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LATEST REPORT on the reduction of NEONATAL MORTALITY in Nigeria by the committee of CMDs/MDs of tertiary hospitals

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The impact of initial-setpoint prediction tool for neonatal temperature control by Adesina et al 2016:

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DR PETER ALABI completes his tenure as the Chairman of the Committee of Chief Executives of Federal Tertiary Health Institutions [CCEFTHI] of Nigeria. The compelling assessment of his commitment towards NEWBORN survival in Nigeria has been presented HERE

What is the ISA?

The Initial Setpoint Algorithm [ISA] is a newly developed technique used to control neonate's body temperature within the first hour of initiating neonatal nursing. University of Abuja Teaching Hospital UATH currently reports that the combination of ISA and the Handy-approach has led to the reduction of neonatal mortality rate (NNMR) of extremely low birthweight neonates from 484/1000 to less than 10/1000. More...

Prof Akin Osibogun

Professor Akin Osibogun publishes his experience as LUTH's chief executive officer in his new book: "My Life, My Medicine - A chief medical director's story. He rightly captured the huge impact we made in his hospital. excerpts: 



What is the ‘Handy-Approach' ?

The care of extremely low birthweight (ELBW, <1000g) and extremely premature (<30 weeks gestation) neonates has been the most challenging and difficult aspect of special-care-baby-unit (scbu) practice in nigeria. these class newborns rarely survive, primarily due to extremely inadequate thermoneutral control widespread infection> ).

The handy-approach is based on a flowchart that helps the clinician or nurse to navigate the neonate’s thermal circumstances, following defined guidelines to stabilize this within the physiologically allowable safe-zone.

Neonatal hyperthermia and thermal stress in low- and middle-income countries: a hidden cause of death in extremely low-birthweight neonates.

This is our latest journal publication in Paediatrics and international Child Health (PCH) has investigated the impact of the handy-approach and how this has assisted to drastically reduce the high mortality of ELBW neonates in a typical Nigerian SCBU applying it.

In the study, a referral hospital that could not previously provide any record of a single survival in a 24-months data coverage prior to the adoption of the Handy-approach (from April 2011 to March 2013), was later able to demonstrate better skills with the Handy-Approach as a total of six survivors emerged from only 6-months of data coverage (from January to August 2014).

The article can be downloaded free from:



FMC Owerri makes history with the Handy-approach flowchart

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