Neonatal care practices in Buikwe District, Uganda: a qualitative study

Area of Science:

• Medical Research
• Public Health
• Neonatal Care

Background:

• Sub-Saharan Africa faces high neonatal mortality, with Uganda reporting 20 deaths per 1000 live births.
• The Uganda Clinical Guidelines (UCG) provide recommendations for maternal and newborn care.
• Understanding provider and user perspectives on UCG adherence is crucial for improving neonatal outcomes.

Purpose of the Study:

• To assess healthcare provider and user knowledge of the Uganda Clinical Guidelines (UCG).
• To evaluate adherence to UCG recommendations for delivery and newborn care.
• To identify barriers and facilitators to UCG implementation in Uganda.

Main Methods:

• Qualitative study employing participant observations.
• Interviews with key informants and focus group discussions.
• Data analyzed using Malterud's Systematic Text Condensation (STC).

Main Results:

• Low knowledge of UCG among healthcare workers was identified.
• Discrepancies observed in neonatal care practices, including infrequent use of partograms and skin-to-skin care.
• Uncertainty regarding cord clamping timing and routine oronasopharyngeal suction practices noted.

Conclusions:

• Systemic strategies are needed to improve UCG implementation.
• Enhanced training and support for healthcare workers are recommended.
• Further research should focus on effective methods for guideline dissemination and adoption.