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2. Assessment of the validity of the measurement of newborn and maternal health-care coverage in hospitals (EN-BIRTH): an observational study

Author

Serbanescu, Florina, Amouzou, Agbessi, Sæbø, Johan Ivar, Mathai, Matthews, Rawlins, Barbara, Azim, Tariq, Vaz, Lara, Monet, Jean-Pierre, Jackson, Debra, Requejo, Jennifer, Ram, Pavani K, Moran, Allisyn C, Kabuteni, Theopista John, Mazumder, Tapas, Rahman, Hafizur, Shaikh, Ziaul Haque, Talha, Taqbir Us Samad, Haider, Rajib, Siddika, Aysha, Sumi, Taslima Akter, Khan, Jasmin, Biswas, Bilkish, Mannan, M A, Hasanuzzaman, Abu, Ali, Ayub, Jahan, Rowshan Hosne, Hossain, Amir, Jahan, Ishrat, Gurung, Rejina, Sunny, Avinash K, Thakur, Nishant, Ghimire, Jagat Jeevan, Joshi, Elisha, Shrestha, Parashu Ram, Shrestha, Shree Krishna, Singh, Dela, Rana, Nisha, Mrisho, Mwifadhi, Manzi, Fatuma, Hanson, Claudia, Kija, Edward, Pembe, Andrea, Kisenge, Rodrick, Manji, Karim, Mkopi, Namala, Assenga, Evelyne, Blencowe, Hannah, Moxon, Sarah G, KC, Naresh P, Day, Louise Tina, Sadeq-ur Rahman, Qazi, Ehsanur Rahman, Ahmed, Salim, Nahya, KC, Ashish, Ruysen, Harriet, Tahsina, Tazeen, Masanja, Honorati, Basnet, Omkar, Gore-Langton, Georgia R, Zaman, Sojib Bin, Shabani, Josephine, Jha, Anjani Kumar, Gordeev, Vladimir Sergeevich, Ameen, Shafiqul, Shamba, Donat, Jha, Bijay, Boggs, Dorothy, Hossain, Tanvir, Shirima, Kizito, Bastola, Ram Chandra, Peven, Kimberly, Siddique, Abu Bakkar, Mbaruku, Godfrey, Paudel, Rajendra, Baschieri, Angela, Hossain, Aniqa Tasnim, Kong, Stefanie, Paudel, Asmita, Ahmed, Anisuddin, Cousens, Simon, El Arifeen, Shams, and Lawn, Joy E

Published
2021
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4. Additional file 4 of Kangaroo mother care: EN-BIRTH multi-country validation study

Author

Nahya Salim, Shabani, Josephine, Peven, Kimberly, Rahman, Qazi Sadeq-Ur, KC, Ashish, Shamba, Donat, Ruysen, Harriet, Rahman, Ahmed Ehsanur, KC, Naresh, Namala Mkopi, Sojib Bin Zaman, Kizito Shirima, Shafiqul Ameen, Kong, Stefanie, Omkar Basnet, Manji, Karim, Theopista John Kabuteni, Brotherton, Helen, Moxon, Sarah G., Agbessi Amouzou, Tedbabe Degefie Hailegebriel, Day, Louise T., and Lawn, Joy E.

Abstract

Additional file 4. Routine register design in 5 EN-BIRTH study hospitals and data quality dimensions.

Published
2021
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5. Additional file 13 of Kangaroo mother care: EN-BIRTH multi-country validation study

Author

Nahya Salim, Shabani, Josephine, Peven, Kimberly, Rahman, Qazi Sadeq-Ur, KC, Ashish, Shamba, Donat, Ruysen, Harriet, Rahman, Ahmed Ehsanur, KC, Naresh, Namala Mkopi, Sojib Bin Zaman, Kizito Shirima, Shafiqul Ameen, Kong, Stefanie, Omkar Basnet, Manji, Karim, Theopista John Kabuteni, Brotherton, Helen, Moxon, Sarah G., Agbessi Amouzou, Tedbabe Degefie Hailegebriel, Day, Louise T., and Lawn, Joy E.

Abstract

Additional file 13. Barriers and enablers to routine reporting and documentation for KMC in the EN-BIRTH study.

