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Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika
BACKGROUND: The outbreak and ongoing transmission of Zika virus provided an opportunity to strengthen essential newborn care and early childhood development systems through collaboration with the US Agency for International Development Applying Science to Strengthen and Improve Systems (USAID ASSIST...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9677636/ https://www.ncbi.nlm.nih.gov/pubmed/36404307 http://dx.doi.org/10.1186/s12887-022-03710-7 |
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author | McNelis, Kera Prasanphanich, Nina Martin-Herz, Susanne P. Carter, Terrell Merchant, Hannah Foehringer Patterson, Janna Hager, Salwan Chitashvili, Tamar Jarvis, Shivon Belle Kamath-Rayne, Beena D. |
author_facet | McNelis, Kera Prasanphanich, Nina Martin-Herz, Susanne P. Carter, Terrell Merchant, Hannah Foehringer Patterson, Janna Hager, Salwan Chitashvili, Tamar Jarvis, Shivon Belle Kamath-Rayne, Beena D. |
author_sort | McNelis, Kera |
collection | PubMed |
description | BACKGROUND: The outbreak and ongoing transmission of Zika virus provided an opportunity to strengthen essential newborn care and early childhood development systems through collaboration with the US Agency for International Development Applying Science to Strengthen and Improve Systems (USAID ASSIST). The objective was to create a system of sustainable training dissemination which improves newborn care-related quality indicators in the context of Zika. METHODS: From 2018–19, USAID ASSIST supported a series of technical assistance visits by the American Academy of Pediatrics (AAP) in four Caribbean countries to strengthen the clinical capacity in care of children potentially affected by Zika through dissemination of Essential Care for Every Baby (ECEB), teaching QI methodology, coaching visits, and development of clinical care guidelines. ECEB was adapted to emphasize physical exam findings related to Zika. The first series of workshops were facilitated by AAP technical advisors and the second series were facilitated by the newly trained local champions. Quality of care was monitored with performance indicators at 134 health facilities. RESULTS: A repeated measures (pre-post) ANOVA was conducted, revealing significant pre-post knowledge gains [F(1) = 197.9, p < 0.001] on knowledge check scores. Certain performance indicators related to ECEB practices demonstrated significant changes and midline shift on the run chart in four countries. CONCLUSION: ECEB can be adapted to incorporate important local practices, causes of neonatal morbidity and mortality, and differing healthcare system structures, which, as one part of a larger technical assistance package, leads to improved performance of health systems. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12887-022-03710-7. |
format | Online Article Text |
id | pubmed-9677636 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-96776362022-11-22 Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika McNelis, Kera Prasanphanich, Nina Martin-Herz, Susanne P. Carter, Terrell Merchant, Hannah Foehringer Patterson, Janna Hager, Salwan Chitashvili, Tamar Jarvis, Shivon Belle Kamath-Rayne, Beena D. BMC Pediatr Research BACKGROUND: The outbreak and ongoing transmission of Zika virus provided an opportunity to strengthen essential newborn care and early childhood development systems through collaboration with the US Agency for International Development Applying Science to Strengthen and Improve Systems (USAID ASSIST). The objective was to create a system of sustainable training dissemination which improves newborn care-related quality indicators in the context of Zika. METHODS: From 2018–19, USAID ASSIST supported a series of technical assistance visits by the American Academy of Pediatrics (AAP) in four Caribbean countries to strengthen the clinical capacity in care of children potentially affected by Zika through dissemination of Essential Care for Every Baby (ECEB), teaching QI methodology, coaching visits, and development of clinical care guidelines. ECEB was adapted to emphasize physical exam findings related to Zika. The first series of workshops were facilitated by AAP technical advisors and the second series were facilitated by the newly trained local champions. Quality of care was monitored with performance indicators at 134 health facilities. RESULTS: A repeated measures (pre-post) ANOVA was conducted, revealing significant pre-post knowledge gains [F(1) = 197.9, p < 0.001] on knowledge check scores. Certain performance indicators related to ECEB practices demonstrated significant changes and midline shift on the run chart in four countries. CONCLUSION: ECEB can be adapted to incorporate important local practices, causes of neonatal morbidity and mortality, and differing healthcare system structures, which, as one part of a larger technical assistance package, leads to improved performance of health systems. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12887-022-03710-7. BioMed Central 2022-11-21 /pmc/articles/PMC9677636/ /pubmed/36404307 http://dx.doi.org/10.1186/s12887-022-03710-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://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 McNelis, Kera Prasanphanich, Nina Martin-Herz, Susanne P. Carter, Terrell Merchant, Hannah Foehringer Patterson, Janna Hager, Salwan Chitashvili, Tamar Jarvis, Shivon Belle Kamath-Rayne, Beena D. Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika |
title | Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika |
title_full | Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika |
title_fullStr | Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika |
title_full_unstemmed | Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika |
title_short | Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika |
title_sort | adaptation of essential care for every baby educational program to improve infant outcomes in the context of zika |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9677636/ https://www.ncbi.nlm.nih.gov/pubmed/36404307 http://dx.doi.org/10.1186/s12887-022-03710-7 |
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