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Cathy Rehfus-Wilsek, MBA, MD
1-June-2015
Quality Improvement (QI) in Percentage of
Neonatal Fevers at Majengo Health Center
Moshi Tanzania
Lecture Objectives
 Show how simple techniques of neonatal assessments
improves overall health
 Show how maternal education decrease fevers of
neonates on subsequent visits
Why Teach Neonatal Assessment
Techniques?
 Provides better care for neonates
 Allows labor/neonatal staff to detect infant
distress early
 Early detection means early treatment and
decreased morbidity
 Continued monitoring of neonates helps reduce
infant mortality rates
 An increase in neonatal care and decrease in
morbidity leads to a cost saving of healthcare
resources
Numbers Tell the Story
Previous to the introduction of Karibu Duniani, the 10 East Steps for an Initial Neonatal
Assessment, in March of 2015, the number of fevers reordered was higher than after
the implementation of the neonatal assessment and maternal education program.
26
12
6
3
15
4
1
2
28
3
14
3
12
1
4
1
3
5 5
1
0
5
10
15
20
25
30
Fever on 1st visit Fever on 2nd visit Fever on 3rd visit Fever on 4th visit
Nov
Dec
Jan
Feb
Mar
April
onatal Fever Recorded on Visits 1-Nov-14 Through 30-Apr
Numbers Tell the Story
Previous to the introduction of Karibu Duniani, the 10 East Steps for an Initial Neonatal
Assessment, in March of 2015, the average number of infants with fevers on repeat
14% 16% 16%
7% 2% 5%
-200%
4% 4% 2% 6% 2% 1%
-300%
3% 5% 11%
4% 0% 0% 0%
20% 25% 30%
16%
3% 5%
Mean Decrease
-150%
Nov Dec Jan Feb Mar April Decrease
Fevers on Multiple Visits of Neonates Born Between
1-Nov-14 and 1-Apr-15
Fever only once Fever twice Fever thrice Fever all four visits Actual Visits vs Total Births %

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Quality Improvement At Majengo Health Center for Neonatal Fevers

  • 1. Cathy Rehfus-Wilsek, MBA, MD 1-June-2015 Quality Improvement (QI) in Percentage of Neonatal Fevers at Majengo Health Center Moshi Tanzania
  • 2. Lecture Objectives  Show how simple techniques of neonatal assessments improves overall health  Show how maternal education decrease fevers of neonates on subsequent visits
  • 3. Why Teach Neonatal Assessment Techniques?  Provides better care for neonates  Allows labor/neonatal staff to detect infant distress early  Early detection means early treatment and decreased morbidity  Continued monitoring of neonates helps reduce infant mortality rates  An increase in neonatal care and decrease in morbidity leads to a cost saving of healthcare resources
  • 4. Numbers Tell the Story Previous to the introduction of Karibu Duniani, the 10 East Steps for an Initial Neonatal Assessment, in March of 2015, the number of fevers reordered was higher than after the implementation of the neonatal assessment and maternal education program. 26 12 6 3 15 4 1 2 28 3 14 3 12 1 4 1 3 5 5 1 0 5 10 15 20 25 30 Fever on 1st visit Fever on 2nd visit Fever on 3rd visit Fever on 4th visit Nov Dec Jan Feb Mar April onatal Fever Recorded on Visits 1-Nov-14 Through 30-Apr
  • 5. Numbers Tell the Story Previous to the introduction of Karibu Duniani, the 10 East Steps for an Initial Neonatal Assessment, in March of 2015, the average number of infants with fevers on repeat 14% 16% 16% 7% 2% 5% -200% 4% 4% 2% 6% 2% 1% -300% 3% 5% 11% 4% 0% 0% 0% 20% 25% 30% 16% 3% 5% Mean Decrease -150% Nov Dec Jan Feb Mar April Decrease Fevers on Multiple Visits of Neonates Born Between 1-Nov-14 and 1-Apr-15 Fever only once Fever twice Fever thrice Fever all four visits Actual Visits vs Total Births %