TY - JOUR
T1 - Factors Influencing the Implementation of Infant Warming Devices Among Healthcare Workers in Malawian Hospitals
AU - Nyondo-Mipando, Alinane Linda
AU - Woo Kinshella, Mai Lei
AU - Salimu, Sangwani
AU - Chiwaya, Brandina
AU - Chikoti, Felix
AU - Chirambo, Lusungu
AU - Mwaungulu, Ephrida
AU - Banda, Mwai
AU - Hiwa, Tamanda
AU - Vidler, Marianne
AU - Molyneux, Elizabeth M.
AU - Dube, Queen
AU - Mfutso-Bengo, Joseph
AU - Goldfarb, David M.
AU - Kawaza, Kondwani
PY - 2024/1/1
Y1 - 2024/1/1
N2 - Objectives. Preterm infants are at risk of hypothermia. This study described the available infant warming devices (IWDs) and explored the barriers and facilitators to their implementation in neonates in Malawi. Methods. A qualitative descriptive study was conducted among 19 health care workers in Malawi from January to March 2020. All interviews were digitally recorded, transcribed, and managed using NVivo and analyzed using a thematic approach. Results. The warming devices included radiant warmers, Blantyre hot-cots, wall-mounted heaters, portable warmers, and incubators. Inadequate equipment and infrastructure and gaps in staff knowledge and capacity were reported as the main challenges to optimal IWD implementation. Caregiver acceptance was described as the main facilitator. Strategies to optimize implementation of IWD included continuous practical training and adequate availability of equipment and spare parts. Conclusion. Implementation of warming devices for the management of neonatal hypothermia is effective when there are adequate human and material resources.
AB - Objectives. Preterm infants are at risk of hypothermia. This study described the available infant warming devices (IWDs) and explored the barriers and facilitators to their implementation in neonates in Malawi. Methods. A qualitative descriptive study was conducted among 19 health care workers in Malawi from January to March 2020. All interviews were digitally recorded, transcribed, and managed using NVivo and analyzed using a thematic approach. Results. The warming devices included radiant warmers, Blantyre hot-cots, wall-mounted heaters, portable warmers, and incubators. Inadequate equipment and infrastructure and gaps in staff knowledge and capacity were reported as the main challenges to optimal IWD implementation. Caregiver acceptance was described as the main facilitator. Strategies to optimize implementation of IWD included continuous practical training and adequate availability of equipment and spare parts. Conclusion. Implementation of warming devices for the management of neonatal hypothermia is effective when there are adequate human and material resources.
KW - infant warming devices
KW - neonatal hypothermia
KW - preterm births
U2 - 10.1177/2333794x241248982
DO - 10.1177/2333794x241248982
M3 - Article
SN - 2333-794X
VL - 11
JO - Global Pediatric Health
JF - Global Pediatric Health
ER -
