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. 2012 Nov;87(5 Suppl):46-53.
doi: 10.4269/ajtmh.2012.12-0133.

Introduction of newborn care within integrated community case management in Uganda

Christine Nalwadda Kayemba, Hanifah Naamala Sengendo, James Ssekitooleko, Kate Kerber, Karin Källander, Peter Waiswa, Patrick Aliganyira, Tanya Guenther, Nathalie Gamache, Clare Strachan, Charles Ocan, Godfrey Magumba, Helen Counihan, Anthony K Mbonye, David R Marsh

Introduction of newborn care within integrated community case management in Uganda

Christine Nalwadda Kayemba et al. Am J Trop Med Hyg. 2012 Nov.

Abstract

Uganda's Ministry of Health, together with partners, has introduced integrated community case management (iCCM) for children under 5 years. We assessed how the iCCM program addresses newborn care in three midwestern districts through document reviews, structured interviews, and focus group discussions with village health team (VHT) members trained in iCCM, caregivers, and other stakeholders. Almost all VHT members reported that they refer sick newborns to facilities and could identify at least three newborn danger signs. However, they did not identify the most important clinical indicators of severe illness. The extent of compliance with newborn referral and quality of care for newborns at facilities is not clear. Overall iCCM is perceived as beneficial, but caregivers, VHTs, and health workers want to do more for sick babies at facilities and in communities. Additional research is needed to assess the ability of VHTs to identify newborn danger signs, referral compliance, and quality of newborn treatment at facilities.

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Figures

Figure 1.
Figure 1.
Map of Uganda identifying districts covered by iCCM.
See this image and copyright information in PMC

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