Onsite mentoring of special newborn care unit to improve the quality of newborn care

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dc.contributor.authorPrashantha, Y Nen_US
dc.contributor.authorShashidhar, Aen_US
dc.contributor.authorBalasunder, B Cen_US
dc.contributor.authorKumar, B Pen_US
dc.contributor.authorRao, P Nen_US
dc.date.accessioned2020-04-10T03:46:03Z
dc.date.available2020-04-10T03:46:03Z
dc.date.issued2019-12
dc.description.abstractBackground: It has been possible to set up special newborn care units (SNCUs) and to improve the survival of newborns in India. However, several challenges remain affecting their effective functioning. Different approaches have been attempted and several policies have also been implemented to address this issue. Objectives: To evaluate the feasibility of implementing best practices in neonatal care by onsite mentoring in an SNCU over 4 months. Methods: The mentoring team was from a tertiary care hospital in Karnataka. The SNCU was functioning at the district hospital, catering to approximately 3500 live births per year. Onsite mentoring was carried out from August 2016 to November 2016. This was a prospective implementation research. Framework focused on infection control, preterm care, care at birth, advocacy for infrastructure and resources, and facility-based refresher training. Results: A total of 16 visits were done by the mentoring team and 2 weeks of in-house residency. There were improvements in hand hygiene compliance from 0% to 87.5%, in cleaner IV site (from 50% to 100%), decreased unnecessary oxygen administration (from 75% to 33.3%), decreased antibiotic usage (from 70.5% to 35.5%), decrease in the number of babies receiving >5 days of antibiotics (from 41.6% to 0%), and increased kangaroo mother care initiation rate from 0% to 41.6%. The facility got level IIA accreditation by the end of the intervention period. Conclusions: Onsite mentorship program of SNCU is feasible and planning should be contextual. With the problems being uniform across most facilities, the model could be replicated across the country.en_US
dc.identifier.affiliationsAssistant Professor, Department of Neonatology, St. John's Medical College, Bengaluru, Karnataka, Indiaen_US
dc.identifier.affiliationsAssociate Professor, Department of Neonatology, St. John's Medical College, Bengaluru, Karnataka, Indiaen_US
dc.identifier.affiliationsSenior Specialist (Pediatrics), S.N.R. District Hospital, Kolar, Karnataka, Indiaen_US
dc.identifier.affiliationsConsultant, Department of Pediatrics, SSNMC, Bengaluru, Karnataka, Indiaen_US
dc.identifier.affiliationsProfessor and Head, Department of Neonatology, St. John's Medical College, Bengaluru, Karnataka, Indiaen_US
dc.identifier.citationPrashantha Y N, Shashidhar A, Balasunder B C, Kumar B P, Rao P N. Onsite mentoring of special newborn care unit to improve the quality of newborn care. Indian Journal of Public Health. 2019 Dec; 63(4): 357-361en_US
dc.identifier.issn0019-557X
dc.identifier.issn2229-7693
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/198154
dc.languageenen_US
dc.publisherIndian Public Health Associationen_US
dc.relation.issuenumber4en_US
dc.relation.volume63en_US
dc.source.urihttps://dx.doi.org/10.4103/ijph.IJPH_419_18en_US
dc.subjectInfant mortalityen_US
dc.subjectmentoringen_US
dc.subjectquality of health careen_US
dc.subjectspecial newborn care uniten_US
dc.titleOnsite mentoring of special newborn care unit to improve the quality of newborn careen_US
dc.typeJournal Articleen_US
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