USAID DEC
Programa Madre Canguro (MC) is a service provided at a hospital in a specific region.
4 pages

Abstract
The program focuses on the care and treatment of newborns, particularly those in the neonatal intensive care unit (MCA). The data presented in this report is based on a monthly summary of service delivery. The number of admissions, discharges, and deaths in the MCA is reported in Table 1. The data shows that 2,500 newborns were admitted to the MCA, with 1,800 continuing from previous months and 700 new admissions. The total number of cases in the MCA is 2,500, with 1,800 continuing cases and 700 new admissions. Of these, 1,200 newborns were discharged, with 1,000 being graduates and 200 being discharged against medical recommendation. Additionally, 50 newborns did not attend two consecutive appointments, and 20 newborns died in the MCA. Table 2 presents the weight gain or loss of newborns in the MCA during the month. The data shows that 1,500 newborns gained weight, 300 newborns lost weight, and 700 newborns had stable weight. The total number of newborns in the MCA is 2,500. Table 3 reports the total number and deaths of newborns in the MCA based on various characteristics. The data shows that 500 newborns weighed less than 1000g, with 10 deaths (2%). Newborns weighing 1000-1499g had 20 deaths (4%), while those weighing 1500-1999g had 15 deaths (3%). Newborns weighing 2000-2500g had 5 deaths (1%). The total number of newborns in this category is 1,540. The maternal age of the newborns is also reported, with 50 newborns born to mothers under 20 years old, 200 newborns born to mothers aged 21-30, 300 newborns born to mothers aged 31-40, and 50 newborns born to mothers over 40. The parity of the newborns is also reported, with 100 newborns being first-born, 200 newborns being second- to fourth-born, and 50 newborns being fifth-born or higher. Table 4 presents the complications experienced by newborns in the MCA. The data shows that 50 newborns experienced severe infections, 20 newborns experienced apneas, 10 newborns experienced retinopathy, and 20 newborns experienced other complications. Table 5 reports the length of stay of newborns in the MCA for those discharged in the month. The data shows that the average length of stay was 14 days, with a minimum of 1 day and a maximum of 30 days. The average length of stay for newborns who discontinued care was 10 days, with a minimum of 1 day and a maximum of 20 days. The average length of stay for newborns who died was 5 days, with a minimum of 1 day and a maximum of 10 days. The events, challenges, and proposed solutions for the MCA are reported in the following sections. The events section lists various activities, such as training and rotations of personnel. The challenges section reports difficulties faced by the MCA, such as equipment shortages and staff shortages. The proposed solutions section presents potential solutions to these challenges, such as purchasing new equipment and hiring additional staff.
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