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). • Kenya has adopted and contextualised the following preterm care guidelines: – Immediate and exclusive breastfeeding – Thermal protection of the new-born: a practical guide – Kangaroo Mother Care: Clinical Implementation Guidelines – Basic paediatric protocols (Resuscitation) – Use of chlorhexidine for new-born umbilical cord care • Despite development of these guidelines, there is paucity of literature on availability and effective implementation by health professionals