The Experts below are selected from a list of 41928 Experts worldwide ranked by ideXlab platform
Abdullah H. Baqui - One of the best experts on this subject based on the ideXlab platform.
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Newborn Care practices at home and in health facilities in 4 regions of Ethiopia
BMC pediatrics, 2013Co-Authors: Jennifer A. Callaghan-koru, Barbara Rawlins, Bogale Worku, Abiy Seifu, Maya Tholandi, Joseph De Graft-johnson, Ephrem Daniel, Abdullah H. BaquiAbstract:Ethiopia is one of the ten countries with the highest number of neonatal deaths globally, and only 1 in 10 women deliver with a skilled attendant. Promotion of essential Newborn Care practices is one strategy for improving Newborn health outcomes that can be delivered in communities as well as facilities. This article describes Newborn Care practices reported by recently-delivered women (RDWs) in four regions of Ethiopia. We conducted a household survey with two-stage cluster sampling to assess Newborn Care practices among women who delivered a live baby in the period 1 to 7 months prior to data collection. The majority of women made one antenatal Care (ANC) visit to a health facility, although less than half made four or more visits and women were most likely to deliver their babies at home. About one-fifth of RDWs in this survey had contact with Health Extension Workers (HEWS) during ANC, but nurse/midwives were the most common providers, and few women had postnatal contact with any health provider. Common beneficial Newborn Care practices included exclusive breastfeeding (87.6%), wrapping the baby before delivery of the placenta (82.3%), and dry cord Care (65.2%). Practices contrary to WHO recommendations that were reported in this population of recent mothers include bathing during the first 24 hours of life (74.7%), application of butter and other substances to the cord (19.9%), and discarding of colostrum milk (44.5%). The results suggest that there are not large differences for most essential Newborn Care indicators between facility and home deliveries, with the exception of delayed bathing and skin-to-skin Care. Improving Newborn Care and Newborn health outcomes in Ethiopia will likely require a multifaceted approach. Given low facility delivery rates, community-based promotion of preventive Newborn Care practices, which has been effective in other settings, is an important strategy. For this strategy to be successful, the coverage of counseling delivered by HEWs and other community volunteers should be increased.
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Newborn Care in rural Uttar Pradesh
Indian journal of pediatrics, 2007Co-Authors: Abdullah H. Baqui, E. K. Williams, G. L. Darmstadt, V. Kumar, T. U. Kiran, D. Panwar, S. Ahmed, V. Sreevasta, R. Sharma, R. C. AhujaAbstract:Objectives. To describe selected Newborn Care practices related to cord Care, thermal Care and breastfeeding in rural Uttar Pradesh and to identify socio-demographic, antenatal and delivery Care factors that are associated with these practices. Methods.A cross-sectional survey in rural Uttar Pradesh included 13,167 women who had a livebirth at home during the two years preceding data collection. Logistic regression was used to identify socio-demographic, antenatal and delivery Care factors that were associated with the three Care practices. Results. Use of antenatal Care and skilled attendance at delivery were significantly associated with clean cord Care and early breastfeeding, but not with thermal Care. Antenatal home visits by a community-based worker were associated only with clean cord Care. Women who received counseling from health workers or other sources on each of the Newborn Care practices during pregnancy were more likely to report the respective Care practices, although levels of counseling were low. Conclusion. The association between Newborn Care practices and antenatal Care, counseling and skilled delivery attendance suggest that evidence-based Newborn Care practices can be promoted through improved coverage with existing health
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Newborn Care in rural Uttar Pradesh
The Indian Journal of Pediatrics, 2007Co-Authors: Abdullah H. Baqui, E. K. Williams, G. L. Darmstadt, V. Kumar, T. U. Kiran, D. Panwar, R. K. Sharma, S. Ahmed, V. Sreevasta, R. AhujaAbstract:Objectives To describe selected Newborn Care practices related to cord Care, thermal Care and breastfeeding in rural Uttar Pradesh and to identify socio-demographic, antenatal and delivery Care factors that are associated with these practices. Methods A cross-sectional survey in rural Uttar Pradesh included 13, 167 women who had a livebirth at home during the two years preceding data collection. Logistic regression was used to identify socio-demographic, antenatal and delivery Care factors that were associated with the three Care practices. Results Use of antenatal Care and skilled attendance at delivery were significantly associated with clean cord Care and early breastfeeding, but not with thermal Care. Antenatal home visits by a community-based worker were associated only with clean cord Care. Women who received counseling from health workers or other sources on each of the Newborn Care practices during pregnancy were more likely to report the respective Care practices, although levels of counseling were low. Conclusion The association between Newborn Care practices and antenatal Care, counseling and skilled delivery attendance suggest that evidence-based Newborn Care practices can be promoted through improved coverage with existing health services.
