Galang, A. Z. A. (2014). Scaling up newborn care in Kalinga provincial hospital (Unpublished master's thesis). Graduate School of Public and Development Management, Development Academy of the Philippines.

Graduate School of Public and Development Management Health Systems and Development Batch 4 Thesis (MPM-HSD)--Development Academy of the Philippines.

High neonatal mortality continues to be a problem both in the community and hospital setting all across the county. This is no alien situation in Kalinga Provincial Hospital hence the need to study the factors contributing to poor neonatal care and implement actions to address these factors in order to improve newborn care in the hospital. Three main data gathering tools were used namely, Neonatal Death Profiling, a document review of the charts of the neonatal deaths in the hospital in 2013; a Time Motion Study which determined the turnaround time of Complete Blood Count with Platelet Count and Toxic Granules Determination, and Neonatal Death Review as source of expert opinion on the factors contributing to the death of the neonates reviewed as well as their recommendations. In analyzing the result of the charts review, as was done in a study by Drummond in 2007, the causes of death were classified into three profiles, the "Preventable" Deaths, the "Difficult to Prevent" Deaths, and the "Preterm Deaths". The result of the profiling done showed that majority of the hospital deaths can be classified as preventable. The deaths due to birth asphyxia secondary to malpresentation, meconium aspiration and macrosomia could have been prevented by an early detection of the state of the mother and baby during labor and delivery. It was also of note that no partograph were used in monitoring of labor in the hospital. The other pertinent cause of death was from infectious causes which are associated with the poor practice of aseptic technique during labor and delivery and the mixing of septic, potentially septic and well babies in the ward. Essential Intrapartum Newborn Care was poorly implemented. The result of the Time Motion Study have shown that the turnaround time for a Complete Blood Count with Plate Count and Toxic Granules determination was at an average of 15 hours which was longer than the ideal turnaround time set by the College of American Pathologists which 1 hour. After having identified these factors contributing to poor newborn care, a training for hospital personnel on photograph notation and Essential Intrapartum Newborn Care in Kalinga Provincial Hospital was also developed specially tailored to address the lags identified. Because of the seen utility of studying the deaths, monthly conduct of Hospital Based Neonatal Death Review was institutionalized. These collective actions were all set to scale up newborn care in Kalinga Provincial Hospital.