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  • Kozuki, NaokoDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA (author)

A systematic review of community-to-facility neonatal referral completion rates in Africa and Asia

  • Article/chapterEnglish2015

Publisher, publication year, extent ...

  • 2015-09-30
  • Springer Science and Business Media LLC,2015
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-264170
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-264170URI
  • https://doi.org/10.1186/s12889-015-2330-0DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:132040211URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:for swepub-publicationtype

Notes

  • BACKGROUND: An estimated 2.8 million neonatal deaths occur annually worldwide. The vulnerability of newborns makes the timeliness of seeking and receiving care critical for neonatal survival and prevention of long-term sequelae. To better understand the role active referrals by community health workers play in neonatal careseeking, we synthesize data on referral completion rates for neonates with danger signs predictive of mortality or major morbidity in low- and middle-income countries.METHODS: A systematic review was conducted in May 2014 of the following databases: Medline-PubMed, Embase, and WHO databases. We also searched grey literature. In addition, an investigator group was established to identify unpublished data on newborn referral and completion rates. Inquiries were made to the network of research groups supported by Save the Children's Saving Newborn Lives project and other relevant research groups.RESULTS: Three Sub-Saharan African and five South Asian studies reported data on community-to-facility referral completion rates. The studies varied on factors such as referral rates, the assessed danger signs, frequency of home visits in the neonatal period, and what was done to facilitate referrals. Neonatal referral completion rates ranged from 34 to 97 %, with the median rate of 74 %. Four studies reported data on the early neonatal period; early neonatal completion rates ranged from 46 to 97 %, with a median of 70 %. The definition of referral completion differed by studies, in aspects such as where the newborns were referred to and what was considered timely completion.CONCLUSIONS: Existing literature reports a wide range of neonatal referral completion rates in Sub-Saharan Africa and South Asia following active illness surveillance. Interpreting these referral completion rates is challenging due to the great variation in study design and context. Often, what qualifies as referral and/or referral completion is poorly defined, which makes it difficult to aggregate existing data to draw appropriate conclusions that can inform programs. Further research is necessary to continue highlighting ways for programs, governments, and policymakers to best aid families in low-resource settings in protecting their newborns from major health consequences.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Guenther, TanyaSave the Children, Washington, DC, USA (author)
  • Vaz, LaraSave the Children, Washington, DC, USA (author)
  • Moran, AllisynSave the Children, Washington, DC, USA (author)
  • Soofi, Sajid BAga Khan University, Karachi, Pakistan (author)
  • Kayemba, Christine NalwaddaMakerere University College of Health Sciences School of Public Health, Kampala, Uganda (author)
  • Peterson, Stefan,1962-Karolinska Institutet,Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),Persson(Swepub:uu)stefanps (author)
  • Bhutta, Zulfiqar ACenter of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan (author)
  • Khanal, SudhirMorang Innovative Neonatal Intervention/John Snow Inc. Research and Training Institute, Kathmandu, Nepal (author)
  • Tielsch, James MDepartment of Global Health, George Washington University Milken Institute School of Public Health, Washington, DC, USA (author)
  • Doherty, TanyaHealth Systems Research Unit, South African Medical Research Council, Parow, Cape Town, South Africa (author)
  • Nsibande, DuduzileHealth Systems Research Unit, South African Medical Research Council, Durban, South Africa (author)
  • Lawn, Joy EMaternal Reproductive and Child Health (MARCH) Center, London School of Hygiene and Tropical Medicine, London, UK (author)
  • Wall, StephenSave the Children, Washington, DC, USA (author)
  • Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USASave the Children, Washington, DC, USA (creator_code:org_t)

Related titles

  • In:BMC Public Health: Springer Science and Business Media LLC15:1, s. 989-1471-2458

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