An assessment of morbidity and treatment outcomes among neonates admitted at Kampala International University Pediatric Ward

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Kampala International University, School of Health Sciences
Neonatal morbidity and mortality are major global public health challenges. Each year 130 million babies are born and an estimated 4 million die in their neonatal period, ¾ of neonatal deaths happen in the first week (3million) and the highest risk of death is within the first24 hours (1million). The main objective was to assess causes of morbidity, mortality and other treatment outcomes of neonates admitted on KIU-TH paediatric ward. A retrospective descriptive and quantitative study based on records of neonates admitted and/ or treated from KIU-TH pediatric ward for one year (July 2013- July 2014) was conducted. All the selected neonatal in-patient files were retrieved and reviewed using a structured questionnaire, to document demographic characteristic, diagnosis, number of deaths that occurred and other forms of treatment outcome. Statistical analyses were performed by use of calculators & Microsoft excel. A total of 121 patient files were reviewed and 163 diagnoses were obtained. Of these the males were 61 (50.4%) and the females were 60 (49.6%) with a male to female ratio of 1.02:1 with the majority (76.86%) of the neonates admitted was in their 1st week of life and (%)within the first 24hours.This study found that neonatal sepsis (25.2%) with the highest morbidity, prematurity (17.8%), HIE (10.4%), low birth weight (6.1%) and birth asphyxia (4.3%) were the commonest causes of morbidity. The leading cause of mortality was prematurity (35%) while neonatal sepsis (15%) and HIE (15%) have an equal distribution. Most (62.8%) neonates were cured at the time of discharge and 13.2% died. Measures including; stock more antibiotics, train skilled neonatal care providers, practice aseptic measures during pre, intra and postpartum periods, need to stock more incubators, encourage mothers to attend antenatal care to reduce the high rates of neonatal sepsis and prematurity which are the highest causes of morbidity and mortality respectively
A research report submitted to the Faculty of Clinical Medicine and Dentistry of in partial fulfillment of the requirements for the award of a degree of Bachelor of Medicine and Surgery of Kampala International University
Morbidity and treatment outcomes among neonates, Kampala International University Pediatric Ward