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J Perinatol. 2009 Feb;29(2):150-5. doi: 10.1038/jp.2008.177. Epub 2008 Oct 23.

Impact of a district level sick newborn care unit on neonatal mortality rate: 2-year follow-up.

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1
Society for Applied Studies, Kolkata, India.

Abstract

OBJECTIVE:

To evaluate the impact of creating a sick newborn care unit (SNCU) in a district hospital on neonatal mortality rate (NMR).

STUDY DESIGN:

This study was conducted in a district hospital with 6500 deliveries a year. A 14 bed SNCU that included controlled environment, individual warming and monitoring devices, infusion pump, central oxygen and oxygen concentrators, resuscitation and exchange transfusion, portable X-ray and in-house laboratory was created. Doctors and nursing personnel were trained. Baseline data for 10 months were compared with 2 years data of SNCU operation.

RESULTS:

Compared with the baseline neonatal mortality in the district hospital, neonatal mortality was reduced by 14% in the first year and by 21% in the second year after SNCU became functional. Estimated neonatal deaths averted were 329, which would reduce NMR of the district from 55 to 47 in 2 years.

CONCLUSION:

A modern sick newborn care facility created in a district hospital can substantially reduce hospital neonatal deaths and NMR of the district. This model may be an effective tool to reduce NMR of the country.

PMID:
18946480
DOI:
10.1038/jp.2008.177
[Indexed for MEDLINE]

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