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Chlorhexidine for f...
Chlorhexidine for facility-based umbilical cord care: EN-BIRTH multi-country validation study.
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- Zaman, Sojib Bin (författare)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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- Siddique, Abu Bakkar (författare)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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- Ruysen, Harriet (författare)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England.
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visa fler...
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- KC, Ashish, 1982 (författare)
- Uppsala universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Internationell barnhälsa och nutrition,Global hälsa - implementering och hållbarhet
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- Peven, Kimberly (författare)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England.;Kings Coll London, Florence Nightingale Fac Nursing Midwifery & Pall, London, England.
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- Ameen, Shafiqul (författare)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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- Thakur, Nishant (författare)
- Golden Community, Res Div, Lalitpur, Nepal.
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- Rahman, Qazi Sadeq-Ur (författare)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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- Salim, Nahya (författare)
- Muhimbili Univ Hlth & Allied Sci, Dept Paediat & Child Hlth, Dar Es Salaam, Tanzania.;Ifakara Hlth Inst, Dept Hlth Syst Impact Evaluat & Policy, Dar Es Salaam, Tanzania.
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- Gurung, Rejina (författare)
- Golden Community, Res Div, Lalitpur, Nepal.
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- Tahsina, Tazeen (författare)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.,London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England.
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- Rahman, Ahmed Ehsanur (författare)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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- Coffey, Patricia S (författare)
- PATH, Seattle, WA USA.
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- Rawlins, Barbara (författare)
- Jhpiego, Maternal & Child Survival Program, Baltimore, MD USA.
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Day, Louise T (författare)
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- Lawn, Joy E (författare)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England.
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- Arifeen, Shams El (författare)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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Rahman, QSu (författare)
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Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England. (creator_code:org_t)
- 2021-03-26
- 2021
- Engelska.
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Ingår i: BMC pregnancy and childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 21:Suppl 1
- Relaterad länk:
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https://bmcpregnancy...
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Umbilical cord hygiene prevents sepsis, a leading cause of neonatal mortality. The World Health Organization recommends 7.1% chlorhexidine digluconate (CHX) application to the umbilicus after home birth in high mortality contexts. In Bangladesh and Nepal, national policies recommend CHX use for all facility births. Population-based household surveys include optional questions on CHX use, but indicator validation studies are lacking. The Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) was an observational study assessing measurement validity for maternal and newborn indicators. This paper reports results regarding CHX.The EN-BIRTH study (July 2017-July 2018) included three public hospitals in Bangladesh and Nepal where CHX cord application is routine. Clinical-observers collected tablet-based, time-stamped data regarding cord care during admission to labour and delivery wards as the gold standard to assess accuracy of women's report at exit survey, and of routine-register data. We calculated validity ratios and individual-level validation metrics; analysed coverage, quality and measurement gaps. We conducted qualitative interviews to assess barriers and enablers to routine register-recording.Umbilical cord care was observed for 12,379 live births. Observer-assessed CHX coverage was very high at 89.3-99.4% in all 3 hospitals, although slightly lower after caesarean births in Azimpur (86.8%), Bangladesh. Exit survey-reported coverage (0.4-45.9%) underestimated the observed coverage with substantial "don't know" responses (55.5-79.4%). Survey-reported validity ratios were all poor (0.01 to 0.38). Register-recorded coverage in the specific column in Bangladesh was underestimated by 0.2% in Kushtia but overestimated by 9.0% in Azimpur. Register-recorded validity ratios were good (0.9 to 1.1) in Bangladesh, and poor (0.8) in Nepal. The non-specific register column in Pokhara, Nepal substantially underestimated coverage (20.7%).Exit survey-report highly underestimated observed CHX coverage in all three hospitals. Routine register-recorded coverage was closer to observer-assessed coverage than survey reports in all hospitals, including for caesarean births, and was more accurately captured in hospitals with a specific register column. Inclusion of CHX cord care into registers, and tallied into health management information system platforms, is justified in countries with national policies for facility-based use, but requires implementation research to assess register design and data flow within health information systems.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Adult
- Anti-Infective Agents
- Local
- administration & dosage
- Bangladesh
- Chlorhexidine
- administration & dosage
- analogs & derivatives
- Data Accuracy
- Female
- Humans
- Infant
- Newborn
- Neonatal Sepsis
- microbiology
- prevention & control
- Nepal
- Pregnancy
- Registries
- statistics & numerical data
- Surveys and Questionnaires
- statistics & numerical data
- Umbilical Cord
- drug effects
- microbiology
- surgery
- Young Adult
- Birth
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
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Zaman, Sojib Bin
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Siddique, Abu Ba ...
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Ruysen, Harriet
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KC, Ashish, 1982
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Peven, Kimberly
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Ameen, Shafiqul
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visa fler...
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Thakur, Nishant
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Rahman, Qazi Sad ...
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Salim, Nahya
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Gurung, Rejina
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Tahsina, Tazeen
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Rahman, Ahmed Eh ...
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Coffey, Patricia ...
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Rawlins, Barbara
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Day, Louise T
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Lawn, Joy E
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Arifeen, Shams E ...
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Rahman, QSu
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Folkhälsovetensk ...
- Artiklar i publikationen
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BMC pregnancy an ...
- Av lärosätet
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Göteborgs universitet
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Uppsala universitet
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Karolinska Institutet