Effect of WHO newborn care training on neonatal mortality by education
Effect of WHO newborn care training on neonatal mortality by education
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DOI：
10.1016/j.ambp.2008.04.006
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发表时间：
2008-09-01
期刊：
影响因子：
--
通讯作者：
Harris, Hillary
中科院分区：
文献类型：
--
作者：
Chomba, Elwyn;McClure, Elizabeth M.;Harris, Hillary
背景。-每年400万新生儿死亡中有99%发生在发展中国家。世界卫生组织（世卫组织）的新生儿基本护理（ENC）课程为助产士在婴儿护理方面（新生儿复苏、母乳喂养、袋鼠护理）的培训设定了最低可接受标准。小婴儿护理和体温调节），其中许多是由母亲提供的。本研究的目的是确定与教育程度较高的母亲的婴儿相比，教育程度较低的母亲的婴儿中ENC与全因7天（早期）新生儿死亡率的相关性。方法。协议和ENC认证的研究护士培训所有123名受过大学教育的助产士从18个低风险，一级城市社区卫生中心（赞比亚）的数据收集（1周）和ENC（1周）作为对照研究的一部分，以测试ENC实施的临床影响。母亲被分为2组，那些已经完成了7年的学校教育（小学教育）和那些8年或以上的教育。ENC培训与早期新生儿死亡率下降有关;死亡率从ENC前的每1000例活产11.2例下降到ENC实施后的每1000例活产6.2例（P
Background.-Ninety-nine percent of the 4 million neonatal deaths per year occur in developing countries. The World Health Organization (WHO) Essential Newborn Care (ENC) course sets the minimum accepted standard for training midwives on aspects of infant care (neonatal resuscitation, breastfeeding, kangaroo care. small baby care, and thermoregulation), many of which are provided by the mother.Objective.-The aim of this study was to determine the association of ENC with all-cause 7-day (early) neonatal mortality among infants of less educated mothers compared with those of mothers with more education.Methods.-Protocol- and ENC-certified research nurses trained all 123 college-educated midwives from 18 low-risk, first-level urban community health centers (Zambia) in data collection (I week) and ENC (1 week) as part of a controlled study to test the clinical impact of ENC implementation. The mothers were categorized into 2 groups, those who had completed 7 years of school education (primary education) and those with 8 or more years of education.Results.-ENC training is associated with decreases in early neonatal mortality; rates decreased from 11.2 per 1000 live births pre-ENC to 6.2 per 1000 following ENC implementation (P