Improving quality of care for neonates with birth asphyxia through Helping Babies Breath program at Chiradzulu District Hospital, Malawi
Repository Posting Date2017-02-09T18:38:04Z
Author DetailsChismo Bande; Colette Phiri; Prof. Ellen Chirwa
Lead Author Sigma AffliationNon-member
Level of EvidenceOther
CINAHL HeadingsAsphyxia 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
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.
Funder(s)Johnson & Johnson
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).
Conference NameTau Lambda Conference 2015
Conference HostTau Lambda At-Large Chapter of Sigma Theta Tau International
Conference LocationSunnyside Park Hotel, Johannesburg, South Africa
Date of Publication2017-02-09
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