Knowledge, Understanding and Utilisation of High-impact Low-cost Evidenced-based Interventions for Preterm Carein Rural Kenya
Abstract
Approximately 25% of 4 million neonatal deaths globally are due to prematurity (WHO 2015; Gondwe et al 2017). A majority of the preterm babies deaths occurs within the the first week of life (Penfold et al 2013). 60% of the preterm births occur in sub-Saharan Africa (Baker et al 2017). Preterm birth rate in Kenya is 12.3% with some rural counties having higher rates (KDHS, 2014). International consensus exists on effectiveness of high-impact low-cost evidence-based interventions to improve preterm outcomes (WHO 2016).
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Kenya has adopted and contextualised the following preterm care guidelines:
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Immediate and exclusive breastfeeding
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Thermal protection of the new-born: a practical guide
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Kangaroo Mother Care: Clinical Implementation Guidelines
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Basic paediatric protocols (Resuscitation)
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Use of chlorhexidine for new-born umbilical cord care
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Despite development of these guidelines, there is paucity of literature on availability and effective implementation by health professionals
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