Working with lay midwives to improve the detection of neonatal complications in rural Guatemala

ABSTRACT:

Background

Globally most neonatal deaths occur within the first week of life and in low-income and middle-income countries. Strengthening health system linkages for frontline providers—such as lay midwives providing home-based obstetrical care—may improve neonatal outcomes in these settings. Here, we conducted a quality improvement study to increase the detection of neonatal complications by lay midwives in rural Guatemala, thereby increasing referrals to a higher level of care.

Methods

A quality improvement team in Guatemala reviewed drivers of neonatal health services provided by lay midwives. Improvement interventions included training on neonatal warning signs, optimised mobile health technology to standardise assessments and financial incentives for providers. The pr

SUBMITTER: Juarez M 

PROVIDER: S-EPMC7011902 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature