Imperial College London
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Professor Hippolite Amadi, PhD FRSM FIMechE

Faculty of Engineering, Department of Bioengineering

Visiting Professor
 
 
 
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Contact

 

h.amadi Website CV

 
 
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Location

 

Royal School of MinesSouth Kensington Campus

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Summary

 

Publications

Citation

BibTex format

@inproceedings{Amadi:2013,
author = {Amadi, HO and Azubuike, JC and Adimora, GN and Osibogun, AO and Alabi, P and Uwakwem, AC},
title = {Unexplored success route to Nigeria’s MDG4 target on neonatal mortality},
url = {http://www.who.int/medical_devices/en/},
year = {2013}
}
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RIS format (EndNote, RefMan)

TY  - CPAPER
AB  - MDG4 targets two-third reduction in under-5-mortality rate (U5MR) by 2015. Since neonatal mortality accounts 40% of U5MR in Nigeria, any measure undertaken to improve newborn care contributes towards MDG4 target. Many years into MDG4 pursuit, Nigeria could not demonstrate significant progress in newborn survival, from Ibe’s (1993) ‘increasing-admission-delivery’ report to Ogunlesi et al’s (2008) ‘worsening-hypothermia-risks’. Inadequate neonatal transport to care-centres made premature babies arrive hypothermic. Extreme-low-birth-weight (<1500g) and extremely-preterm (<31weeks-GA) neonates would die without incubator care. A typical Nigerian newborn-centre could have 45 neonates on admission, of which 30 could be preterm. Such situation requires over 20 units functional incubators if the babies must survive. However, no Nigerian centre could demonstrate consistent availability of 4 functional incubators over a period of two years. Incubators were unaffordable and sophisticated, hence low-cost culturally-compliant models must be developed to tackle this fundamental deficiency for MDG4 to succeed.Outreach was initiated (2003) to: (i) devise the Recycled-Incubator-Technique (RIT), which applies generic components to convert carcasses into low-cost incubators, capable of 10 years of life. A cumulative 20 hospital newborn-centres were recruited and progressively expanded in incubator capacity using RIT-systems. (ii) Create centre-based research groups. (iii) Develop elective training courses that instruct clinicians/nurses. (iv) Train independent local artisans use local materials to produce spare parts. (v) Install power-banking and apnoea-monitoring systems. (v) Institute ½yearly failure-preventive and auditing services.Based on Amadi et al (2010) study, outreach reduced average neonatal mortality by 25% (from 254/1000 to 192/1000); boosted morale/confidence of nurses/clinicians by 79%; accelerated discharge by 19%; boos
AU  - Amadi,HO
AU  - Azubuike,JC
AU  - Adimora,GN
AU  - Osibogun,AO
AU  - Alabi,P
AU  - Uwakwem,AC
PY  - 2013///
TI  - Unexplored success route to Nigeria’s MDG4 target on neonatal mortality
UR  - http://www.who.int/medical_devices/en/
ER  -
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