Arguments pour l'investissementdans les soins aux nouveau-néspetits et malades – Analyser leparcours des patients pouridentifier les domainesd’investissement
Keywords:
Cet essai a remporté un prix au concours de dissertation Newborn Toolkit/ANA 2023 www.newborntoolkit.orgAbstract
Introduction
Il est bien connu que le moment le plus vulnérable de la vie d’un enfant est le moment de sa naissance jusqu’à la fin des 28 premiers jours de vie.1 A l'échelle mondiale, le taux de mortalité néonatale est de 18 pour 1000 naissances vivantes2mais en Zambie il est de 27 pour 1000. L'insuffisance d’investissements dans les soins des nouveau-nés est fréquemment citée comme l'un des contributeurs à ce taux plus élevé 2. Raison de plus de s’assurer que tout investissement réalisé soit ciblé sur des interventions
aux avantages avérés,, idéalement à faibles coûts, d'un impact élevé, facilement reproductibles et facilement diffusables. En supposant que l'objectif de développement durable 3.2 visant à éliminer les décès
évitables chez les nouveau-nés 3 mette déjà en évidence la nécessité d'investir, prenons en considération le parcours du patient, en particulier autour de la naissance, et identifions certaines des interventions possibles comme des domaines d'investissement et, par conséquent, une
mortalité néonatale réduite.
References
Neonatal Mortality (internet). UNICEF Data: monitoring the situation of women and children. UNICEF. January 2023. Available from: https://data.unicef.org/topic/childsurvival/neonatal-mortality/#:~:text=The%20first%2028%20days%20of,1%2C000%20live%20births%20in%201990
Mangiaterra V, Mattero M, Dunkelberg E. Why and how to invest in neonatal health. Semin Fetal Neonatal Med. 2006 Feb;11(1):37-47. doi:10.1016/j.siny.2005.11.010. PMID: 16414318
SDG 3.2 (Internet). The Global Health Observatory. World Health Organisation. 2023. Available from: https://www.who.int/data/gho/data/themes/topics/indicatorgroups/indicator-group-details/GHO/sdg-target-3.2-newbornand-child-mortality
World Prematurity Day 2019 (Internet). Healthy Newborn Network. Save the Children, Inc. 17th November 2019. Available at: https://www.healthynewbornnetwork.org/event/world-prematurityday-2019/#:~:text=We%20invite%20you%20to%20use,and%20others%20is%20available%20below.
Milford, C., Smith, E., Ngure, K. et al. Cultural considerations and beliefs surrounding preterm birth in Kenya and South Africa. Reprod Health 20, 87 (2023). https://doi.org/10.1186/s12978-023-01633-9
Implementation toolkit (Internet). Newborn toolkit.Nest360/UNICEF. Available from: https://www.newborntoolkit.org/toolkit
McCall B, Shall cross L, Wilson M, Fuller C, Hayward A. Storytelling as a research tool and intervention around public health perceptions and behaviour: a protocol for a systematic narrative review. BMJ Open. 2019 Dec 3;9 (12):e030597. doi: 10.1136/bmjopen-2019-030597. PMID:31796479; PMCID:PMC6924770.
Julie M. Buser, Cheryl A. Moyer, Carol J Boyd, Davy Zulu, Alice Ngoma-azemba, Jessy TaonaMtenje, Andrew D. Jones, Jody R. Lori,Cultural beliefs and health-seeking practices: Rural Zambians' views on maternalnewborn care, Midwifery, Volume 85,2020,102686,ISSN 0266-6138,https://doi.org/10.1016/j.midw.2020.102686.
E. Banda et al. ANC Guidelines for Positive Pregnancy Experience. Ministry of Health Zambia. 2018
Mutesu Kapembwa Kunda*, Kenneth Kapembwa, Leah Seaman and Muleya Inambao. Perinatal Death Surveillance and Response (PDSR) vs Maternal and Perinatal Death Surveillance and Response (MPDSR) -the Zambian Scenario. Prog Asp in Pediatric & Neonat 4(4)- 2023. PAPN.MS.ID.000191. DOI: 10.32474/PAPN.2023.04.000191
Duke T. CPAP: a guide for clinicians in developing countries. Paediatr Int Child Health. 2014 Feb;34(1):3-11. doi: 10.1179/204 6905513Y.0000000102. Epub 2013 Dec 6. PMID: 24165032
Nantume A, Shah S, Cauvel T, Tomback M, Kilpatrick R, Afzal B and Kiwanuka N(2021) Developing Medical Technologies for Low-Resource Settings: Lessons From a Wireless Wearable Vital Signs Monitor–neoGuard. Front. Digit.Health 3:730951. doi: 10.3389/fdgth.2021.730951
Thairu L, Wirth M, Lunze K. Innovative newborn health technology for resource limited environments. Trop Med Int Health. 2013 Jan;18 (1):117-28. doi: 10.1111/tmi.12021. PMID: 23279380
Ayah R, Ong'ech J, Mbugua EM, et al. Responding to maternal, neonatal and child health equipment needs in Kenya: a model for an innovation ecosystem leveraging on collaborations and partnerships. BMJ Innovations 2020;6:85-91
Diamedica Portable Baby CPAP. Diamedica. Available from: https://www.diamedica.co.uk/products/neonatal-care/portable-baby-cpap
Embrace Portable Incubator. Embrace Global. Available from: https://www.embraceglobal.org/
Arya S, et al. Immediate “Kangaroo Mother Care” and survival of infants with low Birth Weight. N Engl J Med. 2021;384(21):2028–38.
Gow, Jeff & George, Gavin & Mwamba, Sylvia & Ingombe, L &Mutinta, G. (2013). An evaluation of the effectiveness of the Zambian Health Worker Retention Scheme (ZHWRS) for rural areas. African health sciences. 13. 800-7. 10.4314/ahs.v13i3.40.
Morgan AS, Mendonça M, Thiele N, David AL. Management and outcomes of extreme preterm birth. BMJ. 2022 Jan 10;376:e055924. doi:10.1136/bmj-2021-055924.PMID: 35012942; PMCID:PMC8744861
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