neonatal survival interventions in humanitarian emergencies a survey of current practices and programs新生儿生存干预人道主义紧急情况的调查当前实践和程序.pdfVIP

Lam et al. Conflict and Health 2012, 6:2 /content/6/1/2 RESEARCH Open Access Neonatal survival interventions in humanitarian emergencies: a survey of current practices and programs 1 2 3 3 4 5 6 Jennifer O Lam , Ribka Amsalu , Kate Kerber , Joy E Lawn , Basia Tomczyk , Nadine Cornier , Alma Adler , Anne Golaz7 and William J Moss1* Abstract Background: Neonatal deaths account for over 40% of all deaths in children younger than five years of age and neonatal mortality rates are highest in areas affected by humanitarian emergencies. Of the ten countries with the highest neonatal mortality rates globally, six are currently or recently affected by a humanitarian emergency. Yet, little is known about newborn care in crisis settings. Understanding current policies and practices for the care of newborns used by humanitarian aid organizations will inform efforts to improve care in these challenging settings. Methods: Between August 18 and September 25, 2009, 56 respondents that work in humanitarian emergencies completed a web-based survey either in English or French. A snow ball sampling technique was used to identify organizations that provide health services during humanitarian emergencies to gather information on current practices for maternal and newborn care in these settings. Information was collected about continuum-of-care services for maternal, newborn and child health, referral services, training and capacity development, health information systems, policies and guidelines, and organizational priorities. Data were entered into MS Excel and frequencies and percentages were calculated. Results: The majority of responding organizations reported implementing components of neonatal and maternal