TY - JOUR
T1 - Mixed-method study to assess the feasibility, acceptability and early effectiveness of the Hospital to Home programme for follow-up of high-risk newborns in a rural district of Central Uganda
T2 - A study protocol
AU - Kabugo, Daniel
AU - Nakamura, Heidi
AU - Magnusson, Brooke
AU - Vaughan, Madeline
AU - Niyonshaba, Beatrice
AU - Nakiganda, Cornety
AU - Otai, Christine
AU - Haddix-Mckay, Kimber
AU - Seela, Margaret
AU - Nankabala, Joyce
AU - Nakakande, Josephine
AU - Ssekidde, Moses
AU - Tann, Cally J.
AU - Al-Haddad, Benjamin J.S.
AU - Nyonyintono, James
AU - Mubiri, Paul
AU - Waiswa, Peter
AU - Paudel, Mohan
N1 - Publisher Copyright:
© BMJ Publishing Group Limited 2021
PY - 2021/3/2
Y1 - 2021/3/2
N2 - Introduction A follow-up programme designed for high-risk newborns discharged from inpatient newborn units in low-resource settings is imperative to ensure these newborns receive the healthiest possible start to life. We aim to assess the feasibility, acceptability and early outcomes of a discharge and follow-up programme, called Hospital to Home (H2H), in a neonatal unit in central Uganda. Methods and analysis We will use a mixed-methods study design comparing a historical cohort and an intervention cohort of newborns and their caregivers admitted to a neonatal unit in Uganda. The study design includes two main components. The first component includes qualitative interviews (n=60 or until reaching saturation) with caregivers, community health workers called Village Health Team (VHT) members and neonatal unit staff. The second component assesses and compares outcomes between a prospective intervention cohort (n=100, born between July 2019 and September 2019) and a historical cohort (n=100, born between July 2018 and September 2018) of infants. The historical cohort will receive standard care while the intervention cohort will receive standard care plus the H2H intervention. The H2H intervention comprises training for healthcare workers on lactation, breast feeding and neurodevelopmentally supportive care, including cue-based feeding, and training to caregivers on recognition of danger signs and care of their high-risk infants. Infants and their families receive home visits until 6 months of age, or longer if necessary, by specially trained VHTs. Quantitative data will be analysed using descriptive statistics and regression analysis. All results will be stratified by cohort group. Qualitative data will be analysed guided by Braun and Clarke's thematic analysis technique. Ethics and dissemination This study protocol was approved by the relevant Ugandan ethics committees. All participants will provide written informed consent. We will disseminate through peer-reviewed publications and key stakeholders and public engagement. Trial registration number ISRCTN51636372; Pre-result.
AB - Introduction A follow-up programme designed for high-risk newborns discharged from inpatient newborn units in low-resource settings is imperative to ensure these newborns receive the healthiest possible start to life. We aim to assess the feasibility, acceptability and early outcomes of a discharge and follow-up programme, called Hospital to Home (H2H), in a neonatal unit in central Uganda. Methods and analysis We will use a mixed-methods study design comparing a historical cohort and an intervention cohort of newborns and their caregivers admitted to a neonatal unit in Uganda. The study design includes two main components. The first component includes qualitative interviews (n=60 or until reaching saturation) with caregivers, community health workers called Village Health Team (VHT) members and neonatal unit staff. The second component assesses and compares outcomes between a prospective intervention cohort (n=100, born between July 2019 and September 2019) and a historical cohort (n=100, born between July 2018 and September 2018) of infants. The historical cohort will receive standard care while the intervention cohort will receive standard care plus the H2H intervention. The H2H intervention comprises training for healthcare workers on lactation, breast feeding and neurodevelopmentally supportive care, including cue-based feeding, and training to caregivers on recognition of danger signs and care of their high-risk infants. Infants and their families receive home visits until 6 months of age, or longer if necessary, by specially trained VHTs. Quantitative data will be analysed using descriptive statistics and regression analysis. All results will be stratified by cohort group. Qualitative data will be analysed guided by Braun and Clarke's thematic analysis technique. Ethics and dissemination This study protocol was approved by the relevant Ugandan ethics committees. All participants will provide written informed consent. We will disseminate through peer-reviewed publications and key stakeholders and public engagement. Trial registration number ISRCTN51636372; Pre-result.
KW - community child health
KW - health policy
KW - neonatal intensive & critical care
KW - quality in health care
UR - http://www.scopus.com/inward/record.url?scp=85102042677&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2020-043773
DO - 10.1136/bmjopen-2020-043773
M3 - Article
C2 - 33653756
AN - SCOPUS:85102042677
SN - 2044-6055
VL - 11
JO - BMJ Open
JF - BMJ Open
IS - 3
M1 - e043773
ER -