Stakeholder engagement to introduce a standardised register for improved inpatient care of newborns and sick children in Bangladesh.

Autor:	Ameen S; International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh., Shafiq SS; International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh., Ashrafee S; Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare, Dhaka, Bangladesh., Saberin A; Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare, Dhaka, Bangladesh., Saha PK; Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare, Dhaka, Bangladesh., Alam HMS; Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare, Dhaka, Bangladesh., Nahar S; Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare, Dhaka, Bangladesh., Sarkar S; Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare, Dhaka, Bangladesh., Adnan SD; Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare, Dhaka, Bangladesh., Anm Ehtesham K; Save the Children, Dhaka Bangladesh., Amena B; UNICEF, Dhaka, Bangladesh., Ahmed S; Projahnmo Research Foundation, Dhaka, Bangladesh., Khan MN; World Health Organization, Dhaka, Bangladesh., Banik G; Save the Children, Dhaka Bangladesh., Jabeen S; International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh., Hossain AT; International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh., Sarkar SS; International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh., Ahmed A; International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh., Chisti MJ; International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh., Islam MS; Independent Consultant, Dhaka, Bangladesh., Islam MJ; Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare, Dhaka, Bangladesh., El Arifeen S; International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh., Rahman AE; International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Jazyk:	angličtina
Zdroj:	Journal of global health [J Glob Health] 2024 May 17; Vol. 14, pp. 04082. Date of Electronic Publication: 2024 May 17.
DOI:	10.7189/jogh.14.04082
Abstrakt:	Background: Despite a global decrease of 59% in under-five mortality rates from 1990 to 2021, child survival remains a pressing issue. This holds true for Bangladesh, as well. In response, the Government of Bangladesh introduced a standardised register for strengthening the inpatient management of newborns and sick children in 2021. Methods: We employed a comprehensive four-phase stakeholder engagement process to implement an inpatient register for newborns and sick children. The first stage included identifying and prioritising potential stakeholders at the national and district levels. We identified eight organisations involved in newborn and child health and selected 24 participants from various other sectors for workshops aimed at raising awareness about the register's introduction. These stakeholders also participated in the register's design, development strategies planning, and implementation phases. These phases were led by the 'National Newborn Health and IMCI programme' with support from various partners. A technical working group reviewed existing registers and helped prepare training materials. Feedback from each workshop was crucial in finalising the register. Results: The Government of Bangladesh has recognised the need for an indoor register for newborns and sick children, which was to be established in collaboration with development partners. This initiative can enhance the quality of care for sick children and increase service provider accountability. Due to its successful implementation, it will continue to be used in the Kushtia and Dinajpur districts, with plans for a nationwide scale-up. The Government has allocated funds in the next health sector programme for orientation and register printing. A strengths, weaknesses, opportunities, and threats (SWOT) analysis of the stakeholder engagement process highlighted strengths such as a context-specific approach and collaborative engagement, as well as challenges such as time resource requirements. Conclusions: Implementing an inpatient register for newborns and sick children through stakeholder engagement can effectively improve child health care services. Aside from challenges such as resource intensiveness and stakeholder commitments, success depended on the organising authority's expertise in relationship building, budget allocation, time management, and workforce dedication. Therefore, strategic planning, staff recruitment, networking, and budgeting are crucial for successful stakeholder engagement and health care initiatives. Competing Interests: Disclosure of interest: The authors completed the ICMJE Disclosure of Interest Form (available upon request from the corresponding author) and disclose no relevant interests. (Copyright © 2024 by the Journal of Global Health. All rights reserved.)
Databáze:	MEDLINE
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