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

Journal of Global Health
Sarah G MoxonJoy E Lawn

Abstract

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. 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. For service readiness to provide inpa...Continue Reading

References

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Citations

Jun 4, 2019·Birth Defects Research·Nils J Bergman
Nov 10, 2018·Journal of Global Health·Josephine Lr ExleyTanya Marchant
Nov 26, 2019·The Pan African Medical Journal·David Guanga MelessLuc Kouadio
Jan 10, 2021·The Lancet Global Health·Vanessa Brizuela, Özge Tunçalp
Feb 18, 2021·Journal of Tropical Pediatrics·Prasant Kumar Saboth MdHarish Kumar Md
Mar 27, 2021·BMC Pregnancy and Childbirth·Ahmed Ehsanur RahmanUNKNOWN EN-BIRTH Study Group
Oct 3, 2020·Pediatrics·Susan NiermeyerWilliam J Keenan

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Methods Mentioned

BETA
sedation

Software Mentioned

SPA
EmONC
SARA
EmOC

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