Quality improvement on reducing neonatal mortality through intensive Clinical Mentorship Intervention: a case study in Biak Regional Hospital, Papua-Indonesia
Background The neonatal mortality rate in Papua Province of Indonesia is unacceptably high. To address the issue, the Ministry of Health and UNICEF Indonesia initiated a hospital mentoring programme from 2014 to 2016 to improve the quality of care and health workers’ capacity to provide neonatal car...
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/14/1/e002862.full |
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| author | Rinawati Rohsiswatmo Windhi Kresnawati Liza Froulina Bobby Marwal Syahrizal Nurlely Bethesda Sinaga Edit Oktavia Manuama Setya Wandita |
| author_facet | Rinawati Rohsiswatmo Windhi Kresnawati Liza Froulina Bobby Marwal Syahrizal Nurlely Bethesda Sinaga Edit Oktavia Manuama Setya Wandita |
| author_sort | Rinawati Rohsiswatmo |
| collection | DOAJ |
| description | Background The neonatal mortality rate in Papua Province of Indonesia is unacceptably high. To address the issue, the Ministry of Health and UNICEF Indonesia initiated a hospital mentoring programme from 2014 to 2016 to improve the quality of care and health workers’ capacity to provide neonatal care. This study aimed to assess the impact of hospital mentoring on neonatal mortality.Methods The study was conducted at Biak District Hospital, Indonesia. The neonatal mortality was compared for three periods: preintervention (2011–2013), mentorship intervention phase (2014–2016) and postintervention (2017–2020). The mentoring programme is a combination of a direct-intensive-regular mentoring process and a scholarship programme for paediatricians. In the mentoring process, paediatricians, neonatal nurses and electromedical staff from national hospitals were sent to train the nurses on nursing management for sick neonates, clinical neonatal resuscitation, stabilisation and transportation. The neonatal mortality data were collected from birth registers, medical records, death case review reports and mentoring programme reports.Results A significant decrease in the percentage of death cases before 24 hours of hospitalisation and death cases due to asphyxia was observed in the three periods. In the death cases from referrals, a significant decrease from 70% in the intervention period to 39.7% in the postintervention period was observed (p<0.05). The survival rate of neonates with body weights under 1500 g and 1500–2500 g was compared in the intervention and postintervention period, a significant increase from 21% to 58% and 55% to 94% was observed, respectively (p<0.05).Conclusion The direct-intensive-regular mentoring intervention programme was found to be effective in reducing neonatal mortality through quality improvement in low-resource district hospitals. |
| format | Article |
| id | doaj-art-80996f821ecc4fd595cf5047059a23a8 |
| institution | Kabale University |
| issn | 2399-6641 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj-art-80996f821ecc4fd595cf5047059a23a82025-02-03T19:40:11ZengBMJ Publishing GroupBMJ Open Quality2399-66412025-01-0114110.1136/bmjoq-2024-002862Quality improvement on reducing neonatal mortality through intensive Clinical Mentorship Intervention: a case study in Biak Regional Hospital, Papua-IndonesiaRinawati Rohsiswatmo0Windhi Kresnawati1Liza Froulina2Bobby Marwal Syahrizal3Nurlely Bethesda Sinaga4Edit Oktavia Manuama5Setya Wandita6Hospital Dr Cipto Mangunkusumo, Central Jakarta, DKI Jakarta, IndonesiaDepartment of Child Health, RSPAD Gatot Soebroto, Jakara Pusat, Jakarta, IndonesiaDepartment of Child Health, Biak General Hospital, Biak, Papua, IndonesiaUNICEF Indonesia, Jakarta, Jakarta, IndonesiaWHO Country Office for Indonesia, Jakarta, IndonesiaWHO Country Office for Indonesia, Jakarta, IndonesiaUniversitas Gadjah Mada, Yogyakarta, Daerah Istimewa Yogyakarta, IndonesiaBackground The neonatal mortality rate in Papua Province of Indonesia is unacceptably high. To address the issue, the Ministry of Health and UNICEF Indonesia initiated a hospital mentoring programme from 2014 to 2016 to improve the quality of care and health workers’ capacity to provide neonatal care. This study aimed to assess the impact of hospital mentoring on neonatal mortality.Methods The study was conducted at Biak District Hospital, Indonesia. The neonatal mortality was compared for three periods: preintervention (2011–2013), mentorship intervention phase (2014–2016) and postintervention (2017–2020). The mentoring programme is a combination of a direct-intensive-regular mentoring process and a scholarship programme for paediatricians. In the mentoring process, paediatricians, neonatal nurses and electromedical staff from national hospitals were sent to train the nurses on nursing management for sick neonates, clinical neonatal resuscitation, stabilisation and transportation. The neonatal mortality data were collected from birth registers, medical records, death case review reports and mentoring programme reports.Results A significant decrease in the percentage of death cases before 24 hours of hospitalisation and death cases due to asphyxia was observed in the three periods. In the death cases from referrals, a significant decrease from 70% in the intervention period to 39.7% in the postintervention period was observed (p<0.05). The survival rate of neonates with body weights under 1500 g and 1500–2500 g was compared in the intervention and postintervention period, a significant increase from 21% to 58% and 55% to 94% was observed, respectively (p<0.05).Conclusion The direct-intensive-regular mentoring intervention programme was found to be effective in reducing neonatal mortality through quality improvement in low-resource district hospitals.https://bmjopenquality.bmj.com/content/14/1/e002862.full |
| spellingShingle | Rinawati Rohsiswatmo Windhi Kresnawati Liza Froulina Bobby Marwal Syahrizal Nurlely Bethesda Sinaga Edit Oktavia Manuama Setya Wandita Quality improvement on reducing neonatal mortality through intensive Clinical Mentorship Intervention: a case study in Biak Regional Hospital, Papua-Indonesia BMJ Open Quality |
| title | Quality improvement on reducing neonatal mortality through intensive Clinical Mentorship Intervention: a case study in Biak Regional Hospital, Papua-Indonesia |
| title_full | Quality improvement on reducing neonatal mortality through intensive Clinical Mentorship Intervention: a case study in Biak Regional Hospital, Papua-Indonesia |
| title_fullStr | Quality improvement on reducing neonatal mortality through intensive Clinical Mentorship Intervention: a case study in Biak Regional Hospital, Papua-Indonesia |
| title_full_unstemmed | Quality improvement on reducing neonatal mortality through intensive Clinical Mentorship Intervention: a case study in Biak Regional Hospital, Papua-Indonesia |
| title_short | Quality improvement on reducing neonatal mortality through intensive Clinical Mentorship Intervention: a case study in Biak Regional Hospital, Papua-Indonesia |
| title_sort | quality improvement on reducing neonatal mortality through intensive clinical mentorship intervention a case study in biak regional hospital papua indonesia |
| url | https://bmjopenquality.bmj.com/content/14/1/e002862.full |
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