Innovative Tools and Strategies | Strengthening Quality of Care | Focus: Small and Sick Newborns Room: 2.61-2.63 Oral Abstracts
May 10, 2023 09:10 - 10:25(Africa/Johannesburg)
20230510T0910 20230510T1025 Africa/Johannesburg Innovative Technologies to Improve Care of Small and Sick Newborns

Programmatically Feasible Gestational Age Assessment of Newborns in Low- and Middle-Income Countries (LMICs)

Approximately 36% of neonatal deaths are due to preterm birth complications. An accurate assessment of gestational age (GA) is critical to identify preterm birth and provide adequate care. However, in many low- and middle-income countries (LMICs), gestational age dating is often inaccurate or unknown, leaving the estimation of the GA to after the baby is born. In this study, we developed programmatically feasible approaches to estimate newborn gestational age (GA) in low-resource settings.

Technology for Retinopathy of Prematurity (ROP) Screening in Resource-Limited Settings: Development of a Target Product Profile (TPP) 

The number of preterm infants who survive is increasing, as are the complications of preterm birth, including retinopathy of prematurity (ROP), a potentially blinding condition. Rates of ROP and blindness from ROP are disproportionately higher in low- and middle-income countries (LMICs), where exposure to modifiable risk factors can be higher and where services for ROP screening and treatment are under-resourced or nonexistent.

Validity of Using a Low-Tech, Handheld Icterometer to Screen for Potential Neonatal Jaundice 

Neonatal jaundice (NNJ) remains a leading cause of newborn mortality in much of sub-Saharan Africa. NNJ is difficult to recognize without special, hospital-based equipment, particularly in dark-skinned infants. Previous work in developing handheld, low-tech icterometers to assess jaundice has focused mostly on light-skinned infants or the tool's diagnostic capability - whether it assesses the exact level of hyperbilirubinemia. We sought to examine the validity of using a handheld i ...

Room: 2.61-2.63 International Maternal Newborn Health Conference 2023 information@imnhc.org
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Programmatically Feasible Gestational Age Assessment of Newborns in Low- and Middle-Income Countries (LMICs)

Approximately 36% of neonatal deaths are due to preterm birth complications. An accurate assessment of gestational age (GA) is critical to identify preterm birth and provide adequate care. However, in many low- and middle-income countries (LMICs), gestational age dating is often inaccurate or unknown, leaving the estimation of the GA to after the baby is born. In this study, we developed programmatically feasible approaches to estimate newborn gestational age (GA) in low-resource settings.


Technology for Retinopathy of Prematurity (ROP) Screening in Resource-Limited Settings: Development of a Target Product Profile (TPP) 

The number of preterm infants who survive is increasing, as are the complications of preterm birth, including retinopathy of prematurity (ROP), a potentially blinding condition. Rates of ROP and blindness from ROP are disproportionately higher in low- and middle-income countries (LMICs), where exposure to modifiable risk factors can be higher and where services for ROP screening and treatment are under-resourced or nonexistent.


Validity of Using a Low-Tech, Handheld Icterometer to Screen for Potential Neonatal Jaundice 

Neonatal jaundice (NNJ) remains a leading cause of newborn mortality in much of sub-Saharan Africa. NNJ is difficult to recognize without special, hospital-based equipment, particularly in dark-skinned infants. Previous work in developing handheld, low-tech icterometers to assess jaundice has focused mostly on light-skinned infants or the tool's diagnostic capability - whether it assesses the exact level of hyperbilirubinemia. We sought to examine the validity of using a handheld icterometer in dark-skinned infants as a screening tool, that is, whether it is accurate in determining which children need further assessment.


Clinical Evaluation of a Novel, Low-Cost Continuous Respiratory Rate and Apnea Monitor for Newborns 

Preterm birth interrupts physiological development, leaving newborns vulnerable to complications that require respiratory rate (RR) monitoring. Complications include respiratory distress syndrome (RDS), a leading cause of death in preterm newborns, and apnea of prematurity, which affects 50% of preterm newborns and can indicate conditions such as sepsis, hypoglycemia, or anemia. When patient monitors (PMs) are unavailable, the World Health Organization (WHO) recommends counting breaths for 60 seconds to measure neonatal RR. In low-resource settings, patient monitors are often prohibitively expensive, and counting can be impractical due to high nurse-to-patient ratios. Rice360 developed a low-cost, continuous RR/apnea sensor to accurately monitor RR in low-resource settings. The device detects breathing motion through two inertial measurement unit (IMU) sensors attached opposite the centerline of an abdominal belt. This study clinically evaluates the device against reference visual counting and compares performance to existing PM technology.

