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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 ...

  • 2022-04-30
  • International Global Health Society,2022
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-475179
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-475179URI
  • https://doi.org/10.7189/jogh.12.04029DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • 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 ...)

  • Ameen, ShafiqulInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh. (författare)
  • Salim, NahyaMuhimbili Univ Hlth & Allied Sci MUHAS, Muhimbili, Tanzania. (författare)
  • KC, Ashish,1982-Uppsala universitet,Internationell barnhälsa och nutrition(Swepub:uu)ashka967 (författare)
  • Ruysen, HarrietLondon Sch Hyg & Trop Med, London, England. (författare)
  • Tahsina, TazeenInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh. (författare)
  • Ahmed, AnisuddinInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh. (författare)
  • Rahman, Md HafizurInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh. (författare)
  • Mhajabin, ShemaInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh. (författare)
  • Jabeen, SabrinaInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh. (författare)
  • Peven, KimberlyLondon Sch Hyg & Trop Med, London, England. (författare)
  • Kong, StefanieLondon Sch Hyg & Trop Med, London, England. (författare)
  • Day, Louise T.London Sch Hyg & Trop Med, London, England. (författare)
  • Nisar, Yasir B.WHO, Geneva, Switzerland. (författare)
  • Assenga, EvelyneLondon Sch Hyg & Trop Med, London, England. (författare)
  • Qazi, Shamim A.WHO, Geneva, Switzerland. (författare)
  • Rahman, Qazi S-UInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh. (författare)
  • El Arifeen, ShamsInt Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh. (författare)
  • Rahman, Ahmed E.Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh. (författare)
  • Lawn, Joy E.London Sch Hyg & Trop Med, London, England. (författare)
  • Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh.Muhimbili Univ Hlth & Allied Sci MUHAS, Muhimbili, Tanzania. (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Global Health: International Global Health Society122047-29782047-2986

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