Referral challenges and outcomes of neonates received at Muhimbili National Hospital, Dar es Salaam, Tanzania.
Mpokigwa KiputaNahya Salim MasoudPeter P KunambiAugustine MassawePublished in: PloS one (2022)
Neonatal transportation in Dar es Salaam, Tanzania was observed to be challenging. Pre transfer care and monitoring during transportation was inadequate and this contributed to poor clinical status on admission. Hypothermia, hypoglycemia, hyperglycemia, hypoxia and poor perfusion on admission were associated with increased mortality. Effective referral network is needed for improved neonatal health outcomes. Pre referral supportive care, training of health care professionals, transportation with improved monitoring, clear communication protocol and referral documentation should be invested and effectively utilized.
Keyphrases
- healthcare
- primary care
- quality improvement
- palliative care
- emergency department
- type diabetes
- randomized controlled trial
- cardiac arrest
- cardiovascular disease
- pain management
- cardiovascular events
- electronic health record
- magnetic resonance imaging
- risk factors
- metabolic syndrome
- computed tomography
- magnetic resonance
- preterm infants
- coronary artery disease
- skeletal muscle
- adverse drug
- acute care
- drug induced