Innovative Tools and Strategies | Health Systems and Workforce | Targets and Metrics | Strengthening Quality of Care | Global Guidelines and Local Adaptations | Focus: COVID-19 | Focus: Small and Sick Newborns Room: Orchid Oral Abstracts
May 10, 2023 09:10 - 10:25(Africa/Johannesburg)
20230510T0910 20230510T1025 Africa/Johannesburg New Evidence on Small and Sick Newborn Care: Understanding Risk and Finding Solutions

Concordance of a Modified Downes' Score by Physicians and Nurses When Assessing Respiratory Distress Syndrome in the Ethiopian Neonatal Network

Respiratory distress syndrome (RDS) is the leading cause of mortality of preterm infants in low- and middle-income countries (LMICs). Lack of diagnostic tools along with scarcity of human resources highlight the need for objective clinical assessments of RDS that can be implemented by multidisciplinary newborn care providers. Our objective was to assess the correlation of modified Downes' scores (MDS) assigned by physicians and nurses in the Ethiopian Neonatal Network (ENN).

Lessons Learnt from Community Referral and Follow-Up of Sick Young Infants with Possible Severe Bacterial Infection in Turkana County, Kenya 

Management of possible severe bacterial infections in young infants (0-59 days) requires timely identification of danger signs and prompt administration of efficacious antibiotic treatment. The possible severe bacterial infection guidelines underscore the importance of close follow-up in an outpatient basis to ensure treatment adherence and early detection of illness-related complications. The purpose of this study was to strengthen the follow-up and referral of sick young infants on days 4 and 8 by introducing community-led interventions that facilitated community health volunteers to identify sick young infants, conduct community reviews, link data with responsive facilities, and refer appropriately.

What Do Health Workers Know and Do about Developmentally Supportive Care for Preterm Infants in a Low-Income Setting: Evidence from Uganda 

Premature birth disrupts in-utero brain development, and preterm infants are at risk of long-term neurodevelopmental issues. The neon ...

Room: Orchid International Maternal Newborn Health Conference 2023 information@imnhc.org
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Concordance of a Modified Downes' Score by Physicians and Nurses When Assessing Respiratory Distress Syndrome in the Ethiopian Neonatal Network

Respiratory distress syndrome (RDS) is the leading cause of mortality of preterm infants in low- and middle-income countries (LMICs). Lack of diagnostic tools along with scarcity of human resources highlight the need for objective clinical assessments of RDS that can be implemented by multidisciplinary newborn care providers. Our objective was to assess the correlation of modified Downes' scores (MDS) assigned by physicians and nurses in the Ethiopian Neonatal Network (ENN).


Lessons Learnt from Community Referral and Follow-Up of Sick Young Infants with Possible Severe Bacterial Infection in Turkana County, Kenya 

Management of possible severe bacterial infections in young infants (0-59 days) requires timely identification of danger signs and prompt administration of efficacious antibiotic treatment. The possible severe bacterial infection guidelines underscore the importance of close follow-up in an outpatient basis to ensure treatment adherence and early detection of illness-related complications. The purpose of this study was to strengthen the follow-up and referral of sick young infants on days 4 and 8 by introducing community-led interventions that facilitated community health volunteers to identify sick young infants, conduct community reviews, link data with responsive facilities, and refer appropriately.


What Do Health Workers Know and Do about Developmentally Supportive Care for Preterm Infants in a Low-Income Setting: Evidence from Uganda 

Premature birth disrupts in-utero brain development, and preterm infants are at risk of long-term neurodevelopmental issues. The neonatal unit (NICU) can be stressful for a preterm infant at a time of rapid brain growth and plasticity, and this may contribute to poorer developmental outcomes. Modifying the environment to protect against negative sensory experiences and ensure positive stimuli from caregivers is the standard of care in many high-income settings. Little is known about developmentally supportive care in low- or middle-income settings, yet this is where 81% of preterm infants are born. To add to this sparse knowledge base, we determined current knowledge and practice relating to developmentally supportive care among health workers in Uganda.


Using Machine Learning to Determine the Association of Maternal Characteristics and Maternal Serum-Related Biomarkers with Newborn Outcomes 

In 2018, around 40% of children under five years of age were stunted in South Asia, which makes the prevalence of stunting higher in this region than others worldwide. Stunting contributes towards poor health outcomes later in life and is strongly correlated with impaired cognitive development. In most cases, stunting starts in utero, which is why prenatal identification of children at risk for stunting at birth is crucial. The aim of this study was to identify the maternal characteristics and maternal serum biomarkers that are strong predictors of stunting at birth.

