1. Is the WHO Guide on Essential Practice of Postpartum Newborn Care Used in a District Health Care Facility?
- Author
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Klinkott R, Mushi V, Komba G, Krüger C, Schultz A, Stich A, Stüfe A, Weber M, and Ehrhardt S
- Subjects
- Adult, Algorithms, Delivery of Health Care methods, Educational Measurement, Female, Humans, Infant, Newborn, Postpartum Period, Prospective Studies, Quality of Health Care, Rural Population, Surveys and Questionnaires, Tanzania, World Health Organization, Guideline Adherence, Health Knowledge, Attitudes, Practice, Inservice Training methods, Nurse Midwives education, Practice Guidelines as Topic, Practice Patterns, Nurses'
- Abstract
Background: It is unclear whether algorithms with evidence-based interventions are used in a setting where the work load is high and qualified staff is scarce to identify neonates with life-threatening conditions., Methods: The nurse-midwives' knowledge and opinion about the World Health Organization (WHO) guide on postpartum newborn care were assessed in a hospital in Tanzania before and after training. Their adherence to this guide was evaluated by analysing 100 neonatal records., Results: Before training, 44% of the nurse-midwives were familiar with the WHO guide. All nurse-midwives supported the implementation of the guide. In all, 21% of the postpartum record forms were fully completed. Risk factors for illness were missed in 27%., Conclusion: Nurse-midwives' expertise in the WHO guide on postpartum newborn care cannot be taken for granted. The complexity of this guide demands expertise and makes its use time-consuming and thus its practicability disputable in a setting with limited resources., (© The Author [2016]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.)
- Published
- 2016
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