es/iode’s Post

📃Scientific paper: COVID-19 pandemic effects on neonatal inpatient admissions and mortality: interrupted time series analysis of facilities implementing NEST360 in Kenya, Malawi, Nigeria, and Tanzania Abstract: Background The emergence of COVID-19 precipitated containment policies (e.g., lockdowns, school closures, etc.). These policies disrupted healthcare, potentially eroding gains for Sustainable Development Goals including for neonatal mortality. Our analysis aimed to evaluate indirect effects of COVID-19 containment policies on neonatal admissions and mortality in 67 neonatal units across Kenya, Malawi, Nigeria, and Tanzania between January 2019 and December 2021. Methods The Oxford Stringency Index was applied to quantify COVID-19 policy stringency over time for Kenya, Malawi, Nigeria, and Tanzania. Stringency increased markedly between March and April 2020 for these four countries (although less so in Tanzania), therefore defining the point of interruption. We used March as the primary interruption month, with April for sensitivity analysis. Additional sensitivity analysis excluded data for March and April 2020, modelled the index as a continuous exposure, and examined models for each country. To evaluate changes in neonatal admissions and mortality based on this interruption period, a mixed effects segmented regression was applied. The unit of analysis was the neonatal unit ( n  = 67), with a total of 266,741 neonatal admissions (January 2019 to December 2021). Results Admission to neonatal units decreased by 15% overall from February to March 2020, with half of the 67 neonatal units showing a decline in admissions. Of the 34 neonatal units with a decline in admi... Continued on ES/IODE ➡️ https://etcse.fr/TCMa ------- If you find this interesting, feel free to follow, comment and share. We need your help to enhance our visibility, so that our platform continues to serve you.

I am happy to share our recent publication on the burden of early neonatal mortality. The finding demonstrated that the pooled magnitude of early neonatal mortality in sub-Saharan Africa is substantial. Therefore, governmental and nongovernmental agencies, international organizations, healthcare providers and institutions and academic and research institutions should give a due attention and design strategies to reduce early neonatal mortality in Sub-Saharan Africa. https://lnkd.in/gv-KiK2t

Globally, neonatal mortality accounts for nearly half of all deaths in children under five years. Africa Health Business conducted a study on neonatal mortality in Ethiopia, aiming to harness private-sector solutions to combat this pressing issue. The Problem: Newborns in sub-Saharan Africa (SSA) are ten times more likely to die within the first 28 days of life compared to those born in high-income countries. The Findings: In Ethiopia, the key factors causing neonatal deaths include: • Access to quality healthcare • Prematurity infections • Birth asphyxia • Congenital anomalies Private Sector Investment opportunities to fill the gap: Ethiopia, with a population of approximately 120 million and one of the top 5 economies in Africa, presents a wealth of opportunities for the private sector in the healthcare industry. The country's recent opening to foreign investment further enhances the potential for growth and development in the healthcare sector. • In partnership with local distributors and hospitals, introduce innovative and cost-effective medical technologies like Continuous Positive Airway Pressure (CPAP) machines, oxygen concentrators, pulse oximeters, and bilirubinometers. • In collaboration with local partners the private sector's expertise in distribution and logistics can bolster healthcare infrastructure in Ethiopia to extend services to rural regions. • Experienced private sector companies in neonatal care can provide vital training to healthcare providers and biomedical engineers, equipping them with essential skills for proficiently operating medical devices. • Private sector organizations involved in safety regulation can promote quality regulation and compliance by introducing quality control measures and processes to ensure quality and safety standards set by the Ethiopian Food and Drug Authority (EFDA) are adhered to. Access full article here: https://lnkd.in/dFGfXV3e #neonatalcare, #healthcare #africa, #privatesector, #ethiopia

