Innovative Tools and Strategies | Prevention and Clinical Management | Strengthening Quality of Care | Global Guidelines and Local Adaptations | Focus: Small and Sick Newborns Room: 2.61-2.63 Oral Abstracts
May 09, 2023 13:15 - 14:30(Africa/Johannesburg)
20230509T1315 20230509T1430 Africa/Johannesburg Tools and Strategies for Small and Sick Newborn Care

Newborn Device Planning and Costing Tool: Systematic Tool Development to Inform Scale-Up of Small and Sick Newborn Care in Low-Resource Settings

High-quality neonatal care, a marker of health system function, is dependent on functional medical devices, with context-specific specifications, adequate numbers, and ongoing maintenance. Devices designed for high-income settings may break, lack consumables, or be unused. Currently, systematic tools for device planning and costing that allow health system managers to utilize data to allocate budgets and mobilize resources at district and/or national levels are lacking. To close this gap, we developed a tool to support countries working towards Every Newborn targets for scale-up of World Health Organization (WHO) level 2 neonatal care.

Culture Gap: Antibiotic Versus Blood Culture Use for 61 Facilities with NEST360 in Kenya, Malawi, Nigeria, and Tanzania 

Thirty million small and sick newborns require admission annually, many being prescribed antibiotics without blood cultures, the current "gold standard" for neonatal infection detection. Low neonatal blood culture use hampers antibiotic stewardship, fueling antimicrobial resistance (AMR), which threatens newborn survival. This study analyzes the gap between blood culture use and antibiotic prescribing for newborns admitted to facilities implementing Newborn Essential Solutions and Technologies (NEST360) in Malawi, Kenya, Tanzania, and Nigeria.

Target Product Profiles for Neonatal Care Devices: Systematic Development and Results with NEST360 and the United Nations Children's Fund (UNICEF) 

Medical devices are critical to provide high-quality, hospital-based newborn care. Many devices available in high-income countries are not avai ...

Room: 2.61-2.63 International Maternal Newborn Health Conference 2023 information@imnhc.org
128 attendees saved this session

Newborn Device Planning and Costing Tool: Systematic Tool Development to Inform Scale-Up of Small and Sick Newborn Care in Low-Resource Settings

High-quality neonatal care, a marker of health system function, is dependent on functional medical devices, with context-specific specifications, adequate numbers, and ongoing maintenance. Devices designed for high-income settings may break, lack consumables, or be unused. Currently, systematic tools for device planning and costing that allow health system managers to utilize data to allocate budgets and mobilize resources at district and/or national levels are lacking. To close this gap, we developed a tool to support countries working towards Every Newborn targets for scale-up of World Health Organization (WHO) level 2 neonatal care.


Culture Gap: Antibiotic Versus Blood Culture Use for 61 Facilities with NEST360 in Kenya, Malawi, Nigeria, and Tanzania 

Thirty million small and sick newborns require admission annually, many being prescribed antibiotics without blood cultures, the current "gold standard" for neonatal infection detection. Low neonatal blood culture use hampers antibiotic stewardship, fueling antimicrobial resistance (AMR), which threatens newborn survival. This study analyzes the gap between blood culture use and antibiotic prescribing for newborns admitted to facilities implementing Newborn Essential Solutions and Technologies (NEST360) in Malawi, Kenya, Tanzania, and Nigeria.


Target Product Profiles for Neonatal Care Devices: Systematic Development and Results with NEST360 and the United Nations Children's Fund (UNICEF) 

Medical devices are critical to provide high-quality, hospital-based newborn care. Many devices available in high-income countries are not available in low- and middle-income countries (LMICs) because they are not designed for these settings. This gap could be filled by medical devices designed specifically for LMIC settings. Target product profiles (TPPs) are developed early in the medical device development process to define the setting, target user, and range of performance characteristics.


Digitization and Adaptation of the World Health Organization (WHO) Integrated Management of Newborn and Childhood Illness for an Electronic Clinical Decision Support Tool for Sick Young Infants 

Adherence to evidence-based clinical guidelines is poor in many low- and middle-income countries (LMICs), obstructing progress in ending preventable newborn and young infant deaths. Electronic clinical decision support algorithms (CDSA) have improved care quality for older children, but few have been tested for young infants. We developed digital adaptations of evidence-based guidelines for implementation research of CDSA, with and without point-of-care diagnostics, to improve appropriate management of sick young infants.

