Looking at Neonatal Sepsis with New Eyes: A Case Study of Kaoma District Hospital -Zambia

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DOI: 10.21522/TIJNR.2015.SE.19.02.Art007

Authors : Patricia Mambwe

Abstract:

Background: Neonatal sepsis is a huge threat to the survival of neonates. If not timely detected and treated, neonatal sepsis becomes the source of increased neonatal morbidity and mortality. Research shows that neonatal sepsis is a global problem. However, the burden weighs more heavily in sub-Saharan Africa. Zambia stands unspared by this problem because of home deliveries in rural communities.

Objective: The study objective was to investigate contributory factors responsible for neonatal sepsis at Kaoma District Hospital, Zambia.

Materials and Methods: The research used a cross-sectional study design. The sample size was 50 selected using convenient sampling. The study units consisted of 50 Post natal mothers. A self-administered questionnaire was used to collect data from the respondents. Statistical Package for Social Sciences (SPSS) version 22 was used to analyse data.

Results: The study found a triangulated relationship: maternal socio-cultural practices, place of delivery and shortage of midwives with emergence of neonatal sepsis.

Recommendations: The study recommends training of more midwives to handle an increased number of pregnant women seeking assisted skilled delivery. The study also recommends for expanded EmONC and neonatal care workshops for equipping midwives and nurses with knowledge and skills to handle neonatal sepsis.

Finally, the study recommends for community sensitization on socio-cultural endanger maternal and neonatal wellbeing.

Keywords: neonate, sepsis, midwives, nurses, morbidity, mortality.

References:

[1].   Adatara. P, Afaya. A, Salia. M, Afaya. A R. e tal., (2019), Risk Factors Associated with Neonatal Sepsis: A Case Study at a Specialist Hospital in Ghana. Doi: 10.1155/2019/9369051 accessed from.

[2].   Aiken L., Clarke S., Cimiotti J. et al., (2010). Implications of the California nurse staffing mandate for other states. Health services Research 45, 904-921.

[3].   Aiken, L, Clarke, S., Sloane, D, M, et al. 2002. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction, J. A. Med. Association., 288:1987-1993.

[4].   Anita, K.M., Hammad, A., (2011). Effect of case management on neonatal mortality due to sepsis and pneumonia, BMC Public Health; 11(3): S13.

[5].   Ayoniyi, D.O., Udo, S.J., Oguntibeju, O.O., An epidemiological survey of neonatal sepsis in a hospital in Western Nigeria, African Journal of Microbiology Research, 2009;3:385-9.

[6].   Basson, A. A., and Uys, H.H.M, (2000). Research Methodology in Nursing, Kegiso Tertiary, Cape Town.

[7].   Burns, N. and Grove S.K., (2006). The Practice of Nursing Research: Conduct, Critique and Utilization, 5th Edition, Saunders Elsevier, St Louis Missouri.

[8].   Burns, N. and Grove, S.K., (2009). The Practice of Nursing Research: Appraisal, Synthesis & Generation of Evidence, 6th Edition, Saunders Elsevier, St Louis Missouri.

[9].   Central Statistical Office, (2007). Zambia Demographic and Health Survey, Lusaka.

[10].  Chacko, B. and Sohi, I., Early onset neonatal sepsis. Indian J Pediatr 2005,72:23–26.

[11].  Chilisa, B. and Reece, J., (2005). Research methods for adult educators in Africa, 1st Edition, Pearson, Cape Town.

[12].  Costello A, Francis V, Byrne A, et al., (2004), Serious bacterial infections in newborn infants in developing countries, Curr. Opin. Infect. Dis., 17: 217-22.

[13].  Cronin, S., Leo, F., McCleary, M., (2008). Linking Nurse Staffing to Nosocomial Infections: A Potential Patient Safety Threat, GUJHS.2008 Dec; Vol. 5, No. 2.

[14].  Dempsey, P. A. and Dempsey, D. A., (2009). Using Nursing Research Process, Critical Evaluation and Utilization, 5th Edition Lippincott, Philadelphia.

[15].  Dovlo, D., and Buchan J., International Recruitment of Health Workers to the UK: A Report for DFID. March 2004.

[16].  Frazer, D. M., Cooper, M.A., Nolte, A. g. W., (2006). Myles Text Book for Midwives, African Edition, Churchill Livingstone, London.