Concordance of a Modified Downes' Score by Physicians and Nurses When Assessing Respiratory Distress Syndrome in the Ethiopian Neonatal Network
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Small and Sick Newborns (SSNB)
Strengthening Quality of Care
Health Systems and Workforce
Presenters
DE
Danielle Ehret
Chief Medical Officer, Director Of Global Health, Vermont Oxford Network
Co-authors
MG
Mahlet Gizaw
Associate Professor, St. Paul's Hospital Millennium Medical College
Bogale Worku
Director, Ethiopian Pediatric Society
AD
Asrat Demtse
Assistant Professor, Addis Ababa University
MH
Matebe Hailu
Assistant Professor, Gondar University
GM
Gesit Metaferia
Assistant Professor, St. Paul's Millennium Medical College
AB
Amanuel Hadgu Berhe
Assistant Professor, Mekelle University
KK
Kaitlin Kessler
Neonatal Nurse Practitioner, University Of Vermont Children's Hospital
RK
Ryan Kessler
Respiratory Therapy Educator, University Of Vermont Children's Hospital
MD
Marie Dunn
Neonatal Nurse, Sunnybrook Health Sciences Centre
AG
Agneta Golan
Lecturer, Ben Gurion University Of The Negev
MS
Miroslav Stavel
Neonatologist, Royal Columbian Hospital
JB
Jaroslava Belava
Clinical Resource Nurse, Vancouver Coastal Health
Erika Edwards
Chief Scientific Officer And Director Of Data Science, Vermont Oxford Network
JH
Jeffrey Horbar
Chief Executive And Scientific Officer, Vermont Oxford Network
MD
Michael Dunn
Professor, Sunnybrook Health Sciences Centre
Lessons Learnt from Community Referral and Follow-Up of Sick Young Infants with Possible Severe Bacterial Infection in Turkana County, Kenya
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
COVID-19, Small and Sick Newborns (SSNB)
Strengthening Quality of Care
Global Guidelines and Local Adaptations
Presenters Laura Oyiengo
Maternal Newborn Health Specialist, United Nations Children's Fund (UNICEF)
Co-authors
PM
Peter Mwaura
Dean, School Of Clinical Medicine, Mount Kenya University
WL
Wilson Laimbila
Associate, Population Council Kenya
AE
Andrew Emuria
County Child Health Focal Person, Ministry Of Health, Turkana County
DG
Daniel Gatungu
Researcher, Mount Kenya University
JG
Jesse Gitaka
Senior Researcher, Mount Kenya University
What Do Health Workers Know and Do about Developmentally Supportive Care for Preterm Infants in a Low-Income Setting: Evidence from Uganda
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Small and Sick Newborns (SSNB)
Strengthening Quality of Care
Health Systems and Workforce
Presenters
ZH
Zelee Hill
Professor, Institute For Global Health, University College London, London, UK.
Co-authors
VN
Victoria Nakibuuka
Head Of Department / Pediatrics, Neonatologist, Nsambya Hospital, Kampala, Uganda
FD
Fiona Denison
Chair In Translational Obstetrics, University Of Edinburgh, Deceased
Using Machine Learning to Determine the Association of Maternal Characteristics and Maternal Serum-Related Biomarkers with Newborn Outcomes
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Small and Sick Newborns (SSNB)
Innovative Tools and Strategies
Targets and Metrics
Presenters Javairia Khalid
Lecturer, Department Of Paediatrics And Child Health, Aga Khan University - Karachi, Pakistan
Co-authors Samiah Kanwar
Research Specialist, Department Of Paediatrics And Child Health, Aga Khan University - Karachi, Pakistan
Farrukh Qazi
Research Specialist, The Aga Khan University, Karachi
Lecturer
,
Department of Paediatrics and Child Health, Aga Khan University - Karachi, Pakistan
Professor
,
Institute for Global Health, University College London, London, UK.
Maternal Newborn Health specialist
,
United Nations Children's Fund (UNICEF)
Chief Medical Officer, Director of Global Health
,
Vermont Oxford Network
Dr. Misrak Tadesse
Global Health Advisor
,
Vermont Oxford Network
President
,
International Pediatric Association
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What Do Health Workers Know and Do about Develo...
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Using Machine Learning to Determine the Associa...
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Concordance of a Modified Downes' Score by Phys...
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