Assessment of existing referral system of newborn in Madhya Pradesh, India

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dc.contributor.authorVerma, Avadheshen_US
dc.contributor.authorGaur, Ajayen_US
dc.contributor.authorAmbey, Ravien_US
dc.date.accessioned2020-09-24T07:44:29Z
dc.date.available2020-09-24T07:44:29Z
dc.date.issued2019-07
dc.description.abstractBackground: Objectives of present study was to assess receiving system of newborns, bed occupancies of referring facilities and receiving facility and assessment of rationality of referrals made by referring facilities to receiving facility leading to congestion at receiving facility. The study was conducted in Department of Pediatrics, Special Newborn Care Unit, Kamla Raja Hospital, Gajra Raja Medical College, Gwalior, Madhya Pradesh.Methods: This study was a prospective observational study which was conducted for a period of one year. Referred newborns fulfilling inclusion criteria were enrolled in study, and their receiving characteristics, bed occupancies of referring facilities and receiving facility, number of rationale and irrational referrals at receiving facility were statistically analysed.Results: Total referred newborns enrolled in the study was 2000. As receiving SNCU, of institute caters not only its nearby places, but also to distant districts of Madhya Pradesh, Rajasthan and Uttar Pradesh. SNCU wise receiving was in order of SNCU Morar (20.60%), Morena (19.40%), Bhind (5.70%), Dholpur (5.35%), Shivpuri (4.40%), Chattarpur (3.10%), Datia (1.20%), Sheopur (0.40%) and Jhansi (0.30%). Referring SNCU wise bed occupancy was in order of SNCU Guna (189.16%), Shivpuri (154%), Morena (72.33%), Bhind (71.63%), Sheopur (69.32%), Morar (64.15%) and Datia (62.11%). Referring SNCU wise case fatality was in order of SNCU Jhansi (100%), Sheopur (100%), Chattarpur (56.45%), Bhind (38.59%), Shivpuri (35.22%), Morena (33.76%), Dholpur (27.10%), Datia (25%), Morar (22.08%).Conclusions: Discordant bed occupancy at referring SNCU and receiving SNCU and low rationality of referrals are reason for congestion at receiving SNCU. Optimum utilization of beds and cordant bed occupancy between referring and receiving SNCU may improve the working conditions in SNCU and newborn outcome. Referral system should be close loop systemwith the provision of Down Referral.en_US
dc.identifier.affiliationsDepartment of Pediatrics, Kamla Raja Hospital, GR Medical College, Gwalior, Madhya Pradesh, Indiaen_US
dc.identifier.citationVerma Avadhesh, Gaur Ajay, Ambey Ravi. Assessment of existing referral system of newborn in Madhya Pradesh, India. International Journal of Contemporary Pediatrics. 2019 Jul; 6(4): 1466-1471en_US
dc.identifier.issn2349-3283
dc.identifier.issn2349-3291
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/204118
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber4en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-3291.ijcp20192632en_US
dc.subjectBed occupancyen_US
dc.subjectDown referralen_US
dc.subjectNewborn morbidityen_US
dc.subjectNewborn mortalityen_US
dc.subjectNewborn referralen_US
dc.subjectSpecial newborn care uniten_US
dc.titleAssessment of existing referral system of newborn in Madhya Pradesh, Indiaen_US
dc.typeJournal Articleen_US
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