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Implementation Lessons from a Multifaceted National Newborn Program in Solomon Islands: A Mixed-Methods Study.

Shidan Tosif1, Anna Jatobatu2, Anita Maepioh3

  • 1Centre for International Child Health, Murdoch Children's Research Institute, Royal Children's Hospital Melbourne, University of Melbourne, Parkville VIC, Australia.

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PubMed
Summary

Improving newborn care in the Solomon Islands involved multifaceted interventions. Effective training and addressing facility limitations are crucial for enhancing neonatal quality of care and health outcomes.

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Area of Science:

  • Global Health
  • Neonatal Care
  • Health Systems Strengthening

Background:

  • Multifaceted interventions are essential for improving neonatal quality of care and health outcomes.
  • Solomon Islands, a lower-middle-income country, faces challenges in delivering quality newborn care.

Purpose of the Study:

  • To describe the implementation of an intervention aimed at improving newborn care quality in the Solomon Islands.
  • To evaluate the effectiveness of training, equipment provision, and organizational changes.

Main Methods:

  • A mixed-methods design was employed, combining quantitative audits of health facilities and qualitative interviews/discussions with healthcare workers.
  • Quantitative methods assessed equipment, structure, and organization.
  • Qualitative methods explored healthcare worker experiences and perceptions.

Main Results:

  • Healthcare workers valued the practical, interactive, and short-duration training, noting its positive impact on skills and workplace culture.
  • Facility limitations, including equipment deficits and poor conditions, hindered quality care and led to healthcare workers feeling undervalued.
  • Resuscitating non-breathing infants was stressful for staff, exacerbated by isolation and lack of support.

Conclusions:

  • Training methodology, structural limitations, and the experience of resuscitation significantly impact healthcare workers and newborn care.
  • Addressing these factors is vital for designing and implementing effective newborn care programs in similar low-resource settings.