“Every Newborn-BIRTH” protocol: observational study validating indicators for coverage and quality of maternal and newborn health care in Bangladesh, Nepal and Tanzania

Day, Louise; Ruysen, Harriet; Gordeev, Vladimir Sergeevich; Gore-Langton, Georgia R.; Boggs, Dorothy; Cousens, Simon; Moxon, Sarah; Blencowe, Hannah; Baschieri, Angela; Rahman, Ahmed Ehsanur; Tahsina, Tazeen; Zaman, Sojib Bin; Hossain, Tanvir; Rahman, Qazi Sadeq-ur; Ameen, Shafiqul; Arifeen, Shams El; Kc, Ashish; Shrestha, Shree Krishna; Kc, Naresh Pratap; Singh, Dipendra Raman; Jha, Anjani Kumar; Jha, Bijay Kumar; Rana, Nisha; Basnet, Omkar; Joshi, Elisha; Paudel, Asmita; Shrestha, Prabhakar; Jha, Deepak Kumar; Bastola, Ram Chandra; Ghimire, Jagat Jeevan; Paudel, Rajendra; Salim, Nahya; Shamb, Donat; Manji, Karim; Shabani, Josephine; Shirima, Kizito; Mkopi, Namala; Mrisho, Mwifadhi; Manzi, Fatuma; Jaribu, Jennie; Kija, Edward; Assenga, Evelyne; Kisenge, Rodrick; Pembe, Andrea B.; Hanson, Claudia; Mbaruku, Godfrey; Masanja, Honorati; Amouzou, Agbessi; Azim, T; Jackson, Debra; Kabuteni, Theopista John; Mathai, Matthews; Monet, Jean-Pierre; Moran, Allisyn C.; Ram, Pavani K.; Rawlins, Barbara; Sæbø, Johan Ivar; Serbanescu, Florina; Vaz, Lara M. E.; Zaka, Nabila; Lawn, Joy E

doi:10.7189/jogh.09.010902

Cited by 44 publications

(84 citation statements)

References 50 publications

(85 reference statements)

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“…Sustainable Development Goals. KMC is one of the selected core coverage indicators currently being validated 20. The workshop group used the data pyramid 20 to discuss the way countries choose which indicators to measure and the levels of the health system at which to measure them.…”

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confidence: 99%

Strategies discussed at the XIIth international conference on Kangaroo mother care for implementation on a countrywide scale

Charpak¹,

Ángel²,

Banker

et al. 2020

Acta Paediatrica

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Aim: Building strategies for the country-level dissemination of Kangaroo mother care (KMC) to reduce the mortality rate in preterm and low birth weight babies and improve quality of life. KMC is an evidence-based healthcare method for these infants. However, KMC implementation at the global level remains low. Methods: The international network in Kangaroo mother brought 172 KMC professionals from 33 countries together for a 2-day workshop held in conjunction with the XIIth International KMC Conference in Bogota, Colombia, in November 2018. Participants worked in clusters to formulate strategies for country-level dissemination and scale-up according to seven pre-established objectives. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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confidence: 99%

Strategies discussed at the XIIth international conference on Kangaroo mother care for implementation on a countrywide scale

Charpak¹,

Ángel²,

Banker

et al. 2020

Acta Paediatrica

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“…Yet these new analyses show that many facilities do not have the basic infrastructure, equipment and drugs for high quality care (Kc et al 2019a, b, c). Nepal is leading innovations in this area, with large studies to improve this quality of care (Kc et al 2019a, b, c), and also the multi-country EN-BIRTH study to validate measures for coverage and quality of care in routine systems (Day et al 2019). 3.…”

Section: Ending Preventable Deaths With Equity Nepal's Remark-mentioning

confidence: 99%

Learning from Nepal’s Progress to Inform the Path to the Sustainable Development Goals for Health, Leaving No-One Behind

Lawn

Ashish

2020

Matern Child Health J

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“…A set of 10 core indicators was proposed to track the progress in birth outcome (maternal mortality ratio, stillbirth rate, neonatal mortality rate) as well as coverage of care (including skilled attendance at birth, early postnatal care, essential newborn care, antenatal corticosteroids, neonatal resuscitation, kangaroo mother care, treatment of severe neonatal infection) through the routine information system 5. The coverage of care indicators is currently being validated through a multicountry study 6. Measurement of stillbirth and neonatal mortality rates in CRVS, health survey and routine health information systems was designated as a priority action for change in the ENAP measurement roadmap.…”

Section: Introductionmentioning

confidence: 99%

The burden of misclassification of antepartum stillbirth in Nepal

Gurung¹,

Litorp²,

Berkelhamer

et al. 2019

BMJ Glob Health

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BackgroundGlobally, every year 1.1 million antepartum stillbirths occur with 98% of these deaths taking place in countries where the health system is poor. In this paper we examine the burden of misclassification of antepartum stillbirth in hospitals of Nepal and factors associated with misclassification.MethodA prospective observational study was conducted in 12 hospitals of Nepal for a period of 6 months. If fetal heart sounds (FHS) were detected at admission and during the intrapartum period, the antepartum stillbirth (fetal death ≥22 weeks prior labour) recorded in patient’s case note was recategorised as misclassified antepartum stillbirth. We further compared sociodemographic, obstetric and neonatal characteristics of misclassified and correctly classified antepartum stillbirths using bivariate and multivariate analysis.ResultA total of 41 061 women were enrolled in the study and 39 562 of the participants’ FHS were taken at admission. Of the total participants whose FHS were taken at admission, 94.8% had normal FHS, 4.7% had abnormal FHS and 0.6% had no FHS at admission. Of the total 119 recorded antepartum stillbirths, 29 (24.4%) had FHS at admission and during labour and therefore categorised as misclassified antepartum stillbirths. Multivariate analysis performed to adjust the risk of association revealed that complications during pregnancy resulted in a threefold risk of misclassification (adjusted OR-3.35, 95% CI 1.95 to 5.76).ConclusionAlmost 25% of the recorded antepartum stillbirths were misclassified. Improving quality of data is crucial to improving accountability and quality of care. As the interventions to reduce antepartum stillbirth differ, accurate measurement of antepartum stillbirth is critical.Trial registration number ISRCTN30829654.

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“Every Newborn-BIRTH” protocol: observational study validating indicators for coverage and quality of maternal and newborn health care in Bangladesh, Nepal and Tanzania

Cited by 44 publications

References 50 publications

Strategies discussed at the XIIth international conference on Kangaroo mother care for implementation on a countrywide scale

Strategies discussed at the XIIth international conference on Kangaroo mother care for implementation on a countrywide scale

Learning from Nepal’s Progress to Inform the Path to the Sustainable Development Goals for Health, Leaving No-One Behind

The burden of misclassification of antepartum stillbirth in Nepal

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