Improving the quality of neonatal health care in Ethiopia: a systematic review.

Autor:	Belay DM; College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.; Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia., Erku D; School of Public Health, Faculty of Medicine, The University of Queensland, Herston, QLD, Australia.; Centre for Applied Health Economics, Griffith University, Nathan, QLD, Australia.; Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia.; Addis Consortium for Health Economics and Outcomes Research (AnCHOR)., Bayih WA; College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia., Kassie YT; College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Minuye Birhane B; College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.; School of Public Health, University of Technology Sydney, Sydney, NSW, Australia., Assefa Y; School of Public Health, Faculty of Medicine, The University of Queensland, Herston, QLD, Australia.
Jazyk:	angličtina
Zdroj:	Frontiers in medicine [Front Med (Lausanne)] 2024 May 22; Vol. 11, pp. 1293473. Date of Electronic Publication: 2024 May 22 (Print Publication: 2024).
DOI:	10.3389/fmed.2024.1293473
Abstrakt:	Background: Ensuring high-quality healthcare for newborns is essential for improving their chances of survival within Ethiopia's healthcare system. Although various intervention approaches have been implemented, neonatal mortality rates remain stable. Therefore, the present review seeks to identify initiatives for enhancing healthcare quality, their effects on neonatal wellbeing, and the factors hindering or supporting these Quality Improvement (QI) efforts' success in Ethiopia. Methods: We searched for original research studies up to June 23, 2023, using PubMed/Medline, WHO-Global Health Library, Cochrane, Clinical Trials.gov, and Hinari. After selecting eligible studies, we assessed their quality using a mixed-method appraisal tool. Quality of care refers to how healthcare services effectively improve desired outcomes for individuals and patient populations. It encompasses vital principles such as safety, effectiveness, timeliness, efficiency, equity, and patient-centeredness. Results: We found 3,027 publication records and included 13 studies during our search. All these interventions primarily aimed to provide safe healthcare, with a strong focus on Domain One, which deals with the evidence-based routine upkeep and handling of complications, and Domain Seven, which revolves around ensuring staff competency, emerged as a frequent target for intervention. Many interventions aimed at improving quality also concentrate on essential quality measure elements such as processes, focusing on the activities that occur during care delivery, and quality planning, involving distributing resources, such as basic medicine and equipment, and improving infrastructure. Moreover, little about the facilitators and barriers to QI interventions is investigated. Conclusions: This review highlights the significance of introducing QI initiatives in Ethiopia, enhancing the healthcare system's capabilities, engaging the community, offering financial incentives, and leveraging mobile health technologies. Implementing QI interventions in Ethiopia poses difficulties due to resource constraints, insufficient infrastructure, and medical equipment and supplies shortages. It necessitates persistent endeavors to improve neonatal care quality, involving ongoing training, infrastructure enhancement, the establishment of standardized protocols, and continuous outcome monitoring. These efforts are crucial to achieving the optimal outcomes for newborns and their families. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Belay, Erku, Bayih, Kassie, Minuye Birhane and Assefa.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu