Understanding the significance of the social determinants of health on the outcome of complicated surgical neonates at Red Cross War Memorial Children's Hospital

Master Thesis


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University of Cape Town

The United Nations Millennium Declaration conference held in September of 2000, set key Millennium Development Goals. Millennium Development Goal 4 requires a reduction in the mortality rate of children under the age of five years by two-thirds by the year 2015, from a baseline in 1990. In South Africa, it has been recognised that without a substantial reduction in neonatal deaths, MDG-4 will not be met. This study will focus on the social determinants of health which play a key role in neonatal outcome in South Africa. It will evaluate the effects of these social determinants of health (Primary caregiver's education level, Primary caregiver's age, and Living Standards Measure) on the outcome of neonates admitted to, and operated on, in the general surgery unit of Red Cross War Memorial Children's Hospital (RCWMCH), within the Western Cape, South Africa. This study is based on the hypothesis that there is an association between Neonatal outcome, and a selection of social variables, namely: primary caregiver's level of education, primary caregiver' age, and LSM. The protocol (Part A) describes the sampling methodology that was used during the intervention. This will be followed by a literature review (Part B), Article (Part C), and Appendix (Part D).

Includes bibliographical references.