📅🇵🇹 𝑱𝒖𝒏𝒆 𝟮𝟴 | 𝑰𝒏𝒕𝒆𝒓𝒏𝒂𝒕𝒊𝒐𝒏𝒂𝒍 𝑵𝒆𝒐𝒏𝒂𝒕𝒂𝒍 𝑺𝒄𝒓𝒆𝒆𝒏𝒊𝒏𝒈 𝑫𝒂𝒚:  𝑨𝑷𝑫𝑰𝑷 𝒍𝒂𝒖𝒏𝒄𝒉𝒆𝒔 𝒑𝒆𝒕𝒊𝒕𝒊𝒐𝒏 𝒇𝒐𝒓 𝑺𝑪𝑰𝑫 𝒔𝒄𝒓𝒆𝒆𝒏𝒊𝒏𝒈 𝒊𝒏 𝒏𝒆𝒐𝒏𝒂𝒕𝒂𝒍 𝒉𝒆𝒆𝒍 𝒑𝒓𝒊𝒄𝒌 𝒕𝒆𝒔𝒕 𝒊𝒏 𝑷𝒐𝒓𝒕𝒖𝒈𝒂𝒍 On the occasion of the 𝗜𝗻𝘁𝗲𝗿𝗻𝗮𝘁𝗶𝗼𝗻𝗮𝗹 𝗡𝗲𝗼𝗻𝗮𝘁𝗮𝗹 𝗦𝗰𝗿𝗲𝗲𝗻𝗶𝗻𝗴 𝗗𝗮𝘆, the Portuguese Association of Patients with Primary Immunodeficiencies (APDIP) has launched a public petition for the inclusion of Severe Combined Immunodeficiency (SCID) in the neonatal screening to be carried out for all newborns in Portugal through the heel prick test. 𝐴𝑐𝑐𝑜𝑟𝑑𝑖𝑛𝑔 𝑡𝑜 𝑡ℎ𝑒 '𝑅𝑎𝑟𝑒 𝐵𝑎𝑟𝑜𝑚𝑒𝑡𝑒𝑟' 𝑠𝑢𝑟𝑣𝑒𝑦 𝑐𝑎𝑟𝑟𝑖𝑒𝑑 𝑜𝑢𝑡 𝑖𝑛 2023 𝑏𝑦 𝑡ℎ𝑒 𝐸𝑢𝑟𝑜𝑝𝑒𝑎𝑛 𝑂𝑟𝑔𝑎𝑛𝑖𝑧𝑎𝑡𝑖𝑜𝑛 𝑓𝑜𝑟 𝑅𝑎𝑟𝑒 𝐷𝑖𝑠𝑒𝑎𝑠𝑒𝑠 (𝐸𝑈𝑅𝑂𝑅𝐷𝐼𝑆) 𝑎𝑚𝑜𝑛𝑔 𝑚𝑜𝑟𝑒 𝑡ℎ𝑎𝑛 5,000 𝑝𝑒𝑜𝑝𝑙𝑒 𝑤𝑖𝑡ℎ 𝑟𝑎𝑟𝑒 𝑑𝑖𝑠𝑒𝑎𝑠𝑒𝑠 𝑎𝑛𝑑 𝑡ℎ𝑒𝑖𝑟 𝑓𝑎𝑚𝑖𝑙𝑖𝑒𝑠, 50% 𝑜𝑓 𝑟𝑒𝑠𝑝𝑜𝑛𝑑𝑒𝑛𝑡𝑠 𝑟𝑒𝑣𝑒𝑎𝑙𝑒𝑑 𝑡ℎ𝑎𝑡 𝑡ℎ𝑒𝑦 𝑑𝑒𝑒𝑝𝑙𝑦 𝑎𝑔𝑟𝑒𝑒𝑑 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 𝑝𝑜𝑠𝑠𝑖𝑏𝑖𝑙𝑖𝑡𝑦 𝑜𝑓 𝑡𝑟𝑎𝑐𝑘𝑖𝑛𝑔 𝑡ℎ𝑒 𝑑𝑖𝑠𝑒𝑎𝑠𝑒 𝑎𝑡 𝑏𝑖𝑟𝑡ℎ. 𝑇ℎ𝑒 𝑓𝑖𝑔𝑢𝑟𝑒 𝑖𝑠 𝑒𝑣𝑒𝑛 ℎ𝑖𝑔ℎ𝑒𝑟 𝑓𝑜𝑟 𝑝𝑎𝑟𝑒𝑛𝑡𝑠 𝑜𝑓 𝑐ℎ𝑖𝑙𝑑𝑟𝑒𝑛 𝑙𝑖𝑣𝑖𝑛𝑔 𝑤𝑖𝑡ℎ 𝑟𝑎𝑟𝑒 𝑑𝑖𝑠𝑒𝑎𝑠𝑒𝑠, 𝑤𝑖𝑡ℎ 82% 𝑠𝑎𝑦𝑖𝑛𝑔 𝑡ℎ𝑒𝑦 𝑤𝑜𝑢𝑙𝑑 𝑙𝑖𝑘𝑒 𝑡ℎ𝑒𝑖𝑟 𝑐ℎ𝑖𝑙𝑑 𝑡𝑜 ℎ𝑎𝑣𝑒 𝑏𝑒𝑒𝑛 𝑑𝑖𝑎𝑔𝑛𝑜𝑠𝑒𝑑 𝑎𝑡 𝑏𝑖𝑟𝑡ℎ.* SCID screening is already a reality in many countries. With current technology, integrating this test into other standard neonatal screenings is feasible and promises to transform lives. 🙌 As Kedrion, we share the commitment of APDIP in underscoring the critical role of early diagnosis for managing and treating serious Immunodeficiencies. IPOPI - International Patient Organisation for Primary Immunodeficiencies APDIP - Associação Portuguesa de Doentes com Imunodeficiências Primárias Ricardo 🍐 Pereira #InternationalNeonatalScreeningDay #INSD #NeonatalScreening #PrimaryImmunodeficiencies #NeonatalHealth #RareDiseases #NeonatalScreeningMatters  *"𝘙𝘢𝘳𝘦 𝘉𝘢𝘳𝘰𝘮𝘦𝘵𝘦𝘳" 𝘴𝘶𝘳𝘷𝘦𝘺 𝘣𝘺 EURORDIS-Rare Diseases Europe  https://lnkd.in/dRd5eD88

