Browsing by Author "Aluvaala, Jalemba"

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    Blood culture versus antibiotic use for neonatal inpatients in 61 hospitals implementing with the NEST360 Alliance in Kenya, Malawi, Nigeria, and Tanzania: a cross-sectional study
    (Springer Nature, 2023) Murless-Collins, Sarah; Kawaza, Kondwani; Salim, Nahya; Molyneux, Elizabeth M.; Chiume, Msandeni; Aluvaala, Jalemba; Macharia, William M.; Ezeaka, Veronica Chinyere; Odedere, Opeyemi; Shamba, Donat; Tillya, Robert; Penzias, Rebecca E.; Ezenwa, Beatrice Nkolika; Ohuma, Eric O.; Cross, James H.; Lawn, Joy E.; Bokea, Helen; Bohne, Christine; Waiyego, Mary; Irimu, Grace; Ogueji, Ifeanyichukwu Anthony; Jenkins, Georgia; Tongo, Olukemi O.; Fajolu, Iretiola; Olutekunbi, Nike; Paul, Cate; Baraka, Jitihada; Kirby, Rebecca; Palamountain, Kara; the NEST360 Infection Group
    Thirty million small and sick newborns worldwide require inpatient care each year. Many receive antibiotics for clinically diagnosed infections without blood cultures, the current ‘gold standard’ for neonatal infection detection. Low neonatal blood culture use hampers appropriate antibiotic use, fuelling antimicrobial resistance (AMR) which threatens newborn survival. This study analysed the gap between blood culture use and antibiotic prescribing in hospitals implementing with Newborn Essential Solutions and Technologies (NEST360) in Kenya, Malawi, Nigeria, and Tanzania.
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    COVID-19 pandemic effects on neonatal inpatient admissions and mortality: interrupted time series analysis of facilities implementing NEST360 in Kenya, Malawi, Nigeria, and Tanzania
    (Springer Nature, 2024) Malla, Lucas; Ohuma, Eric O.; Shabani, Josephine; Ngwala, Samuel; Dosunmu, Olabisi; Wainaina, John; Aluvaala, Jalemba; Kassim, Irabi; Cross, James H.; Salim, Nahya; Zimba, Evelyn; Ezeaka, Chinyere; Penzias, Rebecca E.; Gathara, David; Tillya, Robert; Chiume, Msandeni; Odedere, Opeyemi; Lufesi, Norman; Kawaza, Kondwani; Irimu, Grace; Tongo, Olukemi; Murless-Collins, Sarah; Bohne, Christine; Richards-Kortum, Rebecca; Oden, Maria; Lawn, Joy E.; Rice360 Institute for Global Health Technologies; Bioengineering; Rice 360 Institute for Global Health
    The emergence of COVID-19 precipitated containment policies (e.g., lockdowns, school closures, etc.). These policies disrupted healthcare, potentially eroding gains for Sustainable Development Goals including for neonatal mortality. Our analysis aimed to evaluate indirect effects of COVID-19 containment policies on neonatal admissions and mortality in 67 neonatal units across Kenya, Malawi, Nigeria, and Tanzania between January 2019 and December 2021.