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Open Access The development and implementation of a newborn medicine program in a resource-limited setting

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The reduction in global neonatal mortality rates remains a challenge. Internationally recognized protocols for hospital care of sick and small newborns are limited, although this specialized area lends itself to standardization. An interdisciplinary team including international and local clinical experts worked with the Rwandan Ministry of Health and Rwandan professional associations to develop and implement a neonatal care program in a rural Rwandan district hospital that was ultimately accepted as the national standard for newborn medicine. Successful features and challenges are discussed. It is realistic to develop, implement and disseminate neonatal protocols for sick newborns.

Keywords: global health; implementation; newborn medicine

Document Type: Research Article

Affiliations: 1: Division of Newborn Medicine, Boston Children's Hospital, Boston, Massachusetts, USA 2: Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA, Division of Global Health Equity, Brigham and Women's Hospital, Boston, Massachusetts, USA, Partners In Health/Inshuti Mu Buzima, Kigali, Rwanda 3: Neonatal Intensive Care, Nursing Patient Services, Boston Children's Hospital, Boston, Massachusetts, USA 4: Rwanda Ministry of Health, Kigali, Rwanda 5: Partners In Health/Inshuti Mu Buzima, Kigali, Rwanda 6: Rwanda Family Health Project, Kigali, Rwanda

Publication date: 21 March 2015

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  • Public Health Action (PHA), The Union's quarterly Open Access journal, welcomes the submission of articles on operational research. It publishes high-quality scientific research on health services, providing new knowledge on how to improve access, equity, quality and efficiency of health systems and services.

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