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Quality improvement project to increase compliance of administration of corticosteroids and aminophylline in neonatal department of Mibilizi District Hospital

Marie Goretti Mukakarake (Mibilizi Hospital, Mibilizi, Rwanda)
Albert Ndagijimana (School of Public Health, University of Rwanda College of Medicine and Health Sciences, Kigali, Rwanda)
Eva Adomako (Global Health Leadership Institute, Yale University, New Haven, Connecticut, USA)
Abraham Zerihun (Global Health Leadership Institute, Yale University, New Haven, Connecticut, USA)
Calliope Akintije Simba (Mibilizi Hospital, Mibilizi, Rwanda)
Arthur Kamariyagwe (Mibilizi Hospital, Mibilizi, Rwanda)
Philemon Mwiseneza (Mibilizi Hospital, Mibilizi, Rwanda)
Francoise Kampire (Mibilizi Hospital, Mibilizi, Rwanda)
Augustin Bahufite (Mibilizi Hospital, Mibilizi, Rwanda)
Rex Wong (Global Health Leadership Institute, Yale University, New Haven, Connecticut, USA)

On the Horizon

ISSN: 1074-8121

Article publication date: 12 September 2016

73

Abstract

Purpose

The purpose of this study is to describe how the hospital influenced the practice of corticosteroids and aminophylline administration by applying strategic problem solving. Under five child mortality is a challenge in Rwanda. Although it has been shown that administering corticosteroids and aminophylline can reduce the mortality of premature neonates, the use of these medications were low at Mibilizi District Hospital in Rwanda.

Design/methodology/approach

This project used a pre- and post-intervention study design, utilizing patient file audit to evaluate the impact of our intervention on the compliance of corticosteroids administration to pregnant mothers in premature labour and aminophylline to premature neonates, using the Strategic Problem Solving approach.

Findings

The intervention significantly increased the rate of giving corticosteroids to mothers at risk of premature delivery from 26 per cent to 60 per cent p-value = 0.009. The provision of aminophylline to premature neonates under 34 weeks of gestation significantly increased from 65 per cent to 100 per cent p-value = 0.002.

Practical implications

This study illustrates how a multidisciplinary team was able to use the eight steps of strategic problem solving to increase the administration rates of corticosteroids and aminophylline. The hospital should continue to support quality improvement efforts using strategic problem solving approach to prevent premature neonatal deaths and improve quality of care.

Originality/value

Findings from this study may be useful for hospitals in resource-challenged settings seeking to improve the administration of corticosteroids and aminophylline to prevent premature neonatal deaths.

Keywords

Acknowledgements

The authors thank the Government of Rwanda, Ministry of Health, the congregation of Soeurs Penitentes de St Francois d’ Assise, and Mibilizi hospital for supporting this project.

Citation

Mukakarake, M.G., Ndagijimana, A., Adomako, E., Zerihun, A., Simba, C.A., Kamariyagwe, A., Mwiseneza, P., Kampire, F., Bahufite, A. and Wong, R. (2016), "Quality improvement project to increase compliance of administration of corticosteroids and aminophylline in neonatal department of Mibilizi District Hospital", On the Horizon, Vol. 24 No. 4, pp. 363-368. https://doi.org/10.1108/OTH-07-2016-0041

Publisher

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Emerald Group Publishing Limited

Copyright © 2016, Emerald Group Publishing Limited

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