{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T10:55:16Z","timestamp":1782125716863,"version":"3.54.5"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,9,14]],"date-time":"2017-09-14T00:00:00Z","timestamp":1505347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"UNICEF Fiji"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To identify strengths and obstacles for improving the quality of newborn care in the Solomon Islands. Improving the quality of newborn care is a priority in the Sustainable Development Goals and the Action Plan for Healthy Newborns in the Western Pacific. The neonatal mortality rate in the Solomon Islands, a lower\u2010middle\u2010income country, has improved slower than overall child mortality. In 2013, neonatal mortality (13.2\/1000) constituted 44% of under\u20105 deaths (30.1\/1000).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study of newborn care in five provincial hospitals using a World Health Organization assessment tool for hospital quality of care. Twelve months of neonatal records of the National Referral Hospital (<jats:styled-content style=\"fixed-case\">NRH<\/jats:styled-content>) labour ward and nursery were audited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Essential medications and basic equipment were generally available. Challenges included workforce shortages and lack of expertise, high costs, organisation and maintenance of equipment, infection control and high rates of stillbirth. Over 12 months at the <jats:styled-content style=\"fixed-case\">NRH<\/jats:styled-content> labour ward, there were 5412 live births, 65 (1.2%) \u2018fresh\u2019 stillbirths and 96 (1.8%) \u2018macerated\u2019 stillbirths. Over the same period, there were an associated 779 nursery admissions, and the main causes of mortality were complications of prematurity, birth asphyxia, congenital abnormalities and sepsis. Total neonatal mortality at <jats:styled-content style=\"fixed-case\">NRH<\/jats:styled-content> was 16 per 1000 live births, and 77% of deaths occurred in the first 3 days of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Infrastructure limitations, technical maintenance and equipment organisation were obstacles to newborn care. Greater health\u2010care worker knowledge and skills for early essential newborn care, infection control and management of newborn complications is needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.13686","type":"journal-article","created":{"date-parts":[[2017,9,14]],"date-time":"2017-09-14T07:00:09Z","timestamp":1505372409000},"page":"165-171","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Assessment of the quality of neonatal care in the Solomon Islands"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0022-1009","authenticated-orcid":false,"given":"Shidan","family":"Tosif","sequence":"first","affiliation":[{"name":"Centre for International Child Health University of Melbourne  Melbourne Victoria Australia"},{"name":"Murdoch Childrens Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics Royal Children's Hospital Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Titus","family":"Nasi","sequence":"additional","affiliation":[{"name":"Department of Paediatrics National Referral Hospital  Honiara Solomon Islands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Gray","sequence":"additional","affiliation":[{"name":"Centre for International Child Health University of Melbourne  Melbourne Victoria Australia"},{"name":"Murdoch Childrens Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics Royal Children's Hospital Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nahad","family":"Sadr\u2010Azodi","sequence":"additional","affiliation":[{"name":"Child Survival and Development United Nations Children's Fund  Suva Fiji"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divi","family":"Ogaoga","sequence":"additional","affiliation":[{"name":"Reproductive and Child Health Division Ministry of Health and Medical Services  Honiara Solomon Islands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trevor","family":"Duke","sequence":"additional","affiliation":[{"name":"Centre for International Child Health University of Melbourne  Melbourne Victoria Australia"},{"name":"Murdoch Childrens Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics Royal Children's Hospital Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,9,14]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"World Health Organization.Action Plan for Healthy Newborn Infants in the Western Pacific Region (2014\u20132020). 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