A Newborn Clinical Audit Process for Kenyan Hospitals
Well conducted clinical audits allow health care workers to identify emerging trends and patterns of morbidity, mortality, modifiable factors and interventions to improve the quality of care and outcomes in health facilities.
For many years, clinical audits for maternal and perinatal care have been implemented through the Maternal and Perinatal Death Surveillance and Response (MPDSR). Information from this audit has made great strides in improving maternal and perinatal care and further development of relevant health policies. Although the MPDSR provides relevant information for maternal care, the perinatal aspects focus on stillbirths and the immediate care of the live newborn, leaving an information gap in the delivery of care to small and sick newborns.
Guided by the WHO guidelines, we developed a clinical audit tool to measure and provide feedback on the quality of hospital care provided to sick and small newborns during the first 28 days of life. Clinical audits provide a systematic framework for monitoring gaps in the care provided with the goal of improving quality of care in a collaborative way.
By July 2021, all NEST sites were trained on completion of the audit cycle, understanding complex health systems and conducting a root cause analysis.