Newborn Device Planning and Costing Tool: Systematic Tool Development to Inform Scale-Up of Small and Sick Newborn Care in Low-Resource Settings
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Small and Sick Newborns (SSNB)
Global Guidelines and Local Adaptations
Innovative Tools and Strategies
Presenters
AT
Alice Tarus
Research Assistant- Health Financing Newborn, The London School Of Hygiene & Tropical Medicine (LSHTM)
Co-authors
GM
Georgina Msemo
Liaison Officer , Global Financing Facility, The World Bank Group
RK
Rosemary Kamuyu
Research Assistant Health Financing-Newborn Health, The London School Of Hygiene & Tropical Medicine (LSHTM)
DS
Donat Shamba
Senior Research Scientist, Ifakara Health Institute
KP
Kara Palamountain
Research Associate Professor, NEST360 - Northwestern University
RK
Rebecca Kirby
Research Assistant Professor , Northwestern University Kellogg School Of Management
Edith Gicheha
Clinical Training Director, NEST 360
MK
Meghan Kumar
Assistant Professor Of Health Economics, The London School Of Hygiene & Tropical Medicine (LSHTM)
TP
Timothy Powell- Jackson
Professor Of Health Economics, The London School Of Hygiene & Tropical Medicine (LSHTM)
CB
Christine Bohne
Director Of Quality Improvement Systems, NEST360
Sara Liaghati Mobarhan
Newborn Health Innovation Specialist, United Nations Children's Fund (UNICEF)
Alison Morgan
Senior Health Specialist, Global Financing Facility (GFF)
MO
Maria Oden
Teaching Professor, Rice University-NEST360
RR
Rebecca Richards-Kortum
Professor, Rice University-NEST360
Joy Lawn
Professor , The London School Of Hygiene & Tropical Medicine (LSHTM)
Culture Gap: Antibiotic Versus Blood Culture Use for 61 Facilities with NEST360 in Kenya, Malawi, Nigeria, and Tanzania
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Small and Sick Newborns (SSNB)
Strengthening Quality of Care
Prevention and Clinical Management
Presenters Sarah Anne Collins
Research Assistant, Paediatric Clinical Fellow, The London School Of Hygiene & Tropical Medicine (LSHTM)
Co-authors
KK
Kondwani Kawaza
Associate Professor, Consultant Paediatrician And Neonatologist, Kamuzu University Of Health Sciences (KUHES)
NS
Nahya Salim
Senior Lecturer In Paediatrics & Child Health, MUHAS
Chinyere Ezeaka
Prof Of Paediatrics, University Of Lagos
WM
William Macharia
Professor Of Paediatrics & Country Lead NEST360, Aga Khan University
Msandeni Chiume
Principle Investigator, NEST360, Kamuzu University Of Health Sciences (KUHS)
RT
Robert Tillya
Health Research Scientist, Ifakara Health Institute
OO
Opeyemi Odedere
Country Director , NEST 360
MA
Martin Aluvaala
Senior Lecturer, University Of Nairobi, Kenya
DS
Donat Shamba
Senior Research Scientist, Ifakara Health Institute
GJ
Georgia Jenkins
Data Analyst, RICE360
EM
Elizabeth Molyneux
College Of Mdicine, Kamuzu University Of Health Sciences
James Cross
Research Fellow, The London School Of Hygiene & Tropical Medicine (LSHTM)
Joy Lawn
Professor , The London School Of Hygiene & Tropical Medicine (LSHTM)
GN
GroupAuthor NEST Alliance
Alliance, NEST360
Target Product Profiles for Neonatal Care Devices: Systematic Development and Results with NEST360 and the United Nations Children's Fund (UNICEF)
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Small and Sick Newborns (SSNB)
Global Guidelines and Local Adaptations
Presenters
RR
Rebecca Richards-Kortum
Professor, Rice University-NEST360
Co-authors
RK
Rebecca Kirby
Research Assistant Professor , Northwestern University Kellogg School Of Management
KP
Kara Palamountain
Research Associate Professor, NEST360 - Northwestern University
EM
Elizabeth Molyneux
College Of Mdicine, Kamuzu University Of Health Sciences
BB
Beverly Bradley
Health Technology Centre, United Nations Children's Fund (UNICEF)
CM
Cindy McWhorter
Product Innovation Centre, United Nations Children's Fund (UNICEF)
MG
Martha Gartley
Sr. Technical Advisor - Oxygen Access, CHAI
Chinyere Ezeaka
Prof Of Paediatrics, University Of Lagos
NS
Nahya Salim
Senior Lecturer In Paediatrics & Child Health, MUHAS
GI
GRACE IRIMU-THINWA
PROF, University Of Nairobi And KEMRI-Wellcome Research Programme, Nairobi
QD
Queen Dube
Chief Of Health Services, Ministry Of Health- Malawi
Jennifer Werdenberg-Hall
Attending Pediatrician, Texas Children’s Hospital
MO
Maria Oden
Teaching Professor, Rice University-NEST360
Digitization and Adaptation of the World Health Organization (WHO) Integrated Management of Newborn and Childhood Illness for an Electronic Clinical Decision Support Tool for Sick Young Infants
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Small and Sick Newborns (SSNB)
Global Guidelines and Local Adaptations
Innovative Tools and Strategies
Presenters Gillian Levine
Postdoctoral Fellow, Swiss Tropical And Public Health Institute
Postdoctoral Fellow
,
Swiss Tropical and Public Health Institute
Professor
,
Rice University-NEST360
Research Assistant, Paediatric Clinical Fellow
,
The London School of Hygiene & Tropical Medicine (LSHTM)
Research Assistant- Health financing Newborn
,
The London School of Hygiene & Tropical Medicine (LSHTM)
Dr. Natasha Rhoda
Head of Clinical Unit, Neonatal Medicine, Mowbray Maternity Hospital
,
University Cape Town
Associate Scientist
,
International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)
Attendees public profile is disabled.
Target Product Profiles for Neonatal Care Devic...
View Submitted by Rebecca Kirby 5
Digitization and Adaptation of the World Health...
View Submitted by Gillian Levine 3
Culture Gap: Antibiotic Versus Blood Culture Us...
View Submitted by Sarah Anne Collins 2
Newborn Device Planning and Costing Tool: Syste...
View Submitted by Alice Tarus 2
Program Navigator
793 hits