title: Introduction of newborn care within integrated community case management in Uganda.
abstract: Uganda's Ministry of Health, together with partners, has introduced integrated community case management (iCCM) for children under 5 years. We assessed how the iCCM program addresses newborn care in three midwestern districts through document reviews, structured interviews, and focus group discussions with village health team (VHT) members trained in iCCM, caregivers, and other stakeholders. Almost all VHT members reported that they refer sick newborns to facilities and could identify at least three newborn danger signs. However, they did not identify the most important clinical indicators of severe illness. The extent of compliance with newborn referral and quality of care for newborns at facilities is not clear. Overall iCCM is perceived as beneficial, but caregivers, VHTs, and health workers want to do more for sick babies at facilities and in communities. Additional research is needed to assess the ability of VHTs to identify newborn danger signs, referral compliance, and quality of newborn treatment at facilities.
authors.forename: Christine
authors.initials: C
authors.lastname: Nalwadda Kayemba
authors.forename: Hanifah
authors.initials: H
authors.lastname: Naamala Sengendo
authors.forename: James
authors.initials: J
authors.lastname: Ssekitooleko
authors.forename: Kate
authors.initials: K
authors.lastname: Kerber
authors.forename: Karin
authors.initials: K
authors.lastname: Källander
authors.forename: Peter
authors.initials: P
authors.lastname: Waiswa
authors.forename: Patrick
authors.initials: P
authors.lastname: Aliganyira
authors.forename: Tanya
authors.initials: T
authors.lastname: Guenther
authors.forename: Nathalie
authors.initials: N
authors.lastname: Gamache
authors.forename: Clare
authors.initials: C
authors.lastname: Strachan
authors.forename: Charles
authors.initials: C
authors.lastname: Ocan
authors.forename: Godfrey
authors.initials: G
authors.lastname: Magumba
authors.forename: Helen
authors.initials: H
authors.lastname: Counihan
authors.forename: Anthony K
authors.initials: AK
authors.lastname: Mbonye
authors.forename: David R
authors.initials: DR
authors.lastname: Marsh
mesh_terms: D017028:Caregivers; D019090:Case Management; D003153:Community Health Services; D003150:Community Health Workers; D003430:Cross-Sectional Studies; D005260:Female; D017144:Focus Groups; D006801:Humans; D007224:Infant Care; D007231:Infant, Newborn; D008297:Male; D012424:Rural Population; D014454:Uganda