Tuyển tập các nghiên cứu khoa học của trường đại học Huế đề tài: Bằng chứng về hiệu quả của các can thiệp trong chăm sóc trẻ sơ sinh: có đơn vị chăm sóc sơ sinh huyện giải quyết các vấn đề về sức khỏe trẻ sơ sinh trong Như Thành và các bệnh viện Ngọc Lặc, tỉnh Thanh Hóa, Việt Nam? | 152 JOURNAL OF SCIENCE Hue University N0 61 2010 EVIDENCE FOR EFFECTIVENESS OF INTERVENTIONS IN NEWBORN CARE HAS DISTRICT NEWBORN CARE UNIT ADDRESSED NEWBORN HEALTH PROBLEMS IN NHU THANH AND NGOC LAC HOSPITALS THANH HOA PROVINCE VIETNAM Nguyen Van Hai Save the Children SUMMARY Introduction The Vietnamese health care system faces many challenges in ensuring the survival of newborns with over 20 000 newborns still dying each year. The hierarchical health system is not able to provide quality newborn care services. For example district hospitals and commune health centers are poorly equipped and have a lack of staff with adequate training in essential newborn care and management of newborn complications. Household-level newborn care is provided through village health workers who lack standard communication materials training supervision and monitoring. Misconceptions about newborn care at birth and breastfeeding exist especially in places with high rates of home births. Methods This Operation Research OR study consists of a comprehensive newborn care intervention package which was introduced. The intervention included delivery care and postnatal care but more effort was focused on immediate postnatal care and management of newborn complications. The OR set four intermediate results IRs IR 1 Increased access and availability of newborn services and supplies IR 2 Improved quality of newborn care at health facilities IR 3 Enhanced community knowledge of newborn care practices and demand for newborn care services IR 4 Promotion of an enabling policy environment for scaling up newborn care. This paper only covers facility-based interventions while other impacts will be reported at the end of the project. Results After years of intervention the OR has helped to significantly reduce the neonatal mortality rate o 2006 to o 2009 in Ngoc Lac and o 2006 to o 2009 in Nhu Thanh. The referral rate of newborn complications and home birth rates also declined .
