An Integrated Approach to Improving Maternal & Neonatal Outcomes in Referral Facilities in Low Resource Settings: A Case Study from Ghana

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  • January 26, 2020
Creator
  • Iracane, Sarah
    • Affiliation: Gillings School of Global Public Health, Public Health Leadership Program
Abstract
  • Much recent attention has been directed towards improving maternal and neonatal health outcomes in advance of the 2015 Millennium Development Goals. Much progress has been made, but many low-income nations will still fail to meet national targets by 2015. Tertiary hospitals at the district or regional level are major contributors to maternal and neonatal mortality and morbidity because they receive a large proportion of the sickest mothers. Reducing maternal and neonatal death in these settings has been challenged by a variety of interrelated system issues, such as the lack of health care professionals, inadequate drug supply, poorly functioning equipment and delays in critical clinical decisions. Improving outcomes in these settings requires an integrated approach to systems-strengthening that addresses all these issues simultaneously. This paper presents a case study of an integrated model for obstetric and neonatal care capacity building currently being implemented in Accra, Ghana. The proposed program is designed to engage hospital leaders and clinical staff caring for mothers and babies in leadership development and operational process improvement, while simultaneously promoting clinical training in key areas of obstetric and neonatal care. This model offers a system-level approach for improving maternal and neonatal health in the complex and challenging environment of tertiary hospitals in low-resource settings.
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Rights statement
  • In Copyright
Note
  • Paper type: Other
  • Track: Leadership
Advisor
  • Ramaswamy, Rohit
Reviewer
  • Ivester, Tom
Degree
  • Master of Public Health
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2014
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  • c5d7cc81-65df-487c-a015-9e32ee2a5acc

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