Reduction of Neonatal Mortality Requires Strengthening of the Health System: A Situational Analysis of Neonatal Care Services in Ballabgarh.
J Trop Pediatr
; 63(5): 365-373, 2017 10 01.
Article
em En
| MEDLINE
| ID: mdl-28122945
ABSTRACT
Background:
Planning a comprehensive program addressing neonatal mortality will require a detailed situational analysis of available neonatal-specific health infrastructure.Methods:
We identified facilities providing essential and sick neonatal care (ENC, SNC) by a snowballing technique in Ballabgarh Block. These were assessed for infrastructure, human resource and equipment along with self-rated competency of the staff and compared with facility-based or population-based norms.Results:
A total of 35 facilities providing ENC and 10 facilities for SNC were identified. ENC services were largely in the public-sector domain (68.5% of births) and were well distributed in the block. SNC burden was largely being borne by the private sector (66% of admissions), which was urban-based. The private sector and nurses reported lower competency especially for SNC. Only 53.9% of government facilities and 17.5% of private facilities had a fully equipped newborn care corner.Conclusions:
Serious efforts to reduce neonatal mortality would require major capacity strengthening of the health system, including that of the private sector.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Mortalidade Infantil
/
Competência Clínica
/
Pessoal de Saúde
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Atenção à Saúde
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Serviços de Saúde Materno-Infantil
/
Morte Perinatal
/
Planejamento de Instituições de Saúde
/
Acessibilidade aos Serviços de Saúde
Tipo de estudo:
Prognostic_studies
Limite:
Female
/
Humans
/
Infant
/
Newborn
/
Pregnancy
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article