Published
2021
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6. Assessment of the validity of the measurement of newborn and maternal health-care coverage in hospitals (EN-BIRTH): an observational study

Author

Day, Louise Tina, primary, Sadeq-ur Rahman, Qazi, additional, Ehsanur Rahman, Ahmed, additional, Salim, Nahya, additional, KC, Ashish, additional, Ruysen, Harriet, additional, Tahsina, Tazeen, additional, Masanja, Honorati, additional, Basnet, Omkar, additional, Gore-Langton, Georgia R, additional, Zaman, Sojib Bin, additional, Shabani, Josephine, additional, Jha, Anjani Kumar, additional, Gordeev, Vladimir Sergeevich, additional, Ameen, Shafiqul, additional, Shamba, Donat, additional, Jha, Bijay, additional, Boggs, Dorothy, additional, Hossain, Tanvir, additional, Shirima, Kizito, additional, Bastola, Ram Chandra, additional, Peven, Kimberly, additional, Siddique, Abu Bakkar, additional, Mbaruku, Godfrey, additional, Paudel, Rajendra, additional, Baschieri, Angela, additional, Hossain, Aniqa Tasnim, additional, Kong, Stefanie, additional, Paudel, Asmita, additional, Ahmed, Anisuddin, additional, Cousens, Simon, additional, El Arifeen, Shams, additional, Lawn, Joy E, additional, Serbanescu, Florina, additional, Amouzou, Agbessi, additional, Sæbø, Johan Ivar, additional, Mathai, Matthews, additional, Rawlins, Barbara, additional, Azim, Tariq, additional, Vaz, Lara, additional, Monet, Jean-Pierre, additional, Jackson, Debra, additional, Requejo, Jennifer, additional, Ram, Pavani K, additional, Moran, Allisyn C, additional, Kabuteni, Theopista John, additional, Mazumder, Tapas, additional, Rahman, Hafizur, additional, Shaikh, Ziaul Haque, additional, Talha, Taqbir Us Samad, additional, Haider, Rajib, additional, Siddika, Aysha, additional, Sumi, Taslima Akter, additional, Khan, Jasmin, additional, Biswas, Bilkish, additional, Mannan, M A, additional, Hasanuzzaman, Abu, additional, Ali, Ayub, additional, Jahan, Rowshan Hosne, additional, Hossain, Amir, additional, Jahan, Ishrat, additional, Gurung, Rejina, additional, Sunny, Avinash K, additional, Thakur, Nishant, additional, Ghimire, Jagat Jeevan, additional, Joshi, Elisha, additional, Shrestha, Parashu Ram, additional, Shrestha, Shree Krishna, additional, Singh, Dela, additional, Rana, Nisha, additional, Mrisho, Mwifadhi, additional, Manzi, Fatuma, additional, Hanson, Claudia, additional, Kija, Edward, additional, Pembe, Andrea, additional, Kisenge, Rodrick, additional, Manji, Karim, additional, Mkopi, Namala, additional, Assenga, Evelyne, additional, Blencowe, Hannah, additional, Moxon, Sarah G, additional, and KC, Naresh P, additional

Published
2021
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7. Voices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic

Author

Semaan, Aline, primary, Audet, Constance, additional, Huysmans, Elise, additional, Afolabi, Bosede B, additional, Assarag, Bouchra, additional, Banke-Thomas, Aduragbemi, additional, Blencowe, Hannah, additional, Caluwaerts, Severine, additional, Campbell, Oona M R, additional, Cavallaro, Francesca L, additional, Chavane, Leonardo, additional, Day, Louise Tina, additional, Delamou, Alexandre, additional, Delvaux, Therese, additional, Graham, Wendy, additional, Gon, Giorgia, additional, Kascak, Peter, additional, Matsui, Mitsuaki, additional, Moxon, Sarah G, additional, Nakimuli, Annettee, additional, Pembe, Andrea B, additional, Radovich, Emma, additional, van den Akker, Thomas, additional, and Benova, Lenka, additional

Published
2020
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8. Service readiness for inpatient care of small and sick newborns: what do we need and what can we measure now?

