05/08/2026
Implementation research aimed at improving the quality and use of newborn and stillbirth data is a core component of the IMPULSE project—funded by the Paolo Chiesi Foundation and implemented by Doctors with Africa CUAMM in collaboration with the London School of Hygiene & Tropical Medicine, Makerere University, Ifakara Health Institute, and IRCCS Burlo Garofolo WHO Collaborating Centre.
Incomplete data and fragmented tools designed more for administrative reporting than for supporting healthcare professionals can undermine clinical data use and the delivery of high-quality neonatal care. To address this issue, the project designed and implemented neonatal case notes in the Central African Republic (CAR) and Tanzania.
Building on the challenges identified during formative work (IMPULSE Phase I), National Advisory Groups approved the co-design of neonatal case notes, including user-friendly neonatal admission, daily follow-up, referral and discharge forms. The case notes enable the real-time use of clinical information while streamlining data entry for routine health information systems (RHIS).
Frontline health workers used evidence to collaboratively design the content and format of the neonatal case notes in English and French. The pilot implementation, conducted in four first- and second-level referral hospitals and their networks in CAR and Tanzania, showed that the tools were feasible, acceptable and appropriate for use and improved data completeness.
By creating tools that work in real-world settings, we aim to inform stronger health systems and improve neonatal care. Because improving newborn survival starts with something fundamental: healthcare workers equipped with the right tools to make good clinical decisions using reliable data.