Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika

Abstract Background The outbreak and ongoing transmission of Zika virus provided an opportunity to strengthen essential newborn care and early childhood development systems through collaboration with the US Agency for International Development Applying Science to Strengthen and Improve Systems (USAI...

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Main Authors: Kera McNelis, Nina Prasanphanich, Susanne P. Martin-Herz, Terrell Carter, Hannah Foehringer Merchant, Janna Patterson, Salwan Hager, Tamar Chitashvili, Shivon Belle Jarvis, Beena D. Kamath-Rayne
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Pediatrics
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Online Access:https://doi.org/10.1186/s12887-022-03710-7
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author Kera McNelis
Nina Prasanphanich
Susanne P. Martin-Herz
Terrell Carter
Hannah Foehringer Merchant
Janna Patterson
Salwan Hager
Tamar Chitashvili
Shivon Belle Jarvis
Beena D. Kamath-Rayne
author_facet Kera McNelis
Nina Prasanphanich
Susanne P. Martin-Herz
Terrell Carter
Hannah Foehringer Merchant
Janna Patterson
Salwan Hager
Tamar Chitashvili
Shivon Belle Jarvis
Beena D. Kamath-Rayne
author_sort Kera McNelis
collection DOAJ
description Abstract Background The outbreak and ongoing transmission of Zika virus provided an opportunity to strengthen essential newborn care and early childhood development systems through collaboration with the US Agency for International Development Applying Science to Strengthen and Improve Systems (USAID ASSIST). The objective was to create a system of sustainable training dissemination which improves newborn care-related quality indicators in the context of Zika. Methods From 2018–19, USAID ASSIST supported a series of technical assistance visits by the American Academy of Pediatrics (AAP) in four Caribbean countries to strengthen the clinical capacity in care of children potentially affected by Zika through dissemination of Essential Care for Every Baby (ECEB), teaching QI methodology, coaching visits, and development of clinical care guidelines. ECEB was adapted to emphasize physical exam findings related to Zika. The first series of workshops were facilitated by AAP technical advisors and the second series were facilitated by the newly trained local champions. Quality of care was monitored with performance indicators at 134 health facilities. Results A repeated measures (pre-post) ANOVA was conducted, revealing significant pre-post knowledge gains [F(1) = 197.9, p < 0.001] on knowledge check scores. Certain performance indicators related to ECEB practices demonstrated significant changes and midline shift on the run chart in four countries. Conclusion ECEB can be adapted to incorporate important local practices, causes of neonatal morbidity and mortality, and differing healthcare system structures, which, as one part of a larger technical assistance package, leads to improved performance of health systems.
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spelling doaj.art-393f2fb780824868b84798bb4128436f2022-12-22T04:36:44ZengBMCBMC Pediatrics1471-24312022-11-012211910.1186/s12887-022-03710-7Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of ZikaKera McNelis0Nina Prasanphanich1Susanne P. Martin-Herz2Terrell Carter3Hannah Foehringer Merchant4Janna Patterson5Salwan Hager6Tamar Chitashvili7Shivon Belle Jarvis8Beena D. Kamath-Rayne9Department of Pediatrics, Cincinnati Children’s Hospital Medical CenterDepartment of Pediatrics, Cincinnati Children’s Hospital Medical CenterDepartment of Pediatrics, University of CaliforniaAmerican Academy of PediatricsAmerican Academy of PediatricsAmerican Academy of PediatricsUniversity Research Co., LLCUniversity Research Co., LLCPaediatric Department, Mount St. John’s Medical CentreDepartment of Pediatrics, Cincinnati Children’s Hospital Medical CenterAbstract Background The outbreak and ongoing transmission of Zika virus provided an opportunity to strengthen essential newborn care and early childhood development systems through collaboration with the US Agency for International Development Applying Science to Strengthen and Improve Systems (USAID ASSIST). The objective was to create a system of sustainable training dissemination which improves newborn care-related quality indicators in the context of Zika. Methods From 2018–19, USAID ASSIST supported a series of technical assistance visits by the American Academy of Pediatrics (AAP) in four Caribbean countries to strengthen the clinical capacity in care of children potentially affected by Zika through dissemination of Essential Care for Every Baby (ECEB), teaching QI methodology, coaching visits, and development of clinical care guidelines. ECEB was adapted to emphasize physical exam findings related to Zika. The first series of workshops were facilitated by AAP technical advisors and the second series were facilitated by the newly trained local champions. Quality of care was monitored with performance indicators at 134 health facilities. Results A repeated measures (pre-post) ANOVA was conducted, revealing significant pre-post knowledge gains [F(1) = 197.9, p < 0.001] on knowledge check scores. Certain performance indicators related to ECEB practices demonstrated significant changes and midline shift on the run chart in four countries. Conclusion ECEB can be adapted to incorporate important local practices, causes of neonatal morbidity and mortality, and differing healthcare system structures, which, as one part of a larger technical assistance package, leads to improved performance of health systems.https://doi.org/10.1186/s12887-022-03710-7Congenital syndrome associated with ZikaEssential Care for Every BabyEssential newborn careNewbornZika
spellingShingle Kera McNelis
Nina Prasanphanich
Susanne P. Martin-Herz
Terrell Carter
Hannah Foehringer Merchant
Janna Patterson
Salwan Hager
Tamar Chitashvili
Shivon Belle Jarvis
Beena D. Kamath-Rayne
Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika
BMC Pediatrics
Congenital syndrome associated with Zika
Essential Care for Every Baby
Essential newborn care
Newborn
Zika
title Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika
title_full Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika
title_fullStr Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika
title_full_unstemmed Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika
title_short Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika
title_sort adaptation of essential care for every baby educational program to improve infant outcomes in the context of zika
topic Congenital syndrome associated with Zika
Essential Care for Every Baby
Essential newborn care
Newborn
Zika
url https://doi.org/10.1186/s12887-022-03710-7
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