Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, India
Datos Bibliográficos
| ID | 21880331 |
|---|---|
| Autores | Shajy Isac (0000-0002-4272-7748, Manitoba Health), Bidyadhar Dehury (0000-0001-8708-6115, India Health Action Trust), Ravi Prakash (0000-0001-7299-7725, University of Manitoba), Nihal Hasan (0009-0000-8302-8102, India Health Action Trust), John Anthony (0000-0002-5574-7051, University of Manitoba), Banadakoppa M Ramesh (0000-0003-3038-4415, University of Manitoba), Prakash Javalkar (0000-0001-5569-5792, India Health Action Trust), Vasanthakumar Namasivayam (0000-0001-7905-0155, African Union), Marissa Becker (0000-0002-9235-0547, University of Manitoba), Jenny Blanchard (0000-0002-4701-590X, University of Manitoba), Ties Boerma (0000-0002-8489-4499, University of Manitoba) |
| Año | 2025 |
| Volumen | 10 |
| Número | 1 |
| Páginas | e017117 |
| Fecha de publicación | 2025-01-01 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | BMJ Global Health (JOURNAL) |
| Identificadores de la revista | ISSN: 2059-7908 • E-ISSN: 2059-7908 |
| Editorial | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/bmjgh-2024-017117 |
| PMID | 39890208 |
| OpenAlex | W4407026914 |
| Idioma | EN |
| Referencias citadas | 17 |
INTRODUCTION: Essential newborn care (ENBC) practices are recommended for all births to improve neonatal survival. This paper aims to understand the facility-level variations and factors associated with the essential newborn care practices by providers in higher-level public health facilities in 25 high priority districts (HPDs) of Uttar Pradesh (UP). METHODS: We used observational cross-sectional quantitative data from 48 selected public health facilities (23 district hospitals (DH) and 25 community health centres (CHC)-first referral units (FRU)) implemented in 25 HPDs of UP from February 2020 to May 2021. We defined ENBC practice as both cord care and initiation of breastfeeding within 1 hour of birth were practiced in normal deliveries by the staff nurse. Descriptive analysis was done based on data from 2603 newborns attended by 318 providers. A stratified analysis was done by DH and CHC-FRU. RESULTS: Overall, essential newborn care was practiced among 26.1% of the newborns (26.2% in DH and 35.0% in CHC-FRU). The ENBC practice varied across facilities from 3.0% to 64.1% in DH and from 0% to 91.0% in CHC-FRU. The ENBC practice was about 2.3 times higher in facilities with a high level of skill and knowledge of the providers (39.0%) compared with the facilities with a low level of skill and knowledge (16.9%). Similar patterns of association between providers' skills and knowledge of ENBC practices were observed in DH and CHC-FRU. CONCLUSION: Skill and knowledge on ENBC components are significantly associated with the clinical practices of providers, with a high level of variability across facilities. This suggests a focused facility-based assessment and enhancement of the clinical competencies of the providers to improve the quality of care in public health facilities in UP
Breastfeeding · Cross-sectional study · Environmental health · Family medicine · Health care · Health facility · Health services · Observational study · Population · Public health · Referral · Socioeconomics · Uttar pradesh · Breastfeeding Practices and Influences · Infant Development and Preterm Care · Medicine · Neonatal Health and Biochemistry · Nursing · Pediatrics
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| Velocidad de citación | historical |
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| Altamente citado | No |