H Obara - One of the best experts on this subject based on the ideXlab platform.
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Quality maternal and Newborn Care to ensure a healthy start for every Newborn in the World Health Organization Western Pacific Region
BJOG: An International Journal of Obstetrics & Gynaecology, 2014Co-Authors: H Obara, Howard L. SobelAbstract:In the World Health Organization Western Pacific Region the high rates of births attended by skilled health personnel (SHP) do not equal access to quality maternal or Newborn Care. A healthy start for every Newborn for 23 million annual births in the region means that SHP and Newborn Care providers give quality intrapartum postpartum and Newborn Care. WHO and the UNICEF Regional Action Plan for Healthy Newborn Infants provide a platform for countries to scale-up Early Essential Newborn Care (EENC). The plan emphasises the creation of an enabling environment for the practice of EENC; thereby preventing 50000 Newborn deaths annually. (c) 2014 Royal College of Obstetricians and Gynaecologists.
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Quality maternal and Newborn Care to ensure a healthy start for every Newborn in the World Health Organization Western Pacific Region.
BJOG : an international journal of obstetrics and gynaecology, 2014Co-Authors: H Obara, H SobelAbstract:In the World Health Organization Western Pacific Region, the high rates of births attended by skilled health personnel (SHP) do not equal access to quality maternal or Newborn Care. 'A healthy start for every Newborn' for 23 million annual births in the region means that SHP and Newborn Care providers give quality intrapartum, postpartum and Newborn Care. WHO and the UNICEF Regional Action Plan for Healthy Newborn Infants provide a platform for countries to scale-up Early Essential Newborn Care (EENC). The plan emphasises the creation of an enabling environment for the practice of EENC; thereby, preventing 50,000 Newborn deaths annually.
H Sobel - One of the best experts on this subject based on the ideXlab platform.
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Quality maternal and Newborn Care to ensure a healthy start for every Newborn in the World Health Organization Western Pacific Region.
BJOG : an international journal of obstetrics and gynaecology, 2014Co-Authors: H Obara, H SobelAbstract:In the World Health Organization Western Pacific Region, the high rates of births attended by skilled health personnel (SHP) do not equal access to quality maternal or Newborn Care. 'A healthy start for every Newborn' for 23 million annual births in the region means that SHP and Newborn Care providers give quality intrapartum, postpartum and Newborn Care. WHO and the UNICEF Regional Action Plan for Healthy Newborn Infants provide a platform for countries to scale-up Early Essential Newborn Care (EENC). The plan emphasises the creation of an enabling environment for the practice of EENC; thereby, preventing 50,000 Newborn deaths annually.
Howard L. Sobel - One of the best experts on this subject based on the ideXlab platform.
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Quality maternal and Newborn Care to ensure a healthy start for every Newborn in the World Health Organization Western Pacific Region
BJOG: An International Journal of Obstetrics & Gynaecology, 2014Co-Authors: H Obara, Howard L. SobelAbstract:In the World Health Organization Western Pacific Region the high rates of births attended by skilled health personnel (SHP) do not equal access to quality maternal or Newborn Care. A healthy start for every Newborn for 23 million annual births in the region means that SHP and Newborn Care providers give quality intrapartum postpartum and Newborn Care. WHO and the UNICEF Regional Action Plan for Healthy Newborn Infants provide a platform for countries to scale-up Early Essential Newborn Care (EENC). The plan emphasises the creation of an enabling environment for the practice of EENC; thereby preventing 50000 Newborn deaths annually. (c) 2014 Royal College of Obstetricians and Gynaecologists.
Nabila Zaka - One of the best experts on this subject based on the ideXlab platform.