[17].  Herlihy, J.M., Shaikh A, Mazimba, A, Gagne, N., Grogan, C., et al., (2013) Local Perceptions, Cultural Beliefs and Practices That Shape Umbilical Cord Care: A Qualitative Study in Southern Province, Zambia. PLoS ONE 8(11): e79191. doi: 10.1371/journal.pone,007919. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332869/ on 20/11/19 at 24:33 hours.

[18].  Jumah, D.S., and Hassan, M.K., Predictors of mortality outcome in neonatal sepsis, Med. J. Basrah Uni., 25, 11-18 (2007).

[19].  LoBiondo-Wood, G., and Haber, J., (2010). Nursing research: Methods and critical appraisal for evidence-based practice, 7th Edition, Mosby Elsevier, St. Louis.

[20].  Maimbolwa, M.C., Yamba, B., Diwan, V, Ransjö-Arvidson, A.B., (2003). Cultural childbirth practices and beliefs in Zambia. J AdvNurs 43(3): 263-274. doi:10.1046/j.1365-2648.2003.02709. x. PubMed: 12859785.

[21].  MCHIP, (2010) Better Intrapartum Practices to Reduce Neonatal Infections, USA.

[22].  Motara, F., Ballot, D.E., and Perovic, O., Epidemiology of neonatal Sepsis at Johannesburg Hospital, Southern Afr. J., Epidemiologic Infect., 20, 90-93 (2005).

[23].  Okoroh, E.M., Coonrod, D.V.C., Chapple, K., Drachman, D., Are neonatal morbidities associated with no prenatal care different from those associated with inadequate prenatal care, Open Journal of Obstetrics and Gynecology, 2012, 2, 89-97.

[24].  Onyedibe, K.I., Utoh-Nedosa, A.U., Okolo, M. O. Dr., Kenneth, I.O., Ita, O.I., Udoh, U.A., N., Egah, D.Z. (2011). Impact of socioeconomic factors on neonatal sepsis in Nigeria, Jos Journal of Medicine, Vol.6, No.2.

[25].  Orwenyo, G. K. (2011). Maternal factors predisposing to early-onset Neonatal sepsis at Kenyatta National Hospital Maternity unit. Retrieved from

http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/25617

[26].  Pera, S.A., and Van Tonder, S., (2005), Ethics in healthcare, 3rd Edition, Juta& Co, Johannesburg, S.A.

[27].  Polit D. F. and Hungler (2009). Research in Nursing: Principles and Methods, Lippincott, Philadelphia.

[28].  Polit, D. F. and Beck, C.T., (2008). Essentials of Nursing Research: Methods, Appraisal and utilization, 7th edition, Lippincott Wilkins & Wilkins, Philadelphia.

[29].  Polit, D.F. and Hungler B.P., (2001). Essentials of Nursing Research, Lippincott, Philadelphia.

[30].  Qazi, S.A. and Stoll, B.J., (2009). Neonatal sepsis: A major Global Public Health Challenge, Pediatric Infectious Disease Journal, 28(1).

[31].  Ranjeva S. L., Warf B. C., Schiff S. J. Economic burden of neonatal sepsis in sub-Saharan Africa. BMJ Global Health. 2018;3(1): p. e000347. doi: 10.1136/bmjgh-2017-000347. Accessed from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859806/ on 19/11/19 at 23:20 hours.

[32].  Shah, G.S., Budhathoki, S., Das, B. K and Mandal, R.N., (2006). Risk factors in early neonatal sepsis, Kathmandu University Medical Journal, 4 (14): 187-191.

[33].  Vergnano, S., Sharland, M., Kazembe, P., Mwansambo, C., Heath, P., (2005). Neonatal sepsis: An International Perspective, Arch Dis Child Fetal Neonatal Ed; 90(3):220-224.

[34].  Vural, G., Kisa, S., (2006). Umbilical cord care: a pilot study comparing topical human milk, povidone-iodine, and dry care. Journal Obstetrics Gynecology Neonatal Nursing 35(1): 123-128.

[35].  Weber, M.W., Carlin, J.B., Gatchalian, S., Lehmann, D., Kimmulholl, F., Predictors of neonatal sepsis in developing countries Pediatric Infection Dis J. 2003; 22(8):711–16. WHO, World Health Statistics: 2010, 2010.