• How Do Low Birth Weight Neonates Fare Two Years After Discharge from a Low-Technology Neonatal Care Unit in a Rural District Hospital in Burundi?

      van den Boogaard, W; Zuniga, I; Manzi, M; Van den Bergh, R; Lefevre, A; Nanan-N'zeth, K; Duchenne, B; Etienne, W; Juma, N; Ndelema, B; et al. (Wiley-Blackwell, 2017-01-31)
      As neonatal care is being scaled up in economically poor settings, there is a need to know more on post-hospital discharge and longer-term outcomes. Of particular interest are mortality, prevalence of developmental impairments and malnutrition, all known to be worse in low-birth-weight neonates (LBW, <2500 grams). Getting a better handle on these parameters might justify and guide support interventions. Two years after hospital discharge, we thus assessed: mortality, developmental impairments, and nutritional status of LBW children.
    • Low-Tech, High Impact: Care for Premature Neonates in a District Hospital in Burundi. A Way Forward to Decrease Neonatal Mortality

      Ndelema, B; Van den Bergh, R; Manzi, M; van den Boogaard, W; Kosgei, R J; Zuniga, I; Juvenal, M; Reid, A (Springer Link, 2016-01-16)
      Death among premature neonates contributes significantly to neonatal mortality which in turn represents approximately 40 % of paediatric mortality. Care for premature neonates is usually provided at the tertiary care level, and premature infants in rural areas often remain bereft of care. Here, we describe the characteristics and outcomes of premature neonates admitted to neonatal services in a district hospital in rural Burundi that also provided comprehensive emergency obstetric care. These services included a Neonatal Intensive Care Unit (NICU) and Kangaroo Mother Care (KMC) ward, and did not rely on high-tech interventions or specialist medical staff.