Developing a Culturally Sensitive Training Program for Recognition of Hypoxic Ischemic Encephalopathy in Rural India#

Journal Title: International Journal of Pediatric Research - Year 2016, Vol 2, Issue 2

Abstract

Background: Birth asphyxia is a major cause of neonatal deaths in the developing world. The management of an asphyxiated infant includes effective resuscitation at birth and treatment of subsequent hypoxic ischemic encephalopathy (HIE). HIE is frequently under recognized in this setting and this contributes to early infant mortality and morbidity. Methods: We present the evolution of a HIE recognition training program for rural India. The development of this program involved close community interaction, expert content analysis, and preparation and field-testing of a video education package. Results: A 10-point assessment method was finalized (3 points for history, and 7 examination markers). An education workshop was developed which included prior assessment of knowledge, a video education package and a formal feedback form. The workshop was well received by the participants. Conclusions: We believe that for the provision of supportive neonatal management or introduction of novel definitive therapies for HIE, the recognition program will be vital in low resource settings and needs to be integrated into the routine responsibilities of the local community health workers. This will ensure timely treatment and transfer of sick or high-risk infants to relevant health facilities and initiation of therapy.

Authors and Affiliations

Keywords

Related Articles

Single Center Cohort Study about in vitro Effects of Adalimumab and Anakinra on the Cytokine Network in Patients with Oligoarticular and Systemic Juvenile Idiopathic Arthritis

Background: Present data suggest that oligoarticular JIA is an autoimmune disorder with irregularity in both innate and adaptive immune responses, while sJIA shows distinct clinical and laboratory features, reflecting sy...

A Valuable Tool to Determine Supraventricular Tachycardia in Children: Trans-Esophageal Electrophysiological Study

Objective: The aim of this study was to determine the accuracy of trans-esophageal electrophysiological study (TEEPS) in the diagnosis and differentiation of mechanisms of supraventricular tachycardia in pediatric patien...

Association of Increased Maternal Plasma Homocysteine with the Adverse Birth Outcomes Following Prenatal Psychological Stress

Objective: Disorders in the expression of plasma homocysteine are significantly related to psychological stress. There is also evidence that prenatal maternal psychological stress could lead to adverse birth outcomes. Th...

Intravenous Clonidine: A Useful and Safety Sedation for Critically Ill Children

Aim To determine usefulness and safety of intravenous infusion of clonidine in critically-ill children. Methods Prospective, single-centre observational study from January 2013 to December 2014. PICU of Hospital Sant Jo...

Endogenic Intoxication and Kidney

The following information about the endogenous intoxication in children (from 2 up to 17 y.o.) with nephrological diseases was presented. Endogenous intoxication as multisystemic pathological condition occurs as the resu...

Download PDF file
  • EP ID EP352438
  • DOI 10.23937/2469-5769/1510024
  • Views 128
  • Downloads 0

How To Cite

(2016). Developing a Culturally Sensitive Training Program for Recognition of Hypoxic Ischemic Encephalopathy in Rural India#. International Journal of Pediatric Research, 2(2), 1-4. https://europub.co.uk/articles/-A-352438