Where technology does not go: specialised neonatal care in resource-poor and conflict-affected contexts
Where technology does not go: specialised neonatal care in resource-poor and conflict-affected contexts
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DOI：
10.5588/pha.16.0127
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发表时间：
2017-06-21
影响因子：
1.4
通讯作者：
Zuniga, I.
中科院分区：
文献类型：
--
作者：
Dornemann, J.;van den Boogaard, W.;Zuniga, I.
背景：虽然全世界新生儿死亡率逐渐下降，但 98% 的新生儿死亡发生在低收入和中等收入国家，这些国家往往无法为患病和早产新生儿提供医院护理。无国界医生布鲁塞尔行动中心 (MSFOCB) 在 7 个国家的资源匮乏和受冲突影响的地区管理着 8 个地区级专业新生儿护理单位 (SNCU)。 目标：评估无国界医生 SNCU 模型在非洲和南亚不同环境中的表现，并描述 2012 年至 2015 年 8 个 SNCU 的设置、新生儿特征和新生儿临床结果。 设计：多中心描述性研究结果：MSF SNCU 模式的特点是缺乏高科技设备，强调专门的护理和医疗服务。重点是低温、低血糖的管理、喂养支持和感染的早期识别/治疗。总共收治了 11 970 名新生儿，其中 41% 为低出生体重（
Setting: Although neonatal mortality is gradually decreasing worldwide, 98% of neonatal deaths occur in low-and middle-income countries, where hospital care for sick and premature neonates is often unavailable. Medecins Sans Frontisres Operational Centre Brussels (MSFOCB) managed eight specialised neonatal care units (SNCUs) at district level in low-resource and conflict-affected settings in seven countries.Objective: To assess the performance of the MSF SNCU model across different settings in Africa and Southern Asia, and to describe the set-up of eight SNCUs, neonate characteristics and clinical outcomes among neonates from 2012 to 2015.Design: Multicentric descriptive study.Results: The MSF SNCU model was characterised by an absence of high-tech equipment and an emphasis on dedicated nursing and medical care. Focus was on the management of hypothermia, hypoglycaemia, feeding support and early identification/treatment of infection. Overall, 11 970 neonates were admitted, 41% of whom had low birthweight (