ナイジェリアの新生児死亡率の解決策は既存の技術革新にあるかもしれない(Solutions to Nigeria’s newborn mortality rate might lie in existing innovations)

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2024-08-14 インペリアル・カレッジ・ロンドン(ICL)

ナイジェリアの科学的進歩が政策立案者によって無視され、多くの新生児が救える命を失っていると、インペリアル・カレッジ・ロンドンのアマディ教授が指摘しています。ナイジェリアでは、低コストの新生児ケア技術が開発されましたが、その普及は主要都市に限られ、地方ではほとんど利用できません。教授は、これらの技術を全国的に採用し、乳児死亡率の低下を目指すべきだと訴えています。この問題は、他の低中所得国にも共通しているとされています。

<関連情報>

新生児対LMIC医学アカデミアのケース-死亡率の有意な減少を伴わない32年間の文献の陪審式システマティックレビュー
The case of the neonate vs. LMIC medical academia—a jury-style systematic review of 32 years of literature without significant mortality reduction

Hippolite O. Amadi,Ifeoluwa O. Abioye,Ukadike C. Ugbolue,Rhoda-Dara Ekpenyong,Nnamdi F. Ekwem,Ogechi J. Nwaneri,Chidiebere Dike
Frontiers in Pediatrics  Published:22 July 2024
DOI:https://doi.org/10.3389/fped.2024.1413113

ナイジェリアの新生児死亡率の解決策は既存の技術革新にあるかもしれない(Solutions to Nigeria’s newborn mortality rate might lie in existing innovations)

Introduction: The high neonatal mortality rate in low- and middle-income countries (LMICs) such as Nigeria has lasted for more than 30 years to date with associated nursing fatigue. Despite prominent hard work, technological improvements, and many publications released from the country since 1990, the problem has persisted, perhaps due to a lack of intervention scale-up. Could there be neglected discoveries unwittingly abandoned by Nigerian policymakers over the years, perhaps locked up in previous publications? A careful review may reveal these insights to alert policymakers, inspire researchers, and refocus in-country research efforts towards impactful directions for improving neonatal survival rates. The focus was to determine the prevailed effectiveness of LMIC medical academia in creating solutions to end the high neonatal mortality rate.

Methods: An unconventional systematic review protocol structure following the PRISMA 2020 checklist was designed and registered at INPLASY (registration number: INPLASY202380096, doi: 10.37766/inplasy2023.8.0096). A jury of paediatricians was assembled and observed by a team of legal professionals. The jury searched the literature from 1990 to the end of 2022, extracted newborn-related articles about Nigeria, and assessed and debated them against expected criteria for solution creation, translation, scale-up, sustainability, and national coverage. Each juror used preset criteria to produce a verdict on the possibility of a published novel idea being a potential game-changer for improving the survival rate of Nigerian neonates.

Results: A summation of the results showed that 19 out of 4,286 publications were assessed to possess potential strategies or interventions to reduce neonatal mortality. Fourteen were fully developed but not appropriately scaled up across the country, hence denying neonates proper access to these interventions.

Conclusion: Nigeria may already have the required game-changing ideas to strategically scale up across the nation to accelerate neonatal survival. Therefore, LMIC healthcare systems may have to look inward to strengthen what they already possess.

Systematic Review Registration: https://inplasy.com/, identifier (INPLASY202380096).

医療・健康
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