Publications by authors named "A O Wasunna"
Article Synopsis
- * A five-week quasi-experimental study evaluated the effects of in-hospital training on HCWs' competence in newborn resuscitation through pre- and post-training assessments of knowledge and skills, using WHO's ETAT+ tool.
- * Results showed a significant increase in practical skills (by 28% in real-life scenarios and 26% in simulations), while knowledge levels remained largely unchanged; barriers to effective resuscitation included inadequate training, equipment, and collaboration among staff.
Prevalence and factors associated with preterm birth at kenyatta national hospital.
BMC Pregnancy Childbirth
April 2018
Background: The World Health Organization estimates the prevalence of preterm birth to be 5-18% across 184 countries of the world. Statistics from countries with reliable data show that preterm birth is on the rise. About a third of neonatal deaths are directly attributed to prematurity and this has hindered the achievement of Millennium Development Goal-4 target.
View Article and Find Full Text PDFNeuroimaging is a valuable diagnostic tool for the early detection of neonatal brain injury, but equipment and radiologic staff are expensive and unavailable to most hospitals in developing countries. We evaluated an affordable, portable ultrasound machine as a quantitative and qualitative diagnostic tool and to establish whether a novice sonographer could effectively operate the equipment and obtain clinically important information. Cranial ultrasonography was performed on term healthy, pre-term and term asphyxiated neonates in Rwandan and Kenyan hospitals.
View Article and Find Full Text PDFA cross-sectional survey was conducted in neonatal and maternity units of five Kenyan district public hospitals. Data for 1 year were obtained: 3999 maternal and 1836 neonatal records plus tallies of maternal deaths, deliveries and stillbirths. There were 40 maternal deaths [maternal mortality ratio: 276 per 100 000 live births, 95% confidence interval (CI): 197-376].
View Article and Find Full Text PDFObjective: An audit of neonatal care services provided by clinical training centres was undertaken to identify areas requiring improvement as part of wider efforts to improve newborn survival in Kenya.
Design: Cross-sectional study using indicators based on prior work in Kenya. Statistical analyses were descriptive with adjustment for clustering of data.