Post-COVID Rise in Kawasaki Disease Cases Among Children in India A new trend has emerged as Kawasaki Disease cases are on the rise in children following the COVID-19 pandemic. Pediatric cardiologist Dr Annie Arvind, Consultant, Paediatric Cardiology, Sri Madhusudan Sai Institute of Medical Sciences and Research (SMSIMSR), Muddenahalli, Bengaluru sheds light on this concerning development, urging parents and healthcare professionals to stay vigilant. Understanding the symptoms early can make a critical difference in treatment and outcomes for affected children. Read the full story here! Sri Madhusudan Sai Sri Madhusudan Sai Global Humanitarian Mission Child Trends Child Care Resource Center #PediatricHealth #KawasakiDisease #COVID19Impact #ChildrensHealth #HealthcareAwareness #India #HealthNews

Have you ever thought about antidiabetics when talking about drug #deprescription? Do you wonder how General Practitionners can optimise the treatment of diabetes while ensuring patient safety? Check out this new publication by our colleague Antoine Christiaens entitled "𝑴𝒂𝒏𝒂𝒈𝒊𝒏𝒈 𝑻𝒚𝒑𝒆 2 𝑫𝒊𝒂𝒃𝒆𝒕𝒆𝒔 𝒊𝒏 𝑶𝒍𝒅𝒆𝒓 𝑨𝒅𝒖𝒍𝒕𝒔: 𝑰𝒏𝒅𝒊𝒗𝒊𝒅𝒖𝒂𝒍𝒊𝒛𝒊𝒏𝒈 𝑻𝒉𝒆𝒓𝒂𝒑𝒆𝒖𝒕𝒊𝒄 𝑺𝒕𝒓𝒂𝒕𝒆𝒈𝒊𝒆𝒔 𝒊𝒏 𝑷𝒓𝒊𝒎𝒂𝒓𝒚 𝑪𝒂𝒓𝒆", published in the latest issue of Medi-Sphere (No. 766: pages 20-25). This article (only available in french or dutch) highlights the crucial role of general practitioners in delivering personalized care, based on the latest recommendations, with particular focus on #deprescribing. #deprescribing #patientsafety #diabetes

