accra
Ghana Health Service
Sarpong, Doris Ottie Boakye
Ghana, Accra
Ghana Health Service
Andrews, Edith
Switzerland, Geneva
Organisation Mondiale de la Santé
Gyansa-Lutterodt, Martha
Ghana, Accra
Ghana Health Service
Hodgson, Abraham V.O.
Ghana, Accra
Ghana Health Service
Bannerman, Cynthia
Ghana, Accra
Ghana Health Service
Abdullah, Fizan
United States, Baltimore
Johns Hopkins School of Medicine
Statistics
Citations: 25
Authors: 25
Affiliations: 12
Identifiers
Doi:
10.1111/tmi.12270
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Randomised Control Trial
Study Locations
Ghana