Proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra, 2017)

Oral presentation

Suspected neonatal death investigation, Jaedae District, Sinoe County, February 2017

Cite this: Pan African Medical Journal - Conference Proceedings. Oct 2017; 3(3): 7. doi:10.11604/pamj.cp.2017.3.7.109

Submitted: 04 Oct 17   Accepted: 04 Oct 17   Published: 13 Oct 17

Key words: Neonatal deaths, Jarkupen community, trained traditional midwife

© Youhn Konway et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2017/3/7/abstract

Corresponding author: Joseph Asamoah Frimpong, Liberia Field Epidemiology Training Program, Monrovia, Liberia (asamoah.frimpong@gmail.com)

This abstract is published as part of the proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (GHANA, )

Suspected neonatal death investigation, Jaedae District, Sinoe County, February 2017

Youhn Konway1, Joseph Asamoah Frimpong1,&, Maame Amo-Addae1, Lily Sanvee Blebo1, Faith Kamara1

 

1Liberia Field Epidemiology Training Program, Liberia

 

 

&Corresponding author
Joseph Asamoah Frimpong, Liberia Field Epidemiology Training Program, Monrovia, Liberia

 

 

Abstract

Introduction: neonatal death is death of a baby at birth or within first 28 days of life. Neonates account for 45% of deaths among children under five. Liberia recorded 534 neonatal deaths in 2016 with 2.4% (13) from Sinoe County. The District Health Team received report of neonatal death in Jarkupen community on 2nd February, 2017. We investigated to confirm the event, establish the cause and take public health action.

 

Methods: Jarkupen community has 765 inhabitants. It is hard to reach; requiring about 9 hours footing to access health facility. We compared the series of events with the standard case definition to confirm the event. We interviewed community leaders, family members and health workers to establish the cause and took public health action based on findings.

 

Results: the mother was primiparous, aged 22 years. She never sought antenatal care. Labour was at term and managed by a trained traditional midwife (TTM) at home. The second stage of labour (delivery) was delayed to a point that TTM could no longer hear the foetal heartbeat. A male baby was eventually delivered vaginally but with no breathing and no heartbeat, although it was pink. The event did not meet the case definition of neonatal death but rather fresh still birth.

 

Conclusion: inadequate delivery and neonatal resuscitation skills of TTM could have contributed. TTMs are not supposed to conduct deliveries but a long distance from the community to the facility poses a challenge for compliance. We conducted community sensitization on maternal health and health-seeking behavior. Upon our recommendation, preparations are underway to build a maternal waiting home close to a health facility where pregnant women can reside when they are almost term.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra)

Country: GHANA

Dates: 18 Sep 17 - 21 Sep 17

Venue: Swiss Spirit and Suites Alisa Hotels

Organizers: Ghana Field Epidemiology and Laboratory Training Programme

Secretariat: gfeltp@gmail.com

Contact person: Dr. Ernest Kenu (ernest_kenu@yahoo.com)