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Newborn Survival Case Study in Rwanda - Bottleneck Analysis and Projections in Key Maternal and Child Mortality Rates Using Lives Saved Tool (LiST)

Journal Article
(Published September, 2017)
Khurmi, M.S. (Author),
Sayinzoga, F. (Author),
Berhe, A. (Author),
Bucyana, T. (Author),
Mwali, A.K. (Author),
Manzi, E. (Author),
Muthu, M. (Author)
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This study utilized mixed method research including qualitative and quantitative analyses of various maternal and newborn health programs implemented in the country. This included interviewing key stakeholders at each level, field visits and also interviewing beneficiaries for assessment of uptake of services. Monitoring systems such as Health Management Information Systems (HMIS), maternal and newborn death audits were reviewed and data analyzed to aid these analyses. Results: Policies, protocols, various guidelines and tools for monitoring are already in place however, implementation of these remains a challenge e.g. infection control practices to reduce deaths due to sepsis. Although existing staff are quite knowledgeable and are highly motivated, however, shortage of health personnel especially doctors in an issue. New facilities are being operationalized e.g. at Gisenyi, however, the existing facilities needs expansion. Conclusion and Global Health Implications: It is essential to implement high impact evidence based interventions but coverage levels need to be significantly high in order to achieve higher reduction in newborn mortality rate. Equity approach should be considered in planning so that the services are better
implemented and the poor and needy can get the benefits of public health programs.

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Citation: 
Khurmi MS, Sayinzoga F, Berhe A, Bucyana T, Mwali AK, Manzi E, et al. Newborn Survival Case Study in Rwanda - Bottleneck Analysis and Projections in Key Maternal and Child Mortality Rates Using Lives Saved Tool (LiST). Int J MCH AIDS. 2017;6(2):93-108