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Birthweight: EN-BIR...
Birthweight: EN-BIRTH multi-country validation study.
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- Kong, Stefanie (författare)
- London Sch Hyg & Trop Med LSHTM, Ctr Maternal Adolescent Reprod & Child Hlth MARCH, London, England.
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- Day, Louise T (författare)
- London Sch Hyg & Trop Med LSHTM, Ctr Maternal Adolescent Reprod & Child Hlth MARCH, London, England.
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- Zaman, Sojib Bin (författare)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, Dhaka, Bangladesh.
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visa fler...
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- Peven, Kimberly (författare)
- London Sch Hyg & Trop Med LSHTM, Ctr Maternal Adolescent Reprod & Child Hlth MARCH, London, England.;Kings Coll London, Florence Nightingale Fac Nursing Midwifery & Pal, London, England.
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- Salim, Nahya (författare)
- Muhimbili Univ Hlth & Allied Sci MUHAS, Dept Paediat & Child Hlth, Dar Es Salaam, Tanzania.;Ifakara Hlth Inst IHI, Dept Hlth Syst Impact Evaluat & Policy, Dar Es Salaam, Tanzania.
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- Sunny, Avinash K (författare)
- Golden Community, Lalitpur, Nepal.
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- Shamba, Donat (författare)
- Ifakara Hlth Inst IHI, Dept Hlth Syst Impact Evaluat & Policy, Dar Es Salaam, Tanzania.
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- Rahman, Qazi Sadeq-Ur (författare)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, Dhaka, Bangladesh.
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- KC, Ashish, 1982 (författare)
- Uppsala universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Internationell barnhälsa och nutrition,Global hälsa - implementering och hållbarhet
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- Ruysen, Harriet (författare)
- London Sch Hyg & Trop Med LSHTM, Ctr Maternal Adolescent Reprod & Child Hlth MARCH, London, England.
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- El Arifeen, Shams (författare)
- Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, Dhaka, Bangladesh.
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- Mee, Paul (författare)
- London Sch Hyg & Trop Med, Fac Epidemiol & Publ Hlth, Dept Infect Dis Epidemiol, London, England.
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- Gladstone, Miriam E (författare)
- London Sch Hyg & Trop Med LSHTM, Ctr Maternal Adolescent Reprod & Child Hlth MARCH, London, England.
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- Blencowe, Hannah (författare)
- London Sch Hyg & Trop Med LSHTM, Ctr Maternal Adolescent Reprod & Child Hlth MARCH, London, England.
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- Lawn, Joy E (författare)
- London Sch Hyg & Trop Med LSHTM, Ctr Maternal Adolescent Reprod & Child Hlth MARCH, London, England.
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visa färre...
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London Sch Hyg & Trop Med LSHTM, Ctr Maternal Adolescent Reprod & Child Hlth MARCH, London, England Int Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, Dhaka, Bangladesh. (creator_code:org_t)
- 2021-03-26
- 2021
- Engelska.
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Ingår i: BMC pregnancy and childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 21:Suppl 1
- Relaterad länk:
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https://bmcpregnancy...
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Accurate birthweight is critical to inform clinical care at the individual level and tracking progress towards national/global targets at the population level. Low birthweight (LBW) < 2500 g affects over 20.5 million newborns annually. However, data are lacking and may be affected by heaping. This paper evaluates birthweight measurement within the Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study.The EN-BIRTH study took place in five hospitals in Bangladesh, Nepal and Tanzania (2017-2018). Clinical observers collected time-stamped data (gold standard) for weighing at birth. We compared accuracy for two data sources: routine hospital registers and women's report at exit interview survey. We calculated absolute differences and individual-level validation metrics. We analysed birthweight coverage and quality gaps including timing and heaping. Qualitative data explored barriers and enablers for routine register data recording.Among 23,471 observed births, 98.8% were weighed. Exit interview survey-reported weighing coverage was 94.3% (90.2-97.3%), sensitivity 95.0% (91.3-97.8%). Register-reported coverage was 96.6% (93.2-98.9%), sensitivity 97.1% (94.3-99%). Routine registers were complete (> 98% for four hospitals) and legible > 99.9%. Weighing of stillbirths varied by hospital, ranging from 12.5-89.0%. Observed LBW rate was 15.6%; survey-reported rate 14.3% (8.9-20.9%), sensitivity 82.9% (75.1-89.4%), specificity 96.1% (93.5-98.5%); register-recorded rate 14.9%, sensitivity 90.8% (85.9-94.8%), specificity 98.5% (98-99.0%). In surveys, "don't know" responses for birthweight measured were 4.7%, and 2.9% for knowing the actual weight. 95.9% of observed babies were weighed within 1 h of birth, only 14.7% with a digital scale. Weight heaping indices were around two-fold lower using digital scales compared to analogue. Observed heaping was almost 5% higher for births during the night than day. Survey-report further increased observed birthweight heaping, especially for LBW babies. Enablers to register birthweight measurement in qualitative interviews included digital scale availability and adequate staffing.Hospital registers captured birthweight and LBW prevalence more accurately than women's survey report. Even in large hospitals, digital scales were not always available and stillborn babies not always weighed. Birthweight data are being captured in hospitals and investment is required to further improve data quality, researching of data flow in routine systems and use of data at every level.
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)
Nyckelord
- Adult
- Bangladesh
- epidemiology
- Birth Weight
- Data Accuracy
- Female
- Hospitals
- statistics & numerical data
- Humans
- Infant
- Low Birth Weight
- Infant
- Newborn
- Middle Aged
- Nepal
- epidemiology
- Perinatal Care
- organization & administration
- Pregnancy
- Prevalence
- Qualitative Research
- Quality Indicators
- Health Care
- statistics & numerical data
- Registries
- statistics & numerical data
- Sensitivity and Specificity
- Stillbirth
- Surveys and Questionnaires
- statistics & numerical data
- Tanzania
- epidemiology
- Time Factors
- Young Adult
- Birth
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Kong, Stefanie
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Day, Louise T
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Zaman, Sojib Bin
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Peven, Kimberly
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Salim, Nahya
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Sunny, Avinash K
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visa fler...
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Shamba, Donat
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Rahman, Qazi Sad ...
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KC, Ashish, 1982
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Ruysen, Harriet
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El Arifeen, Sham ...
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Mee, Paul
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Gladstone, Miria ...
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Blencowe, Hannah
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Lawn, Joy E
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Folkhälsovetensk ...
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BMC pregnancy an ...
- Av lärosätet
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Göteborgs universitet
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Uppsala universitet
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Karolinska Institutet