Author

Moxon, Sarah G, Guenther, Tanya, Gabrysch, Sabine, Enweronu-Laryea, Christabel, Ram, Pavani K, Niermeyer, Susan, Kerber, Kate, Tann, Cally J, Russell, Neal, Kak, Lily, Bailey, Patricia, Wilson, Sasha, Wang, Wenjuan, Winter, Rebecca, Carvajal-Aguirre, Liliana, Blencowe, Hannah, Campbell, Oona, and Lawn, Joy

Abstract

BACKGROUND: Each year an estimated 2.6 million newborns die, mainly from complications of prematurity, neonatal infections, and intrapartum events. Reducing these deaths requires high coverage of good quality care at birth, and inpatient care for small and sick newborns. In low- and middle-income countries, standardised measurement of the readiness of facilities to provide emergency obstetric care has improved tracking of readiness to provide care at birth in recent years. However, the focus has been mainly on obstetric care; service readiness for providing inpatient care of small and sick newborns is still not consistently measured or tracked. METHODS: We reviewed existing international guidelines and resources to create a matrix of the structural characteristics (infrastructure, equipment, drugs, providers and guidelines) for service readiness to deliver a package of inpatient care interventions for small and sick newborns. To identify gaps in existing measurement systems, we reviewed three multi-country health facility survey tools (the Service Availability and Readiness Assessment, the Service Provision Assessment and the Emergency Obstetric and Newborn Care Assessment) against our service readiness matrix. FINDINGS: For service readiness to provide inpatient care for small and sick newborns, our matrix detailed over 600 structural characteristics. Our review of the SPA, the SARA and the EmONC assessment tools identified several measurement omissions to capture information on key intervention areas, such as thermoregulation, feeding and respiratory support, treatment of specific complications (seizures, jaundice), and screening and follow up services, as well as specialised staff and service infrastructure. CONCLUSIONS: Our review delineates the required inputs to ensure readiness to provide inpatient care for small and sick newborns. Based on these findings, we detail where questions need to be added to existing tools and describe how measurement systems can be adapted to reflect small and sick newborns interventions. Such work can inform investments in health systems to end preventable newborn death and disability as part of the Every Newborn Action Plan.

Published
2018

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

Author

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

Published
2019
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11. Kangaroo mother care: EN-BIRTH multi-country validation study.

Author

Salim, Nahya, Shabani, Josephine, Peven, Kimberly, Rahman, Qazi Sadeq-ur, KC, Ashish, Shamba, Donat, Ruysen, Harriet, Rahman, Ahmed Ehsanur, KC, Naresh, Mkopi, Namala, Zaman, Sojib Bin, Shirima, Kizito, Ameen, Shafiqul, Kong, Stefanie, Basnet, Omkar, Manji, Karim, Kabuteni, Theopista John, Brotherton, Helen, Moxon, Sarah G., and Amouzou, Agbessi

Subjects
NEONATAL death, HOSPITAL records, PREMATURE labor, LABOR complications (Obstetrics), PREMATURE infants
Abstract

Background: Kangaroo mother care (KMC) reduces mortality among stable neonates ≤2000 g. Lack of data tracking coverage and quality of KMC in both surveys and routine information systems impedes scale-up. This paper evaluates KMC measurement as part of the Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study.Methods: The EN-BIRTH observational mixed-methods study was conducted in five hospitals in Bangladesh, Nepal and Tanzania from 2017 to 2018. Clinical observers collected time-stamped data as gold standard for mother-baby pairs in KMC wards/corners. To assess accuracy, we compared routine register-recorded and women's exit survey-reported coverage to observed data, using different recommended denominator options (≤2000 g and ≤ 2499 g). We analysed gaps in quality of provision and experience of KMC. In the Tanzanian hospitals, we assessed daily skin-to-skin duration/dose and feeding frequency. Qualitative data were collected from health workers and data collectors regarding barriers and enablers to routine register design, filling and use.Results: Among 840 mother-baby pairs, compared to observed 100% coverage, both exit-survey reported (99.9%) and register-recorded coverage (92.9%) were highly valid measures with high sensitivity. KMC specific registers outperformed general registers. Enablers to register recording included perceptions of data usefulness, while barriers included duplication of data elements and overburdened health workers. Gaps in KMC quality were identified for position components including wearing a hat. In Temeke Tanzania, 10.6% of babies received daily KMC skin-to-skin duration/dose of ≥20 h and a further 75.3% received 12-19 h. Regular feeding ≥8 times/day was observed for 36.5% babies in Temeke Tanzania and 14.6% in Muhimbili Tanzania. Cup-feeding was the predominant assisted feeding method. Family support during admission was variable, grandmothers co-provided KMC more often in Bangladesh. No facility arrangements for other family members were reported by 45% of women at exit survey.Conclusions: Routine hospital KMC register data have potential to track coverage from hospital KMC wards/corners. Women accurately reported KMC at exit survey and evaluation for population-based surveys could be considered. Measurement of content, quality and experience of KMC need consensus on definitions. Prioritising further KMC measurement research is important so that high quality data can be used to accelerate scale-up of high impact care for the most vulnerable. [ABSTRACT FROM AUTHOR]

