Facility-based care for moderately low birthweight infants in India, Malawi, and Tanzania

Bibliographic Data

ID19593532
AuthorsKatherine E A Semrau (0000-0002-8360-1391, Brigham and Women's Hospital, corresponding author), Rana R Mokhtar (0000-0002-0796-6313, Brigham and Women's Hospital, corresponding author), Karim Manji (0000-0002-7069-6408, Muhimbili University of Health and Allied Sciences, corresponding author), Shivaprasad S Goudar (0000-0002-8680-7053, Jawaharlal Nehru Medical College, corresponding author), Tisungane Mvalo (0000-0002-6775-7919, University of North Carolina at Chapel Hill, corresponding author), Christopher R Sudfeld (0000-0002-3203-3638, Harvard Global Health Institute, corresponding author), Melissa Young (0000-0002-2768-1673, Emory University, corresponding author), Melissa F Young, Brooke A Caruso (0000-0001-9738-9857, Emory University, corresponding author), Christopher Duggan (0000-0001-8083-8193, Boston Children's Hospital, corresponding author), Christopher P Duggan, Sarah Somji (0000-0001-6031-830X, Muhimbili University of Health and Allied Sciences, corresponding author), Sarah S Somji, Anne CC Lee (0000-0003-2654-9862, Brigham and Women's Hospital, corresponding author), Anne C C Lee, Mohamed Bakari (Muhimbili University of Health and Allied Sciences, corresponding author), Kristina Lugangira (Muhimbili University of Health and Allied Sciences, corresponding author), Rodrick Kisenge (0000-0002-3273-8136, Muhimbili University of Health and Allied Sciences, corresponding author), Linda S Adair (0000-0002-3670-8073, University of North Carolina at Chapel Hill, corresponding author), Irving Hoffman (0000-0003-0059-5991, University of North Carolina at Chapel Hill, corresponding author), Irving F Hoffman, Friday Saidi (0000-0003-1190-1499, University of North Carolina at Chapel Hill, corresponding author), Melda Phiri (University of Malawi, corresponding author), Kingsly Msimuko (0000-0003-2820-6695, University of Malawi, corresponding author), Fadire Nyirenda (University of Malawi, corresponding author), Mallory Michalak (0000-0002-4993-8871, University of Malawi, corresponding author), Sangappa M Dhaded (0000-0001-9575-5251, Jawaharlal Nehru Medical College, corresponding author), Roopa M Bellad (0000-0003-4383-1704, Jawaharlal Nehru Medical College, corresponding author), Sujata Misra (0000-0002-6427-9544, Fakir Mohan University, corresponding author), Sanghamitra Panda (Jawaharlal Nehru Medical College, corresponding author), Sunil S Vernekar (0000-0002-0635-8041, Jawaharlal Nehru Medical College, corresponding author), Veena Herekar (0000-0003-0240-7245, Jawaharlal Nehru Medical College, corresponding author), Manjunath Sommannavar (Jawaharlal Nehru Medical College, corresponding author), Rashmita B Nayak (Sriram Chandra Bhanja Medical College Hospital, corresponding author), S Yogeshkumar (Jawaharlal Nehru Medical College, corresponding author), Saraswati Welling (0000-0003-0613-5566, Jawaharlal Nehru Medical College, corresponding author), Krysten North (0000-0001-9283-4413, Brigham and Women's Hospital, corresponding author), Kiersten Israel‐Ballard (0000-0002-3489-8213, Program for Appropriate Technology in Health, corresponding author), Kiersten Israel-Ballard, Kimberly Mansen (0000-0002-2015-2066, Program for Appropriate Technology in Health, corresponding author), Stephanie Martins (0000-0001-8678-5862, University of North Carolina at Chapel Hill, corresponding author), Stephanie L Martin (0000-0002-0378-802X), Katelyn Fleming (Brigham and Women's Hospital, corresponding author), Katharine Miller (Brigham and Women's Hospital, corresponding author), Arthur Pote (Brigham and Women's Hospital, corresponding author), Lauren Spigel (0000-0001-7846-4890, Brigham and Women's Hospital, corresponding author), Danielle E Tuller (0000-0002-7643-5268, Brigham and Women's Hospital, corresponding author), Linda Vesel (0000-0003-3753-4172, Brigham and Women's Hospital, corresponding author)
EditorsGiridhara R Babu (0000-0003-4370-8933)
Year2023
Volume3
Issue4
Pagese0001789
Publication date2023-04-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0001789
PMID37075019
OpenAlexW4366351648
LanguageEN
Citations received2
References cited36

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

Anthropometry · Breast milk · Breastfeeding · Environmental health · Gestational age · Health facility · Observational study · Obstetrics · Population · Pregnancy · Small for gestational age · Tanzania · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Infant Development and Preterm Care · Medicine · Pediatrics