Guodong Ding, Yu Gao, Haidong Kan, Qiang Zeng, Chonghuai Yan, Fei Li, Fan Jiang, Philip J Landrigan, Ying Tian, Jun Zhang
Environmental exposure and child health in China
Environment international
recent reports global trends neonatal mortality continue show alarmingly slow progress improvements neonatal mortality rates subsaharan africa still lagging behind emphasised urgent need innovatively employ alternative solutions take account intricate complexities neonatal health health systems various strategies operate first paper empirically explored causes stagnating neonatal mortality uganda using dynamic synthesis methodology dsm approach paper completed last three stages dsm involved development quantitative simulation model using stella modelling software used statistical data populate model brainstorming sessions stakeholders iterations test validate model undertaken different strategies policy interventions could possibly lower neonatal mortality rates tested using whatif analysis sensitivity analysis used determine strategies could great impact neonatal mortality developed neonatal health simulation model neosim explore potential interventions could possibly improve neonatal health within health system context model four sectors namely population demand services health mothers choices clinical care tests effects various interventions validated number ugandan health practitioners including health education campaigns free delivery kits motorcycle coupons kangaroo mother care improving neonatal resuscitation labour management skills interventions improve mothers health ie targeting malaria anaemia tetanus among tested interventions package highest impact reducing neonatal mortality rates combination free delivery kits setting delivery services free motorcycle coupons take women hospital emergencies study presents system dynamics model broad integrated view neonatal health system facilitating deeper understanding current state constraints mitigated tool user friendly interface presents dynamic nature model using whatif scenarios thus enabling health practitioners discuss consequences effects various decisions key findings research show proposed interventions impact tested simulation experiments thereby generating policies interventions highest impact improved healthcare service delivery