1. Facility-based care for moderately low birthweight infants in India, Malawi, and Tanzania
- Author
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Katherine E. A. Semrau, Rana R. Mokhtar, Karim Manji, Shivaprasad S. Goudar, Tisungane Mvalo, Christopher R. Sudfeld, Melissa F. Young, Bethany A. Caruso, Christopher P. Duggan, Sarah S. Somji, Anne C. C. Lee, Mohamed Bakari, Kristina Lugangira, Rodrick Kisenge, Linda S. Adair, Irving F. Hoffman, Friday Saidi, Melda Phiri, Kingsly Msimuko, Fadire Nyirenda, Mallory Michalak, Sangappa M. Dhaded, Roopa M. Bellad, Sujata Misra, Sanghamitra Panda, Sunil S. Vernekar, Veena Herekar, Manjunath Sommannavar, Rashmita B. Nayak, S. Yogeshkumar, Saraswati Welling, Krysten North, Kiersten Israel-Ballard, Kimberly L. Mansen, Stephanie L. Martin, Katelyn Fleming, Katharine Miller, Arthur Pote, Lauren Spigel, Danielle E. Tuller, and Linda Vesel
- Subjects
Public aspects of medicine ,RA1-1270 - Abstract
Globally, increasing rates of facility-based childbirth enable early intervention for small vulnerable newborns. We describe health system-level inputs, current feeding, and discharge practices for moderately low birthweight (MLBW) infants (1500-10% less than their birthweight; 18.8% of infants were discharged with weights below facility-specific policy [1800g in India, 1500g in Malawi, and 2000g in Tanzania]. Based on descriptive analysis, we found constraints in health system inputs which have the potential to hinder high quality care for MLBW infants. Targeted LBW-specific lactation support, discharge at appropriate weight, and access to feeding alternatives would position MLBW for successful feeding and growth post-discharge.
- Published
- 2023