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Neonatal Transport Network Services: Preparedness of healthcare systems in Southern Nigeria.
Okorie, Elizabeth-Martha Chinyere; Briggs, Datonye Christopher; Opara, Peace Ibo; Eneh, Augusta Unoma.
Afiliación
  • Okorie EC; Department of Paediatrics, Pamo University of Medical Sciences, Port Harcourt, Nigeria.
  • Briggs DC; Department of Paediatrics, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.
  • Opara PI; Department of Paediatrics, University of Port Harcourt Teaching Hospital, Choba Nigeria.
  • Eneh AU; Department of Paediatrics, University of Port Harcourt Teaching Hospital, Choba Nigeria.
Niger Med J ; 65(3): 332-343, 2024.
Article en En | MEDLINE | ID: mdl-39022567
ABSTRACT

Background:

Nigeria remains a major contributor to neonatal deaths worldwide, yet little consideration has been given to intra/inter health facility transfer of sick neonates. The dearth of Neonatal Transport Network Services (NNTS) is probably an underappreciated driver of the abysmally high national neonatal mortality indices. This study aimed to evaluate neonatal transport services and the healthcare workers' preparedness among health facilities in Port Harcourt Metropolis, Rivers State, Nigeria.

Methods:

Twenty-eight selected health facilities (tertiary, private hospitals Primary Health Centers] were assessed on the availability, modality and practice of NNTS. Data was analyzed using SPSS Version 23.

Results:

Routine transfer of high-risk pregnant mothers to higher levels of care occurred always in 14 (50%) and sometimes in 6 (21.4%) facilities; Private cars and taxis were the most common mode of transport in 24 (85.7%) facilities. Two facilities (7.2%) had ambulances equipped with transport incubators. Nurses and nurse attendants with no formal training in NNTS accompanied referred neonates in 2 (7.2%) facilities. Most referring facilities (78.6%) neither rarely or never contacted receiving centres before the arrival of neonates and most nor gave back referrals after offering neonatal care. None (100%) of the facilities had a trained emergency transport team.

Conclusion:

Health facilities in Southern Nigeria lack a standardized Neonatal Transport Network and are characterized by poor communication between health facilities and inadequately trained personnel for inter-facility transfer of sick neonates. Urgent action is required to address these gaps, including training of healthcare workers on neonatal transport and sharing findings with relevant stakeholders/policymakers to establish a functional neonatal transport network among health facilities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Niger Med J Año: 2024 Tipo del documento: Article País de afiliación: Nigeria Pais de publicación: Nigeria
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Niger Med J Año: 2024 Tipo del documento: Article País de afiliación: Nigeria Pais de publicación: Nigeria