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Measuring coverage ...
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Hossain, Aniqa T.Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
(författare)
Measuring coverage and quality of supportive care for inpatient neonatal infections : EN-BIRTH multi-country validation study
- Artikel/kapitelEngelska2022
Förlag, utgivningsår, omfång ...
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2022-04-30
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International Global Health Society,2022
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-475179
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-475179URI
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https://doi.org/10.7189/jogh.12.04029DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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Background: An estimated 7 million episodes of severe newborn infections occur annually worldwide, with half a million newborn deaths, most oc-curring in low-and middle-income countries. Whilst injectable antibiotics are necessary to treat the infection, supportive care is also crucial in ending preventable mortality and morbidity. This study uses multi-country data to assess gaps in coverage, quality, and documentation of supportive care, considering implications for measurement.Methods: The EN-BIRTH study was conducted in five hospitals in Bangla-desh, Nepal, and Tanzania (July 2017-July 2018). Newborns with an ad-mission diagnosis of clinically-defined infection (sepsis, meningitis, and/or pneumonia) were included. Researchers extracted data from inpatient case notes and interviews with women (usually the mothers) as the primary fam-ily caretakers after discharge. The interviews were conducted using a struc-tured survey questionnaire. We used descriptive statistics to report coverage of newborn supportive care components such as oxygen use, photothera-py, and appropriate feeding, and we assessed the validity of measurement through survey-reports using a random-effects model to generate pooled estimates. In this study, key supportive care components were assessment and correction of hypoxaemia, hyperbilirubinemia, and hypoglycaemia.Results: Among 1015 neonates who met the inclusion criteria, 89% had an admission clinical diagnosis of sepsis. Major gaps in documentation and care practices related to supportive care varied substantially across the par-ticipating hospitals. The pooled sensitivity was low for the survey-reported oxygen use (47%; 95% confidence interval (CI) = 30%-64%) and moderate for phototherapy (60%; 95% CI = 44%-75%). The pooled specificity was high for both the survey-reported oxygen use (85%; 95% CI = 80%-89%) and phototherapy (91%; 95% CI = 82%-97%).Conclusions: The women's reports during the exit survey consistently un-derestimated the coverage of supportive care components for managing infection. We have observed high variability in the inpatient documents across facilities. A standardised ward register for inpatient small and sick newborn care may capture selected supportive care data. However, tracking the detailed care will require standardised individual-level data sets linked to newborn case notes. We recommend investments in assessing the im-plementation aspects of a standardised inpatient register in resource-poor settings.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Ameen, ShafiqulInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
(författare)
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Salim, NahyaMuhimbili Univ Hlth & Allied Sci MUHAS, Muhimbili, Tanzania.
(författare)
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KC, Ashish,1982-Uppsala universitet,Internationell barnhälsa och nutrition(Swepub:uu)ashka967
(författare)
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Ruysen, HarrietLondon Sch Hyg & Trop Med, London, England.
(författare)
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Tahsina, TazeenInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
(författare)
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Ahmed, AnisuddinInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
(författare)
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Rahman, Md HafizurInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
(författare)
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Mhajabin, ShemaInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
(författare)
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Jabeen, SabrinaInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
(författare)
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Peven, KimberlyLondon Sch Hyg & Trop Med, London, England.
(författare)
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Kong, StefanieLondon Sch Hyg & Trop Med, London, England.
(författare)
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Day, Louise T.London Sch Hyg & Trop Med, London, England.
(författare)
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Nisar, Yasir B.WHO, Geneva, Switzerland.
(författare)
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Assenga, EvelyneLondon Sch Hyg & Trop Med, London, England.
(författare)
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Qazi, Shamim A.WHO, Geneva, Switzerland.
(författare)
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Rahman, Qazi S-UInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
(författare)
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El Arifeen, ShamsInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
(författare)
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Rahman, Ahmed E.Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
(författare)
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Lawn, Joy E.London Sch Hyg & Trop Med, London, England.
(författare)
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Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.Muhimbili Univ Hlth & Allied Sci MUHAS, Muhimbili, Tanzania.
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of Global Health: International Global Health Society122047-29782047-2986
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Till lärosätets databas
- Av författaren/redakt...
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Hossain, Aniqa T ...
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Ameen, Shafiqul
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Salim, Nahya
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KC, Ashish, 1982 ...
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Ruysen, Harriet
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Tahsina, Tazeen
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visa fler...
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Ahmed, Anisuddin
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Rahman, Md Hafiz ...
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Mhajabin, Shema
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Jabeen, Sabrina
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Peven, Kimberly
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Kong, Stefanie
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Day, Louise T.
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Nisar, Yasir B.
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Assenga, Evelyne
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Qazi, Shamim A.
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Rahman, Qazi S-U
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El Arifeen, Sham ...
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Rahman, Ahmed E.
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Lawn, Joy E.
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visa färre...
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Uppsala universitet