Electrification and specialist training associated with decreased neonatal mortality and increased admissions in Sierra Leone

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dc.contributor.authorConroy, Niallen
dc.contributor.authorBarr, David Adamen
dc.contributor.authorNalley, Joyen
dc.contributor.authorConteh, Juliana Emilia Mamieen
dc.contributor.authorMitchell, Louiseen
dc.contributor.authorBury, Gerarden
dc.contributor.funderIrish Research eLibraryen
dc.date.accessioned2025-03-24T12:27:46Z
dc.date.available2025-03-24T12:27:46Z
dc.date.issued2024-09-20en
dc.description.abstractAim The aim of this study was to describe the evolution of a regional neonatal service in Sierra Leone and changes in mortality and service use as it transitioned from a non-specialist service to a dedicated special care baby unit (SCBU). Methods This was a retrospective observational study. Anonymised data were taken from the ward admissions books at Bo Government Hospital, and trends in admissions and mortality within the neonatal service were examined for each stage of the department's evolution. Results Four phases of the service's development were identified between November 2015 and October 2019. Records of 2377 admissions and 333 deaths were identified. The average number of admissions per month and deaths per month varied by service development phase. There was a trend towards reduced death rates and increased numbers of admissions as the unit evolved into a dedicated neonatal unit with a reliable electricity supply. Conclusions The development of an adequately sized SCBU with a reliable electricity supply and specially trained staff was associated with a reduction in the death rate and an increase in admissions.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationConroy, N., Barr, D.A., Nalley, J., Conteh, J.E.M., Mitchell, L. and Bury, G. (2024) ‘Electrification and specialist training associated with decreased neonatal mortality and increased admissions in Sierra Leone’, Acta Paediatrica, 114(2), pp. 340–345. https://doi.org/10.1111/apa.17431en
dc.identifier.doihttps://doi.org/10.1111/apa.17431en
dc.identifier.eissn1651-2227en
dc.identifier.endpage345en
dc.identifier.issn0803-5253en
dc.identifier.issued2en
dc.identifier.journaltitleActa Paediatricaen
dc.identifier.startpage340en
dc.identifier.urihttps://hdl.handle.net/10468/17194
dc.identifier.volume114en
dc.language.isoenen
dc.publisherJohn Wiley and Sons Inc.en
dc.rights© 2024, the Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproductionin any medium, provided the original work is properly cited and is not used for commercial purposes.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectElectricityen
dc.subjectInfection controlen
dc.subjectNeonatalen
dc.subjectSierra Leoneen
dc.subjectSolar poweren
dc.titleElectrification and specialist training associated with decreased neonatal mortality and increased admissions in Sierra Leoneen
dc.typeArticle (peer-reviewed)en
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