{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T01:26:41Z","timestamp":1788398801634,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"INTRA-ACP Mobility Scholarship Scheme"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Birth asphyxia is the leading cause of neonatal mortality in Kenya. Quality care during neonatal resuscitation (NR) can contribute to a reduction in neonatal mortality related to birth asphyxia by 30 percent. This study assessed the quality of care (QoC) during NR for newborns with birth asphyxia.<jats:italic> Methods<\/jats:italic>. Direct observations of 138 newborn resuscitations were done in labor ward and maternity theatre. Twenty-eight healthcare providers were observed 3\u20135 times using a structured checklist. Descriptive and inferential statistics were calculated and quality of care scores computed. Ordered logistic regression model identified HCPs characteristics associated with the QoC scores during NR.<jats:italic> Results<\/jats:italic>. Overall QoC scores were good for airway clearance (83%). Suctioning in meconium presence (40%) was poorly performed. Years of experience working in maternity were associated with good drying\/stimulation (<jats:italic>\u03b2<\/jats:italic> = 1.86, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.003<\/mml:mn><\/mml:math>, CI = 0.626\u20133.093) and airway maintenance (<jats:italic>\u03b2<\/jats:italic> = 1.887, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.009<\/mml:mn><\/mml:math>, CI = 0.469\u20133.305); nurses were poor compared to doctors during initial bag and mask ventilation (<jats:italic>\u03b2<\/jats:italic> = \u22122.338, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.05<\/mml:mn><\/mml:math>, CI = \u22124.732\u20130.056).<jats:italic> Conclusion<\/jats:italic>. Key steps in NR are poorly performed during drying and warmth, airway maintenance in meconium presence, and ventilation. Mentorship with periodic refresher training can improve the care provided during NR.<\/jats:p>","DOI":"10.1155\/2017\/2152487","type":"journal-article","created":{"date-parts":[[2017,10,29]],"date-time":"2017-10-29T19:30:35Z","timestamp":1509305435000},"page":"1-12","source":"Crossref","is-referenced-by-count":12,"title":["Quality of Care during Neonatal Resuscitation in Kakamega County General Hospital, Kenya: A Direct Observation Study"],"prefix":"10.1155","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3580-7077","authenticated-orcid":true,"given":"Duncan N.","family":"Shikuku","sequence":"first","affiliation":[{"name":"Department of Nursing, School of Health Sciences, Makerere University, Kampala, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benson","family":"Milimo","sequence":"additional","affiliation":[{"name":"Department of Midwifery and Gender, School of Nursing, Moi University, Eldoret, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Ayebare","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Health Sciences, Makerere University, Kampala, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Gisore","sequence":"additional","affiliation":[{"name":"Department of Child Health and Pediatrics, School of Medicine, Moi University, Eldoret, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gorrette","family":"Nalwadda","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Health Sciences, Makerere University, Kampala, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2011.07.010"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2010.04.034"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-162"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3134"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-116"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1795"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1053\/j.nainr.2011.04.007"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-014-0381-3"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.5847\/wjem.j.issn.1920-8642.2014.03.007"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.4314\/kenvet.v22i1.39516"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1988.03410120089033"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0001599"},{"issue":"7","key":"20","first-page":"856","volume":"64","year":"2014","journal-title":"Journal of the Pakistan Medical Association"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2008.10.005"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007071.pub3"},{"key":"31","year":"1965"},{"key":"32","year":"2004"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.07.013"},{"key":"36","first-page":"78","volume":"11","year":"2012","journal-title":"Pan African Medical Journal"},{"key":"37","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(96)70095-1"},{"key":"38","first-page":"45","volume":"11","year":"2012","journal-title":"Pan African Medical Journal"},{"key":"39","doi-asserted-by":"publisher","DOI":"10.1111\/apa.12034"},{"issue":"1","key":"40","volume":"16","year":"2016","journal-title":"BMC Pregnancy Childbirth"},{"key":"43","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0493-4"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2017\/2152487.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2017\/2152487.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2017\/2152487.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,10,29]],"date-time":"2017-10-29T19:30:38Z","timestamp":1509305438000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/bmri\/2017\/2152487\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017]]},"references-count":24,"alternative-id":["2152487","2152487"],"URL":"https:\/\/doi.org\/10.1155\/2017\/2152487","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017]]}}}