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Measuring coverage ...
Measuring coverage and quality of supportive care for inpatient neonatal infections : EN-BIRTH multi-country validation study
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- Hossain, Aniqa T. (författare)
- Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
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- Ameen, Shafiqul (författare)
- Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
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- Salim, Nahya (författare)
- Muhimbili Univ Hlth & Allied Sci MUHAS, Muhimbili, Tanzania.
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- KC, Ashish, 1982- (författare)
- Uppsala universitet,Internationell barnhälsa och nutrition
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- Ruysen, Harriet (författare)
- London Sch Hyg & Trop Med, London, England.
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- Tahsina, Tazeen (författare)
- Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
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- Ahmed, Anisuddin (författare)
- Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
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- Rahman, Md Hafizur (författare)
- Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
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- Mhajabin, Shema (författare)
- Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
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- Jabeen, Sabrina (författare)
- Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
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- Peven, Kimberly (författare)
- London Sch Hyg & Trop Med, London, England.
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- Kong, Stefanie (författare)
- London Sch Hyg & Trop Med, London, England.
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- Day, Louise T. (författare)
- London Sch Hyg & Trop Med, London, England.
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- Nisar, Yasir B. (författare)
- WHO, Geneva, Switzerland.
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- Assenga, Evelyne (författare)
- London Sch Hyg & Trop Med, London, England.
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- Qazi, Shamim A. (författare)
- WHO, Geneva, Switzerland.
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- Rahman, Qazi S-U (författare)
- Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
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- El Arifeen, Shams (författare)
- Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
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- Rahman, Ahmed E. (författare)
- Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.
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- Lawn, Joy E. (författare)
- London Sch Hyg & Trop Med, London, England.
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Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh Muhimbili Univ Hlth & Allied Sci MUHAS, Muhimbili, Tanzania. (creator_code:org_t)
- 2022-04-30
- 2022
- Engelska.
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Ingår i: Journal of Global Health. - : International Global Health Society. - 2047-2978 .- 2047-2986. ; 12
- Relaterad länk:
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https://doi.org/10.7...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.7...
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Abstract
Ämnesord
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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
- 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)
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- 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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Journal of Globa ...
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Uppsala universitet