Is it the training and socialisation of medics as their careers develop that makes us favour organ or specialty-based categories; a tendency that results in the "verticalisation" of health care and almost at times it seems a competition for whose illness of focus is the most important? Having spent many years working clinically tackling the challenge of severe illness in low resource settings - where differentiating the underlying cause is almost impossible in the acute phase - I think it is fair to say that in this recent report on how to improve the quality of care for paediatric sepsis you could replace the term sepsis with malaria, pneumonia, dehydration, meningitis or even trauma or neonatal sepsis and many other conditions. So how might we mount a coordinated, cross-speciality response to solve what are shared health system problems? Perhaps working together across disciplines we might make better progress? https://lnkd.in/eBxRpczw

This #ResearchBreakdown is from Pai et al (2024) who looked at how health inequities may impact the incidence of paediatric stroke (or the number of individuals having the condition) and time from onset of symptoms to arrival at hospital. Read more here: https://lnkd.in/e8Vd-esB This study compared patients up to 18 years old that had been diagnosed with acute arterial ischaemic stroke, or a stroke caused by clot in an artery in the brain and compared their neighbourhoods and the resources available to those areas. Patients were also broken into groups dependent on the time between stroke symptom onset and arrival to A&E, which in the entire population occurred within 24 hours. Researchers found that areas with fewer resources (higher resource deprivation) had higher rates of paediatric stroke, which has been seen in other conditions. It’s well-established in research that areas with fewer resources tend to have higher rates of disease and infection. Interestingly, researchers also found that the time between onset and arrival at hospital was decreased in these same neighbourhoods. While they had higher rates of paediatric stroke, they were more likely to be faster at seeking assistance. This study opens the door for interesting research into understanding why time for medical assistance was decreased in areas with higher rates of paediatric stroke but fewer resources. 

This paper delves into Zambia's current strategies for combating postpartum hemorrhage (PPH), a leading cause of maternal mortality. The current priorities in PPH management in Zambia are explored in three main domains: blood transfusion services, surgical skills for early intervention, and the quality of antenatal care (ANC) provision. In addressing challenges related to blood transfusion services, the Ministry of Health is implementing structural improvements, a hub system, communication strategies, clinical interface enhancements, and blood transfusion camps. Surgical skills development involves an abridged specialty training program, task shifting, and community engagement. The ANC service provision quality is targeted through initiatives such as ANC cards, strengthening referral mechanisms, and addressing challenges specific to rural settings. The paper identifies opportunities for further progress in each domain. Strengthening infrastructure and resource mobilization for blood services, expanding surgical training through task shifting and community engagement, intensifying community-based ANC efforts, and continuously enhancing intrapartum care, from labor monitoring to emergency obstetric training, are key opportunities for further improvement. Tafadzwa. A Dzinamarira, PhD https://lnkd.in/d8rGTZ-7

🌟 We recently hosted the Biofire Connect events in Chennai and New Delhi, bringing together an incredible community of clinicians from various fields like Critical care, ID, pediatrics and microbiologists. These gatherings provided a unique platform for sharing experience, insights, and discussing the benefits and caveats of Syndromic multiplex PCR testing solution by BioFire, empowering everyone in the fight against infectious diseases. 🔬 Our expert speakers delivered impactful sessions on the latest advancements in rapid diagnostics, showcasing the power of Biofire in clinical settings. Specifically curated talks addressed key topics in infectious disease management, emphasizing the critical role of accurate and timely diagnostics. 💬 The interactive discussions left everyone inspired and equipped with new knowledge to enhance patient care. 🙏 A huge thank you to all the eminent speakers, participants and organizers for making these events a resounding success. Together, we're making strides in improving healthcare and tackling infectious diseases head-on. 📅 Stay tuned for more updates and upcoming events as we continue to connect and collaborate for a healthier future! #BiofireConnect #HealthcareInnovation #InfectiousDiseases #RapidDiagnostics #Collaboration #PatientCare #HealthcareCommunity #patientsafety