Published
2021
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12. Kangaroo mother care: a multi-country analysis of health system bottlenecks and potential solutions

Author

Vesel, Linda, Bergh, Anne-Marie, Kerber, Kate J, Valsangkar, Bina, Mazia, Goldy, Moxon, Sarah G, Blencowe, Hannah, Darmstadt, Gary L, de Graft Johnson, Joseph, Dickson, Kim E, Ruiz Peláez, Juan, von Xylander, Severin, Lawn, Joy E, and KMC Research Acceleration Group

Abstract

BACKGROUND: Preterm birth is now the leading cause of under-five child deaths worldwide with one million direct deaths plus approximately another million where preterm is a risk factor for neonatal deaths due to other causes. There is strong evidence that kangaroo mother care (KMC) reduces mortality among babies with birth weight

Published
2015

13. Antenatal corticosteroids for management of preterm birth: a multi-country analysis of health system bottlenecks and potential solutions

Author

Liu, Grace, Segrè, Joel, Gülmezoglu, A, Mathai, Matthews, Smith, Jeffrey M, Hermida, Jorge, Simen-Kapeu, Aline, Barker, Pierre, Jere, Mercy, Moses, Edward, Moxon, Sarah G, Dickson, Kim E, Lawn, Joy E, Althabe, Fernando, and Working Group for UN Commission of Life Saving Commodities Anten

Abstract

BACKGROUND: Preterm birth complications are the leading cause of deaths for children under five years. Antenatal corticosteroids (ACS) are effective at reducing mortality and serious morbidity amongst infants born at 75%) reported very major or significant bottlenecks. Health information systems should include improved gestational age assessment and track ACS coverage, use and outcomes. Better health service delivery requires clarified policy assigning roles by level of care and cadre of provider, dependent on capability to assess gestational age and risk of preterm birth, and the implementation of guidelines with adequate supervision, mentoring and quality improvement systems, including audit and feedback. National essential medicines lists should include dexamethasone for antenatal use, and dexamethasone should be integrated into supply logistics.

Published
2015

15. Scaling up quality care for mothers and newborns around the time of birth: an overview of methods and analyses of intervention-specific bottlenecks and solutions

Author

Dickson, Kim E, primary, Kinney, Mary V, additional, Moxon, Sarah G, additional, Ashton, Joanne, additional, Zaka, Nabila, additional, Simen-Kapeu, Aline, additional, Sharma, Gaurav, additional, Kerber, Kate J, additional, Daelmans, Bernadette, additional, Gülmezoglu, A Metin, additional, Mathai, Matthews, additional, Nyange, Christabel, additional, Baye, Martina, additional, and Lawn, Joy E, additional

Published
2015
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16. Count every newborn; a measurement improvement roadmap for coverage data

Author

Moxon, Sarah G, primary, Ruysen, Harriet, additional, Kerber, Kate J, additional, Amouzou, Agbessi, additional, Fournier, Suzanne, additional, Grove, John, additional, Moran, Allisyn C, additional, Vaz, Lara ME, additional, Blencowe, Hannah, additional, Conroy, Niall, additional, Gülmezoglu, A Metin, additional, Vogel, Joshua P, additional, Rawlins, Barbara, additional, Sayed, Rubayet, additional, Hill, Kathleen, additional, Vivio, Donna, additional, Qazi, Shamim A, additional, Sitrin, Deborah, additional, Seale, Anna C, additional, Wall, Steve, additional, Jacobs, Troy, additional, Ruiz Peláez, Juan Gabriel, additional, Guenther, Tanya, additional, Coffey, Patricia S, additional, Dawson, Penny, additional, Marchant, Tanya, additional, Waiswa, Peter, additional, Deorari, Ashok, additional, Enweronu-Laryea, Christabel, additional, Arifeen, Shams El, additional, Lee, Anne CC, additional, Mathai, Matthews, additional, and Lawn, Joy E, additional