Programmatically Feasible Gestational Age Assessment of Newborns in Low- and Middle-Income Countries (LMICs)
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
Presenters Anne CC Lee
Associate Professor; Director Global Advancement Of Infants And Mothers, Harvard Medical School
Co-authors
RB
Rajiv Bahl
Unit Head, World Health Organization
SY
Sachiyo Yoshida
Technical Officer, Department Of Maternal, Newborn, Child And Adolescent Health And Ageing, World Health Organization
Technology for Retinopathy of Prematurity (ROP) Screening in Resource-Limited Settings: Development of a Target Product Profile (TPP)
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
Presenters
KP
Kara Palamountain
Research Associate Professor, NEST360 - Northwestern University
Co-authors
RK
Rebecca Kirby
Research Assistant Professor , Northwestern University Kellogg School Of Management
AM
Aeesha Malik
Consultant Ophthalmic Surgeon, The London School Of Hygiene & Tropical Medicine
CG
Clare Gilbert
Professor, The London School Of Hygiene & Tropical Medicine
Validity of Using a Low-Tech, Handheld Icterometer to Screen for Potential Neonatal Jaundice
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
Strengthening Quality of Care
Presenters ASHURA BAKARI
Pediatrician, Ghana Health Service, Suntreso Government Hospital
Co-authors
BO
Benjamin Otoo
Research Assistant, Suntreso Government Hospital
RA
Rexford Amoah
Research Assistant, Suntreso Government Hospital
AW
Ann Wolski
House Officer, University Of Cinncinnati
Clinical Evaluation of a Novel, Low-Cost Continuous Respiratory Rate and Apnea Monitor for Newborns
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
Strengthening Quality of Care
Presenters
JC
Joshua Coyle
Research Engineer, Rice360 Institute For Global Health Technologies
Co-authors Maureen Mebo Valle
Technical Monitoring And Evaluation Officer, Kamuzu University Of Science And Technology | NEST360
JB
Joseph Bailey
Chief Electronics Engineer, Rice360 Institute For Global Health Technologies
PM
Prince Mtenthaonga
Nurse, Department Of Pediatrics, Kamuzu University Of Health Sciences
Rowland Mjumira
Clinical Research Engineer, Department Of Pediatrics, Kamuzu University Of Health Sciences
LM
Lucky Mangwiro
Clinical Research Coordinator, Kamuzu University Of Health Sciences
MH
Megan Heenan
Engineer, Rice360 Institute For Global Health Technologies
JC
Jennifer Carns
Research Engineer, Rice360 Institute For Global Health Technologies
NW
Noel Wilson
Industrial Designer, 3rd Stone Design
MM
Molly McCabe
Managing Director, Projects, 3rd Stone Design
RM
Robert Miros
Chief Executive Officer, 3rd Stone Design
MO
Maria Oden
Teaching Professor, Rice University-NEST360
RR
Rebecca Richards-Kortum
Professor, Rice University-NEST360
KK
Kondwani Kawaza
Associate Professor, Consultant Paediatrician And Neonatologist, Kamuzu University Of Health Sciences (KUHES)
QD
Queen Dube
Chief Of Health Services, Ministry Of Health- Malawi
GN
GroupAuthor NEST Alliance
Alliance, NEST360
Research Engineer
,
Rice360 Institute for Global Health Technologies
Pediatrician
,
Ghana Health Service, Suntreso Government Hospital
Research Associate Professor
,
NEST360 - Northwestern University
Associate Professor; Director Global Advancement of Infants and Mothers
,
Harvard Medical School
Technical officer, Department of Maternal, Newborn, Child and Adolescent Health and Ageing
,
World Health Organization
Dr. Cicely Fadel
Senior Program Officer
,
Bill & Melinda Gates Foundation
Ms. Maureen Mebo Valle
Technical Monitoring and Evaluation Officer
,
Kamuzu University of Science and Technology | NEST360
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Technology for Retinopathy of Prematurity (ROP)...
IMNHC_1690834613IMNHC_1684520318824_kara_palamountain_2023.pdf View Submitted by Rebecca Kirby 0
Programmatically Feasible Gestational Age Asses...
IMNHC_1684520258318_sachiyo_yoshida_cc_lee_final.pptx View Submitted by Sachiyo Yoshida 1
Validity of Using a Low-Tech, Handheld Icterome...
IMNHC_1690834743IMNHC_1684520374ashura_validity.pptx View Submitted by Cheryl Moyer 1
Clinical Evaluation of a Novel, Low-Cost Contin...
IMNHC_1690835028573_IMNHC_1684520437236_joshua_coyle.pdf View Submitted by Joshua Coyle 5
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