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Neonatal care practices in Buikwe District, Uganda: a qualitative study
BACKGROUND: Sub-Saharan Africa is the region with the highest neonatal mortality rate, with Uganda reporting 20 deaths per 1000 live births. The Uganda Clinical Guidelines (UCG) from 2016 have detailed descriptions on care for mothers and their newborns during pregnancy, delivery and the post-partum...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7972211/ https://www.ncbi.nlm.nih.gov/pubmed/33731047 http://dx.doi.org/10.1186/s12884-021-03699-4 |
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author | Roed, Marte Bodil Engebretsen, Ingunn Marie Stadskleiv Mangeni, Robert |
author_facet | Roed, Marte Bodil Engebretsen, Ingunn Marie Stadskleiv Mangeni, Robert |
author_sort | Roed, Marte Bodil |
collection | PubMed |
description | BACKGROUND: Sub-Saharan Africa is the region with the highest neonatal mortality rate, with Uganda reporting 20 deaths per 1000 live births. The Uganda Clinical Guidelines (UCG) from 2016 have detailed descriptions on care for mothers and their newborns during pregnancy, delivery and the post-partum period. The objective of the study was to identify provider and user perspectives regarding the knowledge of and adherence to the UCG recommendations in aspects of delivery and newborn care, both in cases of normal as well as complicated births. METHODS: The study used qualitative methods with data collection from participant observations, interviews with key-informants and focus group discussions. Malterud’s Systematic Text Condensation (STC) was used for analysis. RESULTS: The study found low knowledge about the UCG among the health workers. Various discrepancies between performed hands-on-procedures and the UCG were found related to neonatal care practices, including low use of partograms, uncertainty around timing for cord clamping, routine oronasopharyngeal suction of newborns and inadequate implementation of skin-to-skin care. CONCLUSIONS: Continued focus on systemic strategies for further implementation of the UCG is recommended. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-021-03699-4. |
format | Online Article Text |
id | pubmed-7972211 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-79722112021-03-19 Neonatal care practices in Buikwe District, Uganda: a qualitative study Roed, Marte Bodil Engebretsen, Ingunn Marie Stadskleiv Mangeni, Robert BMC Pregnancy Childbirth Research Article BACKGROUND: Sub-Saharan Africa is the region with the highest neonatal mortality rate, with Uganda reporting 20 deaths per 1000 live births. The Uganda Clinical Guidelines (UCG) from 2016 have detailed descriptions on care for mothers and their newborns during pregnancy, delivery and the post-partum period. The objective of the study was to identify provider and user perspectives regarding the knowledge of and adherence to the UCG recommendations in aspects of delivery and newborn care, both in cases of normal as well as complicated births. METHODS: The study used qualitative methods with data collection from participant observations, interviews with key-informants and focus group discussions. Malterud’s Systematic Text Condensation (STC) was used for analysis. RESULTS: The study found low knowledge about the UCG among the health workers. Various discrepancies between performed hands-on-procedures and the UCG were found related to neonatal care practices, including low use of partograms, uncertainty around timing for cord clamping, routine oronasopharyngeal suction of newborns and inadequate implementation of skin-to-skin care. CONCLUSIONS: Continued focus on systemic strategies for further implementation of the UCG is recommended. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-021-03699-4. BioMed Central 2021-03-17 /pmc/articles/PMC7972211/ /pubmed/33731047 http://dx.doi.org/10.1186/s12884-021-03699-4 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Roed, Marte Bodil Engebretsen, Ingunn Marie Stadskleiv Mangeni, Robert Neonatal care practices in Buikwe District, Uganda: a qualitative study |
title | Neonatal care practices in Buikwe District, Uganda: a qualitative study |
title_full | Neonatal care practices in Buikwe District, Uganda: a qualitative study |
title_fullStr | Neonatal care practices in Buikwe District, Uganda: a qualitative study |
title_full_unstemmed | Neonatal care practices in Buikwe District, Uganda: a qualitative study |
title_short | Neonatal care practices in Buikwe District, Uganda: a qualitative study |
title_sort | neonatal care practices in buikwe district, uganda: a qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7972211/ https://www.ncbi.nlm.nih.gov/pubmed/33731047 http://dx.doi.org/10.1186/s12884-021-03699-4 |
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