Published
2015
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17. Basic newborn care and neonatal resuscitation: a multi-country analysis of health system bottlenecks and potential solutions

Author

Enweronu-Laryea, Christabel, primary, Dickson, Kim E, additional, Moxon, Sarah G, additional, Simen-Kapeu, Aline, additional, Nyange, Christabel, additional, Niermeyer, Susan, additional, Bégin, France, additional, Sobel, Howard L, additional, Lee, Anne CC, additional, von Xylander, Severin Ritter, additional, and Lawn, Joy E, additional

Published
2015
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18. Inpatient care of small and sick newborns: a multi-country analysis of health system bottlenecks and potential solutions

Author

Moxon, Sarah G, primary, Lawn, Joy E, additional, Dickson, Kim E, additional, Simen-Kapeu, Aline, additional, Gupta, Gagan, additional, Deorari, Ashok, additional, Singhal, Nalini, additional, New, Karen, additional, Kenner, Carole, additional, Bhutani, Vinod, additional, Kumar, Rakesh, additional, Molyneux, Elizabeth, additional, and Blencowe, Hannah, additional

Published
2015
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20. " -BIRTH" protocol: observational study validating indicators for coverage and quality of maternal and newborn health care in Bangladesh, Nepal and Tanzania.

Author

Day, Louise T, Ruysen, Harriet, Gordeev, Vladimir S, Gore-Langton, Georgia R, Boggs, Dorothy, Cousens, Simon, Moxon, Sarah G, Blencowe, Hannah, Baschieri, Angela, Rahman, Ahmed Ehsanur, Tahsina, Tazeen, Zaman, Sojib Bin, Hossain, Tanvir, Rahman, Qazi Sadeq-Ur, Ameen, Shafiqul, El Arifeen, Shams, Kc, Ashish, Shrestha, Shree Krishna, Kc, Naresh P, and Singh, Dela

Abstract

Background: To achieve Sustainable Development Goals and Universal Health Coverage, programmatic data are essential. The Every Newborn Action Plan, agreed by all United Nations member states and >80 development partners, includes an ambitious Measurement Improvement Roadmap. Quality of care at birth is prioritised by both Every Newborn and Ending Preventable Maternal Mortality strategies, hence metrics need to advance from health service contact alone, to content of care. As facility births increase, monitoring using routine facility data in DHIS2 has potential, yet validation research has mainly focussed on maternal recall surveys. The Every Newborn - Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study aims to validate selected newborn and maternal indicators for routine tracking of coverage and quality of facility-based care for use at district, national and global levels.Methods: EN-BIRTH is an observational study including >20 000 facility births in three countries (Tanzania, Bangladesh and Nepal) to validate selected indicators. Direct clinical observation will be compared with facility register data and a pre-discharge maternal recall survey for indicators including: uterotonic administration, immediate newborn care, neonatal resuscitation and Kangaroo mother care. Indicators including neonatal infection management and antenatal corticosteroid administration, which cannot be easily observed, will be validated using inpatient records. Trained clinical observers in Labour/Delivery ward, Operation theatre, and Kangaroo mother care ward/areas will collect data using a tablet-based customised data capturing application. Sensitivity will be calculated for numerators of all indicators and specificity for those numerators with adequate information. Other objectives include comparison of denominator options (ie, true target population or surrogates) and quality of care analyses, especially regarding intervention timing. Barriers and enablers to routine recording and data usage will be assessed by data flow assessments, quantitative and qualitative analyses.Conclusions: To our knowledge, this is the first large, multi-country study validating facility-based routine data compared to direct observation for maternal and newborn care, designed to provide evidence to inform selection of a core list of indicators recommended for inclusion in national DHIS2. Availability and use of such data are fundamental to drive progress towards ending the annual 5.5 million preventable stillbirths, maternal and newborn deaths. [ABSTRACT FROM AUTHOR]

Published
2019
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