Accessibility and Effectiveness in Newborn Referral System in Lucknow
DOI:
https://doi.org/10.52783/jns.v14.2966Keywords:
Community Health Workers, Low Birth Weight, Mortality, Neonatal healthcare, Referral pathwaysAbstract
The current study's goals were to evaluate how the newborn referral system contributes to reduce infant morbidity and death by guaranteeing prompt and adequate medical treatment. The study employed a mixed-method approach, combining qualitative information from caregivers and medical professionals with quantitative data from hospital records. The study was carried out in the Government and private hospitals situated in Uttar Pradesh. Over the course of a year, this prospective observational research was carried out. There were 1000 referred babies that were recruited in the research overall.
The findings indicated that low birth weight (30%), infections and sepsis (20%), jaundice (10%), respiratory distress (35%) and birth traumas (5%), accounted for the bulk of infant referrals. The results show that although there are referral systems in place, their effectiveness is severely hampered by deficiencies in communication, infrastructure and transportation. In order to improve the results of infant referrals, this study suggests legislative changes and infrastructure improvements. The study's findings will be useful in evaluating its advantages, disadvantages and possible areas for development.
Downloads
Metrics
References
Austin, H. Gulema, M. Belizan, D. Colaci, T. Kendall, M. Tebeka, et al (2015). Barriers to providing quality emergency obstetric care in Addis Ababa, Ethiopia: healthcare providers' perspectives on training, referrals and supervision, a mixed methods study. BMC Pregnancy Childbirth, 15 , 10.1186/s12884-015-0493-4
Gilmore, B., McAuliffe, E., Larkan, F., Conteh, M., Dunford, L., & McMahon, S. (2013). How do community health committees contribute to capacity building for maternal and child health? A realist evaluation protocol. BMJ Open, 3(11), e003176.
Gupta, M., Bosma, H., Angeli, F., Kaur, M., Chakrapani, V., &Rana, M. (2019). Impact of community health workers on utilization of healthcare services: A systematic review. Journal of Family Medicine and Primary Care, 8(8), 2568– 2577.
Health-United Nations sustainable development (n.d.) https://www.un.org/sustainabledevelopment/health/ (accessed 19 January 2019).
Indian Council of Medical Research | Government of India [Internet]. Icmr.nic.in. 2019 [cited 12 June 2019]. Available at: https://www.icmr.nic.in/ Accessed on 13, Jan 2016.
Managing newborn problems [Internet]. World Health Organization. 2019. Available at: https://www.who.int/maternal_child_adolescent/doc uments/9241546220/en/. Accessed on 13/09/2015
Okeyo, I., Dow, D., Apoko, J., Nyachae, P., Sanga, L., Mumbo, E., ...&Sharifu, R. O. (2018). Saving Newborn Lives in the Informal Settlements of Nairobi: A Case Study of HowCommunity Health Workers Facilitated Referrals to Improve Care for Newborns with Complications. Journal of Health, Populationand Nutrition, 37(1), 1-11.
Rahman, A. E., Perkins, J., Islam, S., Siddique, A. B., Moinuddin, M., Anwar, M. R., ...&Arifeen, S. E. (2016). Knowledge and involvement of Union Parishad (UP) members in maternal and newborn health (MNH) in rural Bangladesh:a cross-sectional study. BMC Public Health, 16(1), 887.
UNICEF DATA-Neonatal mortality (2018) https://data.unicef.org/topic/child-survival/neonatal-mortality/ (accessed 1 December 2018)
Verma A, Gaur A, Ambey R. Predictors in profile of referred newborns for their outcome in a tertiary newborn referral facility. Int J Contemp Pediatr 2019;6(1):87-92.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