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Newborn Care in Indonesia, Lao People’s Democratic Republic and the Philippines: a comprehensive needs assessment
BMC pediatrics, 2014Co-Authors: Els Duysburgh, Birgit Kerstens, Melissa Diaz, Vini Fardhdiani, Katherine Ann V Reyes, Khamphong Phommachanh, Marleen Temmerman, Basil Rodriques, Nabila ZakaAbstract:Between 1990 and 2011, global neonatal mortality decline was slower than that of under-five mortality. As a result, the proportion of under-five deaths due to neonatal mortality increased. This increase is primarily a consequence of decreasing post-neonatal and child under-five mortality as a result of the typical focus of child survival programmes of the past two decades on diseases affecting children over four weeks of age. Newborns are lagging behind in improved child health outcomes. The aim of this study was to conduct a comprehensive, equity-focussed Newborn Care assessment and to explore options to improve Newborn survival in Indonesia, Lao People’s Democratic Republic (PDR) and the Philippines. We assessed Newborn health policies, services and Care in the three countries through document review, interviews and health facility visits. Findings were triangulated to describe Newborns’ health status, the health policy and the health system context for Newborn Care and the equity situation regarding Newborn survival. Main findings: (1) In the three countries, decline of neonatal mortality is lagging behind compared to that of under-five mortality. (2) Comprehensive Newborn policies in line with international standards exist, although implementation remains poor. An important factor hampering implementation is decentralisation of the health sector, which created confusion regarding roles and responsibilities. Management capacity and skills at decentralised level were often found to be limited. (3) Quality of Newborn Care provided at primary healthCare and referral level is generally substandard. Limited knowledge and skills among providers of Newborn Care are contributing to poor quality of Care. (4) Socio-economic and geographic inequities in Newborn Care are considerable. Similar important challenges for Newborn Care have been identified in Indonesia, Lao PDR and the Philippines. There is an urgent need to address weak leadership and governance regarding Newborn Care, quality of Newborn Care provided and inequities in Newborn Care. Child survival programmes focussed on children over four weeks of age have shown to have positive outcomes. Similar efforts as those used in these programmes should be considered in Newborn Care.
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Newborn Care in indonesia lao people s democratic republic and the philippines a comprehensive needs assessment
BMC Pediatrics, 2014Co-Authors: Els Duysburgh, Birgit Kerstens, Melissa Diaz, Vini Fardhdiani, Katherine Ann V Reyes, Khamphong Phommachanh, Marleen Temmerman, Basil Rodriques, Nabila ZakaAbstract:Background: Between 1990 and 2011, global neonatal mortality decline was slower than that of under-five mortality. As a result, the proportion of under-five deaths due to neonatal mortality increased.Thisincreaseisprimarilyaconsequence of decreasing post-neonatal and child under-five mortality as a result of the typical focus of child survival programmes ofthepasttwo decadesondiseases affectingchildrenoverfourweeks ofage.Newbornsarelagging behindinimproved childhealthoutcomes. Theaim ofthisstudy was to conduct a comprehensive,equity-focussedNewbornCareassessment andto exploreoptionstoimproveNewbornsurvival inIndonesia,LaoPeople’s DemocraticRepublic (PDR) andthe Philippines. Methods: Weassessed Newbornhealthpolicies, servicesandCareinthethreecountries throughdocumentreview, interviewsandhealth facility visits.Findingswere triangulated todescribeNewborns’healthstatus, the health policyand thehealthsystemcontext for Newborn Careand theequitysituationregarding Newbornsurvival. Results: Mainfindings: (1)Inthethreecountries, declineofneonatal mortality islagging behindcompared tothatof under-five mortality. (2) Comprehensive Newborn policies in line with international standards exist, although implementation remains poor. An important factor hampering implementation is decentralisation of the health sector, which created confusion regarding roles and responsibilities. Management capacity and skills at decentralised level were often found to be limited. (3) Quality of Newborn Care provided at primary healthCare and referral level is generally substandard. Limited knowledge and skills among providers of Newborn Care are contributing to poor quality of Care. (4) Socio-economic and geographic inequities in Newborn Care are considerable. Conclusions: Similar important challenges for Newborn Care have been identified in Indonesia, Lao PDR and the Philippines. There is an urgent need to address weak leadership and governance regarding Newborn Care, quality of Newborn Care provided and inequities in Newborn Care. Child survival programmes focussed on children over four weeks of age have shown to have positive outcomes. Similar efforts as those used in these programmes should be considered in Newborn Care.
