ObjectiveTo present information on the quality of newborn care services and health facility readiness to provide newborn care in 6 African countries, and to advocate for the improvement of providers' essential newborn care knowledge and skills.DesignCross-sectional observational health facility assessment.SettingEthiopia, Kenya, Madagascar, Mozambique, Rwanda and Tanzania.ParticipantsHealth workers in 643 facilities. 1016 health workers were interviewed, and 2377 babies were observed in the facilities surveyed.Main outcome measuresIndicators of quality of newborn care included (1) provision of immediate essential newborn care: thermal care, hygienic cord care, and early and exclusive initiation of breast feeding; (2) actual and simulated resuscitation of asphyxiated newborn infants; and (3) knowledge of health workers on essential newborn care, including resuscitation.ResultsSterile or clean cord cutting instruments, suction devices, and tables or firm surfaces for resuscitation were commonly available. 80% of newborns were immediately dried after birth and received clean cord care in most of the studied facilities. In all countries assessed, major deficiencies exist for essential newborn care supplies and equipment, as well as for health worker knowledge and performance of key routine newborn care practices, particularly for immediate skin-to-skin contact and breastfeeding initiation. Of newborns who did not cry at birth, 89% either recovered on their own or through active steps taken by the provider through resuscitation with initial stimulation and/or ventilation. 11% of newborns died. Assessment of simulated resuscitation using a NeoNatalie anatomic model showed that less than a third of providers were able to demonstrate ventilation skills correctly.ConclusionsThe findings shared in this paper call attention to the critical need to improve health facility readiness to provide quality newborn care services and to ensure that service providers have the necessary equipment, supplies, knowledge and skills that are critical to save newborn lives.

Intraspecific interference of sicklepod and interspecific interference between sicklepod and soybeans were investigated in field experiments in 1982 and 1983. Sicklepod growth and reproductive parameters were reduced as intraspecific spacing between plants decreased from 90 to 2.5 cm. Sicklepod plants growing intraspecifically were competing at spacings below 90 cm. Soybean plant heights were affected only slightly by sicklepod interference. Soybeans grew little in height from 35 to 84 days after emergence, while sicklepod plants continued to grow until they were 30 to 45 cm taller than the soybeans. Sicklepod plants spaced 10 and 30 cm apart in soybeans reduced soybean yield (25 to 35%) more than sicklepod spaced 90 cm apart. Sicklepod produced 900 to 2000 seeds per plant even when growth was restricted by interference from soybeans.

The influence of temperature and relative humidity on the activity of acifluorfen, fomesafen, lactofen, and acifluorfen plus bentazon on prickly sida, pitted and entireleaf morningglory, and common cocklebur was evaluated in a growth chamber. Reduced control of all species was observed at 50% relative humidity as compared to 85% relative humidity when temperatures were higher (32/55 C day/night). Similar response to relative humidity was observed at the lower temperature (25/15 C) when treatments were applied 14 days after emergence (DAE). Changes in temperature at the same relative humidity did not alter herbicidal activity. Delaying application timing from 7 to 14 DAE decreased control by all herbicides except lactofen applied at high relative humidity, which controlled prickly sida at both 7 and 14 DAE.

Experiments were conducted in the greenhouse and growth chamber to evaluate competitive mechanisms of soybean and common cocklebur during seedling growth. Soybean was approximately 1.5 to 2 times taller and was more competitive aboveground than common cocklebur during the first few weeks of growth. Common cocklebur had an approximate 20 to 50% finer root system and was more competitive belowground than soybean during early growth.

Field experiments were conducted using a stale seedbed production system to determine the effect of herbicide application time on preplant, preplant incorporated (PPI), and at-planting treatments on weed control and soybean yield. Herbicides were applied on the surface preplant (PPL) or PPI at 6 to 7, 4 to 5, and 2 to 3 wk before planting and just prior to planting. The differences in weed control and soybean yield among years were due to rainfall patterns 2 wk after herbicide application and during the growing season. Preplant treatments applied 2 to 5 wk before planting generally controlled common cocklebur and pitted morningglory better than preplant treatments applied 6 to 7 wk before planting due to persistence of herbicide activity or treatments at planting due to a greater chance of obtaining adequate rainfall for herbicide activation, more uniform seedbed at planting, and larger weeds at application. Metribuzin plus chlorimuron was less suited than imazaquin as a preplant treatment when applied more than 2 weeks before planting.