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EN-BIRTH multi-coun...
EN-BIRTH multi-country validation study : EN-BIRTH multi-country validation study
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- Tahsina, Tazeen (author)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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- Hossain, Aniqa Tasnim (author)
- 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 (author)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England.
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- Rahman, Ahmed Ehsanur (author)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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- Day, Louise T. (author)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England.
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- Peven, Kimberly (author)
- 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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- Rahman, Qazi Sadeq-ur (author)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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- Khan, Jasmin (author)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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- Shabani, Josephine (author)
- Ifakara Hlth Inst IHI, Dept Hlth Syst Impact Evaluat & Policy, Dar Es Salaam, Tanzania.
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- KC, Ashish, 1982- (author)
- Uppsala universitet,Internationell barnhälsa och nutrition,Global hälsa - implementering och hållbarhet
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- Mazumder, Tapas (author)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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- Zaman, Sojib Bin (author)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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- Ameen, Shafiqul (author)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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- Kong, Stefanie (author)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England.
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- Amouzou, Agbessi (author)
- Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD USA.
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- Lincetto, Ornella (author)
- World Hlth Org, Geneva, Switzerland.
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- El Arifeen, Shams (author)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, 68 Shahid Tajuddin Ahmed Sarani, Dhaka, Bangladesh.
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- Lawn, Joy E. (author)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England.
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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
- English.
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In: BMC Pregnancy and Childbirth. - : BioMed Central (BMC). - 1471-2393 .- 1471-2393. ; 21:SUPPL
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Abstract
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- BackgroundImmediate newborn care (INC) practices, notably early initiation of breastfeeding (EIBF), are fundamental for newborn health. However, coverage tracking currently relies on household survey data in many settings. "Every Newborn Birth Indicators Research Tracking in Hospitals" (EN-BIRTH) was an observational study validating selected maternal and newborn health indicators. This paper reports results for EIBF.MethodsThe EN-BIRTH study was conducted in five public hospitals in Bangladesh, Nepal, and Tanzania, from July 2017 to July 2018. Clinical observers collected tablet-based, time-stamped data on EIBF and INC practices (skin-to-skin within 1h of birth, drying, and delayed cord clamping). To assess validity of EIBF measurement, we compared observation as gold standard to register records and women's exit-interview survey reports. Percent agreement was used to assess agreement between EIBF and INC practices. Kaplan Meier survival curves showed timing. Qualitative interviews were conducted to explore barriers/enablers to register recording.ResultsCoverage of EIBF among 7802 newborns observed for >= 1h was low (10.9, 95% CI 3.8-21.0). Survey-reported (53.2, 95% CI 39.4-66.8) and register-recorded results (85.9, 95% CI 58.1-99.6) overestimated coverage compared to observed levels across all hospitals. Registers did not capture other INC practices apart from breastfeeding. Agreement of EIBF with other INC practices was high for skin-to-skin (69.5-93.9%) at four sites, but fair/poor for delayed cord-clamping (47.3-73.5%) and drying (7.3-29.0%). EIBF and skin-to-skin were the most delayed and EIBF rarely happened after caesarean section (0.5-3.6%). Qualitative findings suggested that focusing on accuracy, as well as completeness, contributes to higher quality with register reporting.ConclusionsOur study highlights the importance of tracking EIBF despite measurement challenges and found low coverage levels, particularly after caesarean births. Both survey-reported and register-recorded data over-estimated coverage. EIBF had a strong agreement with skin-to-skin but is not a simple tracer for other INC indicators. Other INC practices are challenging to measure in surveys, not included in registers, and are likely to require special studies or audits. Continued focus on EIBF is crucial to inform efforts to improve provider practices and increase coverage. Investment and innovation are required to improve measurement.
Subject headings
- 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)
Keyword
- Birth
- Maternal
- Newborn
- Validity
- Survey
- Hospital records
- Health management systems
- Immediate newborn care
- Breastfeeding
- Skin-to-skin
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Tahsina, Tazeen
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Hossain, Aniqa T ...
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Ruysen, Harriet
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Rahman, Ahmed Eh ...
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Day, Louise T.
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Peven, Kimberly
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Rahman, Qazi Sad ...
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Khan, Jasmin
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Shabani, Josephi ...
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KC, Ashish, 1982 ...
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Mazumder, Tapas
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Zaman, Sojib Bin
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Ameen, Shafiqul
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Kong, Stefanie
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Amouzou, Agbessi
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Lincetto, Ornell ...
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El Arifeen, Sham ...
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Lawn, Joy E.
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MEDICAL AND HEAL ...
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BMC Pregnancy an ...
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Uppsala University