Management Information Systems 7th Edition Sousa Pdf 11
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Incorporating newborn infection case management into the ENC programme was often reported to be a challenge. A key reason was the lack of professional and technical expertise in the field. Newborn infection case management was often found to be carried out by nurses and enrolled midwives, who are often less experienced in newborn infections than doctors. Similarly, the health systems were often perceived as not having sufficient capacity to provide the services. In addition, the perceived barriers in the ENC programme were lack of protocols and guidelines, and lack of monitoring and supervision of programmes. These barriers were often more important than the resources available to the programmes.
Country team recommendations included improving and integrating newborn infection case management with other essential newborn care (ENC) interventions, with a focus on compliance, equity and quality. This included: training health workers on newborn infection case management; ensuring continuous availability of guidelines and protocols; regularly updating the guidelines to reflect the latest scientific advances in the field; reinforcing the efforts of ENC programmes to ensure that newborns receive comprehensive care, including adequate and timely management of neonatal infections; providing basic drugs for treating neonatal infections; ensuring that health workers at all levels have access to guidelines and protocols for treatment of neonatal infections; and developing a clear strategy on how to use the guidelines in routine practice.
Many participants from all countries reported that health workers either did not have the necessary antibiotics for treatment of neonatal infections or that they had not received adequate training to manage these infections. This was attributed to the lack of training to a large extent. Other common challenges included the lack of guidelines on treatment of neonatal infections, lack of medicines for neonatal infections, lack of essential equipment for neonatal infections and stigma/fear associated with neonatal infections.
One of the primary barriers to increasing the uptake of newborn infection case management was low treatment demand, leading to low demand of services. Other barriers included limited awareness, lack of services in primary care, lack of medicines and key supplies, lack of protocols, poor community understanding of the services and lack of guidelines for treatment of neonatal infections. The long onset time (months) for neonatal infections to reach the level of treatment demand and referral has also been identified as a major challenge.
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