Browsing by Author "Tillya, Robert"

Now showing 1 - 5 of 5
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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.
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    Neonatal inpatient dataset for small and sick newborn care in low- and middle-income countries: systematic development and multi-country operationalisation with NEST360
    (Springer Nature, 2023) Cross, James H.; Bohne, Christine; Ngwala, Samuel K.; Shabani, Josephine; Wainaina, John; Dosunmu, Olabisi; Kassim, Irabi; Penzias, Rebecca E.; Tillya, Robert; Gathara, David; Zimba, Evelyn; Ezeaka, Veronica Chinyere; Odedere, Opeyemi; Chiume, Msandeni; Salim, Nahya; Kawaza, Kondwani; Lufesi, Norman; Irimu, Grace; Tongo, Olukemi O.; Malla, Lucas; Paton, Chris; Day, Louise T.; Oden, Maria; Richards-Kortum, Rebecca; Molyneux, Elizabeth M.; Ohuma, Eric O.; Lawn, Joy E.; Asibon, Aba; Adudans, Steve; Otiangala, Dickson; Mchoma, Christina; Yosefe, Simeon; Balogun, Adeleke; Omoke, Sylvia; Rashid, Ekran; Masanja, Honorati; English, Mike; Hagel, Christiane; with NEST360 Neonatal Inpatient Dataset Learning Group; Rice360 Institute for Global Health Technologies
    Every Newborn Action Plan (ENAP) coverage target 4 necessitates national scale-up of Level-2 Small and Sick Newborn Care (SSNC) (with Continuous Positive Airway Pressure (CPAP)) in 80% of districts by 2025. Routine neonatal inpatient data is important for improving quality of care, targeting equity gaps, and enabling data-driven decision-making at individual, district, and national-levels. Existing neonatal inpatient datasets vary in purpose, size, definitions, and collection processes. We describe the co-design and operationalisation of a core inpatient dataset for use to track outcomes and improve quality of care for small and sick newborns in high-mortality settings.
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    Quantifying health facility service readiness for small and sick newborn care: comparing standards-based and WHO level-2 + scoring for 64 hospitals implementing with NEST360 in Kenya, Malawi, Nigeria, and Tanzania
    (Springer Nature, 2024) Penzias, Rebecca E.; Bohne, Christine; Gicheha, Edith; Molyneux, Elizabeth M.; Gathara, David; Ngwala, Samuel K.; Zimba, Evelyn; Rashid, Ekran; Odedere, Opeyemi; Dosunmu, Olabisi; Tillya, Robert; Shabani, Josephine; Cross, James H.; Ochieng, Christian; Webster, Harriet H.; Chiume, Msandeni; Dube, Queen; Wainaina, John; Kassim, Irabi; Irimu, Grace; Adudans, Steve; James, Femi; Tongo, Olukemi; Ezeaka, Veronica Chinyere; Salim, Nahya; Masanja, Honorati; Oden, Maria; Richards-Kortum, Rebecca; Hailegabriel, Tedbabe; Gupta, Gagan; Cousens, Simon; Lawn, Joy E.; Ohuma, Eric O.; Mchoma, Christina; Bilitinyu, Joseph; Chalamanda, Pius; Dzinkambani, Mirriam; Mhango, Ruth; Stevens, Fanny; Mulungu, Joseph; Makhumula, Blessings; Banda, Loveness; Banda, Charles; Chumbi, Brian; Banda, Chifundo; Chimombo, Evelyn; Nyasulu, Nicodemus; Ndau, Innocent; Kumwembe, Pilirani; Kerubo, Edna; Ambuso, Nyphry; Koech, Kevin; Waithaka, Noel; Wakhungu, Calet; Otieno, Steven; Bahati, Felix; Ayaga, Josphine; Obure, Jedida; Nderitu, Nellius; Mtambo, Violet; Mkude, George; Miraji, Mustapha; Shayo, Caroline; Nambombi, Camilius; Cyrilo, Christopher; Aderounmu, Temilade; Wale, Akingbehin Wakeel; Yemisi, Odeleye Victoria; Dupe, Akinola Amudalat; Awolowo, Samuel; A., Ojelabi Oluwaseun; Ovuoraye, John Ajiwohwodoma; Mujaid, Balogun Adeleke; Fetuga, Adedoyin; Okanlawon, Juilana; Awosika, Flora; Michael, Awotayo Olasupo; Abiodun, Omotayo Adegboyega; with the Health Facility Assessment Data Collection Learning Collaborative Group; Bioengineering; Rice 360 Institute for Global Health
    Service readiness tools are important for assessing hospital capacity to provide quality small and sick newborn care (SSNC). Lack of summary scoring approaches for SSNC service readiness means we are unable to track national targets such as the Every Newborn Action Plan targets.
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    Using interprofessional education to build dynamic teams to help drive collaborative, coordinated and effective newborn care
    (Springer Nature, 2023) Langton, Josephine; Liaghati-Mobarhan, Sara; Gicheha, Edith; Werdenberg-Hall, Jennifer; Madete, June; Banda, George; Molyneux, Elizabeth M.; Manjonda, Ahazi; Okolo, Angela; Noxon, Caroline; Paul, Catherine; Osuagwu, Charles; Ezeaka, Chinyere; Samuel, Christina; Kumara, Danica; Flowers, Daphne; Mochache, Dolphine; Rashid, Ekran; Mbale, Emmie; Andrade-Guerrero, Esalee; Zimba, Evelyn; Okello, George; Msemo, Georgina; Irimu, Grace; Soko, Grace; Chimphepo, Harold; Mutakyamilwa, Josephat; Manji, Karim; Kawaza, Kondwani; Oden, Maria; Majamanda, Maureen; Bello, Mustapha; Salim, Nahya; Odosunmu, Olabisi; Tongo, Olukemi; Odedere, Opeyemi; Richards-Kortum, Rebecca; Tillya, Robert; Desai, Sara; Adudans, Steve; Ochieng, Vincent; Macharia, William; the NEST360 Education Team; Rice360 Institute for Global Health Technologies
    As countries strive to achieve sustainable development goal 3.2, high-quality medical education is crucial for high-quality neonatal care. Women are encouraged to deliver in health units attended by a skilled team. Traditionally, the team is doctors and nurses, but they are members of a large group of interdependent experts from other disciplines. Each discipline trains separately, yet the goal of good neonatal care is common to all. The use of interprofessional education breaks down these professional silos improving collaborative practice and promoting excellent clinical care. Introduction of new educational materials and training requires a rigorous approach to ensure sustainability.