<i>Mycoplasma genitalium</i> and Other Reproductive Tract Infections in Pregnant Women, Papua New Guinea, 2015–2017

Scoullar, Michelle J. L.; Boeuf, Philippe; Peach, Elizabeth; Fidelis, Ruth; Tokmun, Kerryanne; Melepia, Pele; Elijah, Arthur; Bradshaw, Catriona S; Fehler, Glenda; Siba, Peter; Erskine, Simon; Mokany, Elisa; Kennedy, Elissa; Umbers, Alexandra J.; Lüchters, Stanley; Robinson, Leanne J.; Wong, Nicholas C.; Vallely, Andrew; Badman, Steven G; Vallely, Lisa M; Fowkes, Freya J I; Morgan, Chris; Pomat, William; Crabb, Brendan S.; Beeson, James G.; Team, Healthy Mothers Healthy Babies Study

doi:10.3201/eid2703.201783

Cited by 14 publications

(8 citation statements)

References 40 publications

(57 reference statements)

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“…Rates of low-birth weight babies (< 2500 g) in East New Britain are slightly higher than the national average (7.3% vs 6.9%) [ 34 ]. Other local determinants of poorer newborn health outcomes include high rates of unintended pregnancy, low levels of family planning [ 35 ] and a high burden of reproductive tract infections [ 36 ]. In 2018, the year prior to commencement of this study, an early essential newborn care workshop was held in East New Britain with over 20 participants attending from various health facilities in East New Britain Province.…”

Section: Methodsmentioning

confidence: 99%

Quality newborn care in East New Britain, Papua New Guinea: measuring early newborn care practices and identifying opportunities for improvement

Wilson

Melepia

Suruka

et al. 2022

BMC Pregnancy Childbirth

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Background Renewed attention and investment is needed to improve the quality of care during the early newborn period to address preventable newborn deaths and stillbirths in Papua New Guinea (PNG). We aimed to assess early newborn care practices and identify opportunities for improvement in one province (East New Britain) in PNG. Methods A mixed-methods study was undertaken in five rural health facilities in the province using a combination of facility audits, labour observations and qualitative interviews with women and maternity providers. Data collection took place between September 2019 and February 2020. Quantitative data were analysed descriptively, whilst qualitative data were analysed using content analysis. Data were triangulated by data source. Results Five facility audits, 30 labour observations (in four of the facilities), and interviews with 13 women and eight health providers were conducted to examine early newborn care practices. We found a perinatal mortality rate of 32.2 perinatal deaths per 1000 total births and several barriers to quality newborn care, including an insufficient workforce, critical infrastructure and utility constraints, and limited availability of essential newborn medicines and equipment. Most newborns received at least one essential newborn care practice in the first hour of life, such as immediate and thorough drying (97%). Conclusions We observed high rates of essential newborn care practices including immediate skin-to-skin and delayed cord clamping. We also identified multiple barriers to improving the quality of newborn care in East New Britain, PNG. These findings can inform the development of effective interventions to improve the quality of newborn care. Further, this study demonstrates that multi-faceted programs that include increased investment in the health workforce, education and training, and availability of essential equipment, medicines, and supplies are required to improve newborn outcomes.

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Section: Methodsmentioning

confidence: 99%

Quality newborn care in East New Britain, Papua New Guinea: measuring early newborn care practices and identifying opportunities for improvement

Wilson

Melepia

Suruka

et al. 2022

BMC Pregnancy Childbirth

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“…Approximately, 60% of births occur in health facilities, above the PNG national average of 36% [22]. The province is similar to much of PNG in terms of disease profile and geography, including high rates of unintended pregnancy, low rates of contraception use [23], high burden of reproductive infections [24], and gaps in childhood immunization coverage [25]. East New Britain's mountainous interior renders some communities accessible only by walking tracks, and coastal villages generally only accessible by water.…”

Section: Study Design and Settingmentioning

confidence: 99%

Partnership-defined quality approach to companionship during labour and birth in East New Britain, Papua New Guinea: A mixed-methods study

Wilson

Melepia

Suruka

et al. 2022

PLOS Glob Public Health

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Companionship during labour and birth is a critical component of quality maternal and newborn care, resulting in improved care experiences and better birth outcomes. Little is known about the preferences and experiences of companionship in Papua New Guinea (PNG), and how it can be implemented in a culturally appropriate way. The aim of this study was to describe perspectives and experiences of women, their partners and health providers regarding labour and birth companionship, identify enablers and barriers and develop a framework for implementing this intervention in PNG health facilities. A mixed methods study was conducted with five facilities in East New Britain, PNG. Data included 5 facility audits, 30 labour observations and 29 in-depth interviews with women who had recently given birth, partners and maternity care providers. A conceptual framework was developed drawing on existing quality care implementation frameworks. Women and partners wanted companions to be present, whilst health providers had mixed views. Participants described benefits of companionship including encouragement and physical support for women, better communication and advocacy, improved labour outcomes and assistance with workforce issues. Adequate privacy and space constraints were highlighted as key barriers to address. Of the women observed, only 30% of women had a companion present during labour, and 10% had a companion at birth. A conceptual framework was used to highlight the interconnected inputs required at community, facility and provincial health system levels to improve the quality of care. Key elements to address included attitudes towards companionship, the need for education and training and restrictive hospital policies. Supporting women to have their companion of choice present during labour and birth is critical to improving women’s experiences of care and improving the quality of maternal and newborn care. In order to provide companionship during labour and birth in PNG, a complex, intersecting, multi-faceted approach is required.

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“…The prevalence of Mycoplasma genitalium (MG) among pregnant women is estimated to be about 1% in high-income countries, but as high as 12% in South Africa and Papua New Guinea 7 8. A systematic review was conducted to examine the associations between MG infections identified during pregnancy with adverse outcomes, including spontaneous abortion, preterm birth, premature rupture of membranes, low birth weight and perinatal death 9.…”

Section: Published In Sexually Transmitted Infections the Editor’s Ch...mentioning

confidence: 99%

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Tan¹,

Daskalopoulou

Thomson-Glover

2022

Sex Transm Infect

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Mycoplasma genitalium and Other Reproductive Tract Infections in Pregnant Women, Papua New Guinea, 2015–2017

Cited by 14 publications

References 40 publications

Quality newborn care in East New Britain, Papua New Guinea: measuring early newborn care practices and identifying opportunities for improvement

Quality newborn care in East New Britain, Papua New Guinea: measuring early newborn care practices and identifying opportunities for improvement

Partnership-defined quality approach to companionship during labour and birth in East New Britain, Papua New Guinea: A mixed-methods study

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