Improving quality of care for neonates with birth asphyxia through Helping Babies Breath program at Chiradzulu District Hospital, Malawi

2.50
Hdl Handle:
http://hdl.handle.net/10755/621202
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
Other
Research Approach:
Other
Title:
Improving quality of care for neonates with birth asphyxia through Helping Babies Breath program at Chiradzulu District Hospital, Malawi
Author(s):
Bande, Chismo; Phiri, Colette; Chirwa, Ellen
Lead Author STTI Affiliation:
Non-member
Author Details:
Chismo Bande; Colette Phiri; Prof. Ellen Chirwa
Abstract:

In Malawi the neonatal death rate is at 31/1000 live births with birth asphyxia contributing to 25%. In 2013, Chiradzulu District hospital had an average of 155 neonatal deaths out of 4142 live births of which birth asphyxia contributed to 52% of all deaths. The project was implemented from May 2014 to April 2015. Team members were midwives, anesthetists and clinicians from the hospital’s labour ward. The project activities included: On-job and formal trainings on HBB and documentation, creation of an HBB corner, mobilization of resuscitation equipment and supportive supervision. Monitoring was done through qualitative oral feedback from midwives and quantitative review of HBB register and neonatal death audits and compared with baseline data.

Project activities were implemented according to plan. Four midwives and one clinician attended formal HBB training; 46 midwives were oriented on HBB through Continuing Professional Development sessions (From the District Hospital and surrounding health centers); 32 midwives received supportive supervision. As a result neonatal deaths due to birth asphyxia decreased from 52 % to 31% and documentation in the HBB register also improved. 

Results have shown that intensifying on-job training and supportive supervision of midwives can improve neonatal outcomes. I have acquired leadership skills through training and mentorship from the leadership academy organised by Johnson and Johnson and STTI. I am certain that the knowledge and evidence gained from the leadership journey will improve maternal and neonatal outcomes in my country. 

Keywords:
Maternal Child Health; Helping Babies Breath (HBB); Leadership
CINAHL Headings:
Asphyxia Neonatorum; Quality of Health Care; Quality of Health Care--Malawi; Quality of Nursing Care; Quality of Nursing Care--Malawi; Maternal-Child Health; Maternal-Child Health--Malawi; Leadership
Repository Posting Date:
9-Feb-2017
Date of Publication:
9-Feb-2017
Conference Date:
2015
Conference Name:
Tau Lambda Conference 2015
Conference Host:
Tau Lambda At-Large Chapter of Sigma Theta Tau International
Conference Location:
Sunnyside Park Hotel, Johannesburg, South Africa
Sponsors:
Johnson & Johnson
Description:
This presentation is the summation of a project undertaken as part of the Honor Society of Nursing, Sigma Theta Tau International, Maternal-Child Health Nurse Leadership Academy (2014-2015 cohort).

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelOtheren
dc.research.approachOtheren
dc.titleImproving quality of care for neonates with birth asphyxia through Helping Babies Breath program at Chiradzulu District Hospital, Malawien_US
dc.contributor.authorBande, Chismoen
dc.contributor.authorPhiri, Coletteen
dc.contributor.authorChirwa, Ellenen
dc.contributor.departmentNon-memberen
dc.author.detailsChismo Bande; Colette Phiri; Prof. Ellen Chirwaen
dc.identifier.urihttp://hdl.handle.net/10755/621202-
dc.description.abstract<p>In Malawi the neonatal death rate is at 31/1000 live births with birth asphyxia contributing to 25%. In 2013, Chiradzulu District hospital had an average of 155 neonatal deaths out of 4142 live births of which birth asphyxia contributed to 52% of all deaths. The project was implemented from May 2014 to April 2015. Team members were midwives, anesthetists and clinicians from the hospital’s labour ward. The project activities included: On-job and formal trainings on HBB and documentation, creation of an HBB corner, mobilization of resuscitation equipment and supportive supervision. Monitoring was done through qualitative oral feedback from midwives and quantitative review of HBB register and neonatal death audits and compared with baseline data.</p> <p>Project activities were implemented according to plan. Four midwives and one clinician attended formal HBB training; 46 midwives were oriented on HBB through Continuing Professional Development sessions (From the District Hospital and surrounding health centers); 32 midwives received supportive supervision. As a result neonatal deaths due to birth asphyxia decreased from 52 % to 31% and documentation in the HBB register also improved. </p> <p>Results have shown that intensifying on-job training and supportive supervision of midwives can improve neonatal outcomes. I have acquired leadership skills through training and mentorship from the leadership academy organised by Johnson and Johnson and STTI. I am certain that the knowledge and evidence gained from the leadership journey will improve maternal and neonatal outcomes in my country. </p>en
dc.subjectMaternal Child Healthen
dc.subjectHelping Babies Breath (HBB)en
dc.subjectLeadershipen
dc.subject.cinahlAsphyxia Neonatorumen
dc.subject.cinahlQuality of Health Careen
dc.subject.cinahlQuality of Health Care--Malawien
dc.subject.cinahlQuality of Nursing Careen
dc.subject.cinahlQuality of Nursing Care--Malawien
dc.subject.cinahlMaternal-Child Healthen
dc.subject.cinahlMaternal-Child Health--Malawien
dc.subject.cinahlLeadershipen
dc.date.available2017-02-09T18:38:04Z-
dc.date.issued2017-02-09-
dc.date.accessioned2017-02-09T18:38:04Z-
dc.conference.date2015en
dc.conference.nameTau Lambda Conference 2015en
dc.conference.hostTau Lambda At-Large Chapter of Sigma Theta Tau Internationalen
dc.conference.locationSunnyside Park Hotel, Johannesburg, South Africaen
dc.description.sponsorshipJohnson & Johnsonen
dc.descriptionThis presentation is the summation of a project undertaken as part of the Honor Society of Nursing, Sigma Theta Tau International, Maternal-Child Health Nurse Leadership Academy (2014-2015 cohort).en
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