Impact of a ROP mentoring program in rural regions of Colombia

Autores organización

• Alexandra Porras Ramirez

  Autor

Autores

• Zuluaga-Botero C.
• Solano J.M.
• Serrano-Calderon C.
• Mestra M.
• Rojas M.C.
• Moreno-Montoya J.
• Trujillo-Trujillo J.
• Silva J.C.
• Gilbert C.

Unidades de investigación

• Esclerosis múltiple y otros trastornos neurológicos

  Investigador

  Jaime Toro Gomez

• Grupo de Investigación Medicina Materno Fetal y Ginecología - El Bosque MMFG-EB

  Investigador

  Ximena Carolina Romero Infante

• Medicina Comunitaria y Salud Colectiva

  Investigador principal

  Alexandra Porras Ramirez

• Saneamiento Ecológico, Salud y Medio Ambiente

  

  Investigador

  Diana Marcela Sarmiento Senior

Resumen

Purpose: To assess the impact of a retinopathy of prematurity (ROP) mentoring program in four rural regions with 31 neonatal units in Colombia between 2011 and 2019. Methods: Indicators recommended by the national program were used for assessment: screening coverage of eligible preterm newborns, proportion screened with any stage of ROP, and proportion of screened infants treated. Data were also collected on the number of units with ROP services and birth weight (BW) and gestational age (GA) of babies treated. Data on the number of preterm births, BWs of infants screened, and their ROP status (any/none) were extracted from the national health information system. Ophthalmologists in each region provided data on the number screened and treated. A linear-by-linear statistic was used to assess trends in the indicators before and during mentoring. Results: Of the 31 neonatal units, the number providing ROP services increased from 7 (23%) to 26 (84%). The number of eligible infants born in the four regions (total 33,521) was stable over the study period, the proportion screened increased from 14% to 41%, the proportion of those screened who were found to have any ROP tended to decrease over time, and the proportion of those screened who were treated declined from 9% to 3%, with some regional variation. By year 3 no infant with a BW =2000 g or GA of >36 weeks was treated. Conclusions: In our study, mentoring rural providers proved a valuable strategy for inducing new screening programs, increasing coverage, and improving local capacities in neonatal care and ROP services. © 2024 American Association for Pediatric Ophthalmology and Strabismus

Keywords

• Birth Weight; Colombia; Female; Gestational Age; Humans; Infant, Newborn; Infant, Premature; Male; Mentoring; Neonatal Screening; Retinopathy of Prematurity; Rural Population; analytical research; Article; baby; birth weight; child health care; Colombia; data collection method; data extraction; education program; gestational age; health care quality; health insurance; human; infant; major clinical study; medical education; medical information system; mentoring; neonatal intensive care unit; newborn; newborn care; newborn screening; ophthalmologist; prematurity; retrolental fibroplasia; retrospective study; rural area; staging; total quality management; trend study; clinical trial; diagnosis; epidemiology; female; male; multicenter study; newborn screening; retrolental fibroplasia; rural population