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Saving more neonates in hospital: an intervention towards a sustainable reduction in neonatal mortality in a Nicaraguan hospital
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Public Health Sciences.
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1998 (English)In: Tropical doctor, ISSN 0049-4755, Vol. 28, no 2, 88-92 p.Article in journal (Refereed) Published
Abstract [en]

A process of change was initiated in a Nicaraguan regional hospital in order to achieve a sustainable reduction of early neonatal mortality. A series of organizational, educational and hygienic measures was introduced, involving all staff in antenatal care, delivery care and neonatal care. Neonatal mortality decreased from 56/1000 live births in 1985 to 11/1000 in 1993. A commission of maternal and child health, a weekly perinatal audit, the active involvement of all staff and dedicated work of key individuals, as well as national policy decisions, are considered important determinants of the process. Keeping neonatal mortality in focus through continuous analysis of care routines, and through external exchange of ideas is important in order to sustain improvements and to decrease further the mortality.

Place, publisher, year, edition, pages
1998. Vol. 28, no 2, 88-92 p.
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Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:umu:diva-64717PubMedID: 9594676OAI: diva2:602427
Available from: 2013-02-01 Created: 2013-02-01 Last updated: 2013-02-14Bibliographically approved

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