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

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  • Additional Information
    • Publication Year:
      2019
    • Subject Terms:
    • Subject Terms:
    • 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]
    • Abstract:
      Copyright of Journal of Global Health is the property of Edinburgh University Global Health Society and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • ISSN:
      20472978
    • Accession Number:
      138488202
  • Citations
    • ABNT:
      DAY, L. T. et al. “Every Newborn-BIRTH” protocol: observational study validating indicators for coverage and quality of maternal and newborn health care in Bangladesh, Nepal and Tanzania. Journal of Global Health, [s. l.], v. 9, n. 1, p. 1, 2019. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=138488202. Acesso em: 26 nov. 2020.
    • AMA:
      Day LT, Ruysen H, Gordeev VS, et al. “Every Newborn-BIRTH” protocol: observational study validating indicators for coverage and quality of maternal and newborn health care in Bangladesh, Nepal and Tanzania. Journal of Global Health. 2019;9(1):1. Accessed November 26, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=138488202
    • APA:
      Day, L. T., Ruysen, H., Gordeev, V. S., Gore-Langton, G. R., Boggs, D., Cousens, S., Moxon, S. G., Blencowe, H., Baschieri, A., Rahman, A. E., Tahsina, T., Zaman, S. B., Hossain, T., Rahman, Q. S., Ameen, S., Arifeen, S. E., Ashish, K. C., Shrestha, S. K., Naresh, P. K. C., & Singh, D. (2019). “Every Newborn-BIRTH” protocol: observational study validating indicators for coverage and quality of maternal and newborn health care in Bangladesh, Nepal and Tanzania. Journal of Global Health, 9(1), 1.
    • Chicago/Turabian: Author-Date:
      Day, Louise T., Harriet Ruysen, Vladimir S. Gordeev, Georgia R. Gore-Langton, Dorothy Boggs, Simon Cousens, Sarah G. Moxon, et al. 2019. “‘Every Newborn-BIRTH’ Protocol: Observational Study Validating Indicators for Coverage and Quality of Maternal and Newborn Health Care in Bangladesh, Nepal and Tanzania.” Journal of Global Health 9 (1): 1. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=138488202.
    • Harvard:
      Day, L. T. et al. (2019) ‘“Every Newborn-BIRTH” protocol: observational study validating indicators for coverage and quality of maternal and newborn health care in Bangladesh, Nepal and Tanzania’, Journal of Global Health, 9(1), p. 1. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=138488202 (Accessed: 26 November 2020).
    • Harvard: Australian:
      Day, LT, Ruysen, H, Gordeev, VS, Gore-Langton, GR, Boggs, D, Cousens, S, Moxon, SG, Blencowe, H, Baschieri, A, Rahman, AE, Tahsina, T, Zaman, SB, Hossain, T, Rahman, QS, Ameen, S, Arifeen, SE, Ashish, KC, Shrestha, SK, Naresh, PKC & Singh, D 2019, ‘“Every Newborn-BIRTH” protocol: observational study validating indicators for coverage and quality of maternal and newborn health care in Bangladesh, Nepal and Tanzania’, Journal of Global Health, vol. 9, no. 1, p. 1, viewed 26 November 2020, .
    • MLA:
      Day, Louise T., et al. “‘Every Newborn-BIRTH’ Protocol: Observational Study Validating Indicators for Coverage and Quality of Maternal and Newborn Health Care in Bangladesh, Nepal and Tanzania.” Journal of Global Health, vol. 9, no. 1, June 2019, p. 1. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=138488202.
    • Chicago/Turabian: Humanities:
      Day, Louise T., Harriet Ruysen, Vladimir S. Gordeev, Georgia R. Gore-Langton, Dorothy Boggs, Simon Cousens, Sarah G. Moxon, et al. “‘Every Newborn-BIRTH’ Protocol: Observational Study Validating Indicators for Coverage and Quality of Maternal and Newborn Health Care in Bangladesh, Nepal and Tanzania.” Journal of Global Health 9, no. 1 (June 2019): 1. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=138488202.
    • Vancouver/ICMJE:
      Day LT, Ruysen H, Gordeev VS, Gore-Langton GR, Boggs D, Cousens S, et al. “Every Newborn-BIRTH” protocol: observational study validating indicators for coverage and quality of maternal and newborn health care in Bangladesh, Nepal and Tanzania. Journal of Global Health [Internet]. 2019 Jun [cited 2020 Nov 26];9(1):1. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=138488202