NeoNuNet papers

Marked variability in institutional deliveries and neonatal outcomes during the COVID-19 lockdown in Nigeria (2023)

This paper investigates the impact of COVID-19 lockdown on healthcare seeking for deliveries and neonatal care in Nigeria. It describes markedly deleterious effects that varied between zones with no consistent pattern.

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Carbapenemase and extended spectrum beta‑lactamase producing organisms in neonatal units in Kenya and Nigeria (2023)

This research used molecular surveillance to reveal widespread colonisation by carbapenemase and extended spectrum beta‑lactamase producing organisms in neonatal units in Kenya and Nigeria.

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Parents’ perceptions of core outcomes in neonatal research in two Nigerian neonatal units (2020)

This original research paper concludes the need for the opinions of parents to be considered in developing core outcome sets for neonatal research in low-resource settings.

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Impact of COVID-19 lockdown measures on neonatal care in Nigeria (2021)

This original research letter assessed the effect of COVID-19 lockdown on deliveries and neonatal admissions according to gestation in Lagos, Nigeria.

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Enteral Feeding Practices for Very Preterm and Very Low Birth Weight Infants in Nigeria and Kenya (2022)

This paper describes the wide variation in feeding practices in very preterm and VLBW infants in Nigeria and Kenya, and the need for high quality research on limited resource settings.

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Challenges in diagnosing common neonatal conditions in Nigeria and Kenya (2022)

This prospective observational study highlights the reliance on clinical criteria and extremely limited use of diagnostic technologies for common conditions in neonatal units in sub-Saharan Africa.

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Caffeine for the care of preterm infants in sub-Saharan Africa (2021)

This BMJ commentary article discusses whether routine use of caffeine citrate is a missed opportunity to improve outcomes in preterm infants in sub-Saharan Africa.

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Burden of disease and risk factors for mortality amongst hospitalized newborns (2021)

This study aimed to describe the patient population, priority diseases and outcomes in newborns admitted <48 hours old to neonatal units in both Kenya and Nigeria.

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A neonatal nutrition network for sub-Saharan Africa (2020)

This article describes the establishment of the NeoNuNet, describing activities, achievements, and sample collection across 7 neonatal units.

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WHO and UNICEF

Updates on HIV and Infant Feeding (2016)

These WHO and UNICEF guidelines discuss the duration of breastfeeding and support from health services to improve feeding practices among mothers living with HIV.

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Feeding Preterm and Low-Birthweight Newborns (2022)

This UNICEF document provides information to assist clinicians in the drafting of contextually appropriate small and sick newborn feeding guidelines, protocols and standard operating procedures tailored to the level of care of their health facility.

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Optimal feeding of low-birth-weight infants (2006)

This WHO review summarises the evidence on feeding LBW infants and serves as the basis for the development of guidelines on feeding LBW infants in developing countries.

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Baby-Friendly Hospital Initiative (2009)

This section of the WHO and UNICEF initiative discusses the tools and guidelines needed for effective hospital self-appraisal and monitoring.

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National Guidelines

Zambia – Treatment and Prevention of HIV Infection (2022)

The Zambia Consolidated Guidelines discuss HIV prevention and treatment, including prevention of mother to child transmission.

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Estwatini – Neonatal Care Clinical Guidelines (2018)

The Ministry of Health of the Kingdom of Estwatini collaborates with WHO and UNICEF to produce a resource for all healthcare workers caring for neonates.

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Kenya – Feeding & Fluids in Neonates (2017)

The Kenya Paediatric Association and partners share information on breastfeeding and how to feed and provide fluids for low birthweight/premature infants.

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Kenya – Basic Paediatric Protocols (2016)

This booklet from the Republic of Kenya Ministry of Health provides guidance for treating patients up to 5 years old. The learnings are designed for application in emergency rooms (casualty and outpatient departments), paediatric wards, delivery rooms, and newborn units.

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Kenya – Comprehensive Newborn Care Protocols (2022)

These guidelines from the Republic of Kenya Ministry of Health provide a stepwise approach to providing evidence-based routine newborn care and management of complications while integrating the use of essential technologies.

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International Guidelines

INTERGROWTH-21st Basic Neonatal Care Manual (2010)

This document reflects the consensus reached by members of the group regarding the definitions of neonatal morbidities and the minimum standards of care to be provided by all centres taking part in the INTERGROWTH-21st study.

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KMC

Kangaroo Mother Care: WHO policy document (2023)

This global position paper from the WHO describes how KMC for all preterm or LBW infants can form the foundation of small and/or sick newborn care.

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Effect of Kangaroo Mother Care on Cerebral Hemodynamics in Preterm Infants (2023)

This paper briefly summarises the research into the impact of KMC on cerebral hemodynamics, for example through helping to stabilise cardiorespiratory parameters.

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Immediate “Kangaroo Mother Care” and Survival of Infants with Low Birth Weight (2021)

This paper describes a a randomized, controlled trial of iKMC in low birthweight infants in five hospitals in Ghana, India, Malawi, Nigeria, and Tanzania, with primary outcomes as death in the first 72 hours or 28 days of life.

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Other Papers

The effect of high ambient temperature on postpartum women and neonates in Kilifi, Kenya (2024)

This paper describes qualitative research on community perspectives on the effects of high ambient temperatures on the health and wellbeing of neonates, and the impacts on post-partum mothers and infant care in Kilifi, Kenya. Negative consequences for exclusive breastfeeding and kangaroo mother care are highlighted.

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Kenya Human Milk Bank Project

This paper discusses whether Kenya is ready to integrate human milk banking with breastfeeding promotion and newborn care, discussing its purpose, feasibility, key findings, and recommendations.

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NeoNuNet webinars

Transcript March 13th 2024

Transcript for the webinar on equitable access to quality care for the small and sick newborn.

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NeoNuNet webinar 13.03.24

Equitable access to quality care for the small and sick newborn - a model for optimizing feeding and skilled lactation support in low-resource settings.

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NeoNuNet eLearning summaries

Introduction (Module 1)

Module 1 of the course "Nutrition in preterm and low birthweight infants in Africa", provided in PDF format.

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Breast Milk (Module 2)

Module 2 of the course "Nutrition in preterm and low birthweight infants in Africa", provided in PDF format.

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Feeding Methods (Module 3)

Module 3 of the course "Nutrition in preterm and low birthweight infants in Africa", provided in PDF format.

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Growth and Nutrients (Module 4)

Module 4 of the course "Nutrition in preterm and low birthweight infants in Africa", provided in PDF format.

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Guidelines, Parents, and Discharge (Module 5)

Module 5 of the course "Nutrition in preterm and low birthweight infants in Africa", provided in PDF format.

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