id:"swepub:oai:DiVA.org:uu-135753"
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- Waiswa, PeterKarolinska Institutet (author)
Using the three delays model to understand why newborn babies die in eastern Uganda
- Article/chapterEnglish2010
Publisher, publication year, extent ...
- 2010-07-14
- Wiley,2010
- printrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:uu-135753
- https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-135753URI
- https://doi.org/10.1111/j.1365-3156.2010.02557.xDOI
- http://kipublications.ki.se/Default.aspx?queryparsed=id:121038680URI
Supplementary language notes
- Language:English
- Summary in:English
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Notes
- OBJECTIVES To investigate causes of and contributors to newborn deaths in eastern Uganda using a three delays audit approach. METHODS Data collected on 64 neonatal deaths from a demographic surveillance site were coded for causes of deaths using a hierarchical model and analysed using a modified three delays model to determine contributing delays. A survey was conducted in 16 health facilities to determine capacity for newborn care. RESULTS Of the newborn babies, 33% died in a hospital/health centre, 13% in a private clinic and 54% died away from a health facility. 47% of the deaths occurred on the day of birth and 78% in the first week. Major contributing delays to newborn death were caretaker delay in problem recognition or in deciding to seek care (50%, 32/64); delay to receive quality care at a health facility (30%; 19/64); and transport delay (20%; 13/64). The median time to seeking care outside the home was 3 days from onset of illness (IQR 1-6). The leading causes of death were sepsis or pneumonia (31%), birth asphyxia (30%) and preterm birth (25%). Health facilities did not have capacity for newborn care, and health workers had correct knowledge on only 31% of the survey questions related to newborn care. CONCLUSIONS Household and health facility-related delays were the major contributors to newborn deaths, and efforts to improve newborn survival need to address both concurrently. Understanding why newborn babies die can be improved by using the three delays model, originally developed for understanding maternal death.
Subject headings and genre
- three delays
- delays
- infant
- newborn
- mortality
- social autopsy
- verbal autopsy
- care-seeking
- Uganda
- MEDICINE
- MEDICIN
Added entries (persons, corporate bodies, meetings, titles ...)
- Kallander, KarinKarolinska Institutet (author)
- Peterson, StefanKarolinska Institutet,Uppsala universitet,Institutionen för kvinnors och barns hälsa(Swepub:uu)stefanps (author)
- Tomson, GoranKarolinska Institutet (author)
- Pariyo, George W. (author)
- Karolinska InstitutetInstitutionen för kvinnors och barns hälsa (creator_code:org_t)
Related titles
- In:Tropical medicine & international health: Wiley15:8, s. 964-9721360-22761365-3156
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