تحديث بروتوكوالت رعاية المواليد
بما في ذلك الكشف المبكر عن التأخر في التطور لدى األطفال ومبادئ مبادرة المستشفى الصديق للطف
Update of Protocols on Neonatal Care, including early identification of developmental difficulties in children and the principles of the baby-friendly hospital initiative
Supported by UNICEF and Funded by Japan Government
In 2016, 4.2 million (75% of all under-five deaths) occurred within the first year of life. Globally, the infant mortality rate has decreased from an estimated rate of 64.8 deaths per 1000 live births in 1990 to 30.5 deaths per 1000 live births in 2016.
According to WHO, every year, about 2.8 million children die in the first month of life, with 98% of these deaths occurring in developing countries. Existing evidence demonstrates that in resource-limited settings many young infants with signs of possible complications or infection do not receive the recommended inpatient treatment because such treatment is not accessible, acceptable or affordable to families. In 2013 the MOH reported the infant mortality rate in Palestine to be 13.5 per 1000 live births. Prematurity and low birth weight are the two leading causes of death among Palestinian infants. The majority of child births occur in hospitals where the newborn and the mother receive essential care and treatment before discharge.
Given the fragmented nature of the health sector in Palestine, the protocols and guidelines used to address neonatal care serves as a means to unify the standards of care and ensure quality of the services provided. Based on the strategic action plan for neonatal care in Palestine 2017-2019, reviewing and updating the existing neonatal protocol is an important part of ensuring that mothers and newborns receive the needed care at the appropriate level without any delay; and as an action it lists revising all existing locally developed neonatal care protocols, updating and unifying them to meet the latest global protocols. The revised protocol will help health care providers make appropriate management decisions about sick young infants. They will also guide national policy-makers in health ministries, program managers, and development partners and will inform revisions to current training and reference materials.
The review and update of the neonatal protocol will be carried out by a team of local experts with oversight from a technical committee that will be formed at the start of the program. The updated protocol will be validated by an international body. To support the implementation of the updated protocol, the program will adopt a quality collaborative approach where health providers meet to discuss implementation progress, successes, challenges, and share lessons and experiences. Additionally, the program will conduct training in Gaza and the West Bank for interdisciplinary teams on the updated protocols followed by follow-up visits to monitor implementation.