1 million neonatal deaths occur annually due to neonatal sepsis, mainly in low-income countries. Low-resource settings present a challenging environment for prompt identification and appropriate management of this condition.
Aim To audit the management of neonatal sepsis and to introduce measures to improve its identification and management in a low resource-setting, both among hospital staff and in the wider community.
Method A multi-cycle audit was conducted with performance measured against ETAT+ guidelines. Neonatal sepsis admissions were audited on 3 occasions; pre-intervention, at 3 months and 6 months, with multiple interventions continuing throughout this tim
Hospital wide teaching to all cadre staff based on ETAT+ principles.
Outreach teaching to referring centres
Delivery of a daily standardised health talk and the provision of parental leaflet to post-natal mothers.
Demonstration of health promotion videos
Posters displayed in hospital and community dispensaries.
Local staff engaged and motivated by clinical feedback and presentation of audit results.
Results 126 patients were audited. Results demonstrate sustained improvement in important parameters
Conclusion A multi-strategy approach is successful in showing a sustained improvement to the management of neonatal sepsis in a low resource setting
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