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Title: Performance of a Nonelectric Infant Warmer in Rwandan Health Centers

Abstract

Background: Neonatal hypothermia remains a challenge in resource-limited settings. Methods. We conducted a prospective mixed-methods cohort study in rural Rwandan health centers to assess the performance of an infant warmer we designed for low-resource settings. All hypothermic infants were eligible for enrollment. Outcomes. Safety: incidence of adverse reactions. Effectiveness: attainment of euthermia, rate of temperature rise. Feasibility: correct use of warmer, signs of wear. Interviews of caregivers and nurses. Findings. Of 102 encounters, there were no adverse reactions. Of 80 encounters for hypothermia when infants on warmer for ≥1 hour, 79 achieved euthermia; 73 in ≤2 hours. Of the 80 encounters, 64 had temperature rise ≥0.5°C/h. Of the 102 encounters, there were no instances of the warmer being prepared, used, or cleaned incorrectly. Five out of the 12 warmers exhibited wear. Interview participants were predominantly positive; some found time for readiness of warmer challenging. Interpretation. The warmer performed well. It is appropriate to study in larger scale.

Authors:
 [1];  [2];  [2];  [2];  [3];  [4];  [2];  [5];  [2]; ORCiD logo [6]
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  1. Boston Children’s Hospital, MA (United States); Children's Hospital of Colorado, Aurora, CO (United States)
  2. Inshuti Mu Buzima, Kigali (Rwanda)
  3. Yale Univ., New Haven, CT (United States)
  4. Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)
  5. Boston Children’s Hospital, MA (United States)
  6. Boston Children’s Hospital, MA (United States); Harvard Medical School, Boston, MA (United States)
Publication Date:
Research Org.:
Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)
Sponsoring Org.:
USDOE Office of Energy Efficiency and Renewable Energy (EERE); Harvard Medical School
OSTI Identifier:
1619112
Grant/Contract Number:  
AC02-05CH11231
Resource Type:
Accepted Manuscript
Journal Name:
Global Pediatric Health
Additional Journal Information:
Journal Volume: 6; Journal ID: ISSN 2333-794X
Publisher:
SAGE
Country of Publication:
United States
Language:
English
Subject:
60 APPLIED LIFE SCIENCES; newborn; hypothermia; kangaroo mother care; non-electric warmer; resource-limited setting

Citation Formats

May, Leana, Nshimyiryo, Alphonse, Kubwimana, Marthe, Nahimana, Evrard, Schoen, Natalie, Gadgil, Ashok, Kateera, Fredrick, Feldman, Henry A., Nyishime, Merab, and Hansen, Anne. Performance of a Nonelectric Infant Warmer in Rwandan Health Centers. United States: N. p., 2019. Web. doi:10.1177/2333794X19884820.
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May, Leana, Nshimyiryo, Alphonse, Kubwimana, Marthe, Nahimana, Evrard, Schoen, Natalie, Gadgil, Ashok, Kateera, Fredrick, Feldman, Henry A., Nyishime, Merab, & Hansen, Anne. Performance of a Nonelectric Infant Warmer in Rwandan Health Centers. United States. https://doi.org/10.1177/2333794X19884820
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May, Leana, Nshimyiryo, Alphonse, Kubwimana, Marthe, Nahimana, Evrard, Schoen, Natalie, Gadgil, Ashok, Kateera, Fredrick, Feldman, Henry A., Nyishime, Merab, and Hansen, Anne. Thu . "Performance of a Nonelectric Infant Warmer in Rwandan Health Centers". United States. https://doi.org/10.1177/2333794X19884820. https://www.osti.gov/servlets/purl/1619112.
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@article{osti_1619112,
title = {Performance of a Nonelectric Infant Warmer in Rwandan Health Centers},
author = {May, Leana and Nshimyiryo, Alphonse and Kubwimana, Marthe and Nahimana, Evrard and Schoen, Natalie and Gadgil, Ashok and Kateera, Fredrick and Feldman, Henry A. and Nyishime, Merab and Hansen, Anne},
abstractNote = {Background: Neonatal hypothermia remains a challenge in resource-limited settings. Methods. We conducted a prospective mixed-methods cohort study in rural Rwandan health centers to assess the performance of an infant warmer we designed for low-resource settings. All hypothermic infants were eligible for enrollment. Outcomes. Safety: incidence of adverse reactions. Effectiveness: attainment of euthermia, rate of temperature rise. Feasibility: correct use of warmer, signs of wear. Interviews of caregivers and nurses. Findings. Of 102 encounters, there were no adverse reactions. Of 80 encounters for hypothermia when infants on warmer for ≥1 hour, 79 achieved euthermia; 73 in ≤2 hours. Of the 80 encounters, 64 had temperature rise ≥0.5°C/h. Of the 102 encounters, there were no instances of the warmer being prepared, used, or cleaned incorrectly. Five out of the 12 warmers exhibited wear. Interview participants were predominantly positive; some found time for readiness of warmer challenging. Interpretation. The warmer performed well. It is appropriate to study in larger scale.},
doi = {10.1177/2333794X19884820},
journal = {Global Pediatric Health},
number = ,
volume = 6,
place = {United States},
year = {Thu Oct 24 00:00:00 EDT 2019},
month = {Thu Oct 24 00:00:00 EDT 2019}
}
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Journal Article:
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Publisher's Version of Record
https://doi.org/10.1177/2333794X19884820
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Figure 1 Figure 1: Infant warmer.
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