KCH Neonatal Mixed Method Outcome Study

Neonatal mortality remains a significant challenge in Malawi, despite the country's success in reducing overall childhood mortality. We have identified significant gaps in infection control and routine neonatal care in tertiary facilities. As more childbirths are occurring in health facilities, it is crucial to identify areas for improvement and address these in each facility to enhance the quality of neonatal care. This study proposes a team-based approach to identifying areas for improvement with a high potential to significantly impact neonatal survival in surgical neonates. By including a wide range of individuals - from those working in the unit to providers interacting with the team to hospital leadership - we can design robust interventions with the potential for successful implementation and propagation. Our study proposes a reproducible model that other neonatal services or facilities may replicate. An additional benefit of a qualitative research-informed approach is empowering all team members to improve