Helping babies breathe can reduce deaths with the right combination of training and expertise

Enweronu‐Laryea, Christabel; Robertson, Nicola J.

doi:10.1111/apa.13988

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…37,38 Related to this, 89 (23.73%, 95% CI [19.71, 28.29]) babies received cares to strengthen the efforts of the babies to breathe, help the baby to breathe. Though there had been similar evidence about the importance of this care, 10,39 the newborn care to support a child to breathe in this study was low. It could be attributed to lack of in-service help baby breathe training for midwives and other care providers those involved in attending childbirth, which needs immediate attention.…”

Section: Discussionmentioning

confidence: 55%

“…This low provisions of ENC had been putting neonates at an increased risk of illness and death. 1,[10][11][12][13][14][15] Even though each step of essential newborn care is designed based on priority problems or its impact on neonatal life, most studies from different parts of the world indicated incomplete or inappropriate essential newborn. 16,17 Ethiopian health sector transformation plan (HSTP) (2015/16-2019/20) has targeted to reduce neonatal mortality to 10 deaths per 1000 live births by the year 2020.…”

Section: Introductionmentioning

confidence: 99%

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<p>Poor Universal Coverage of Immediate Essential Newborn Care at Hospitals of Wollega Zones, The Case of Western Ethiopia</p>

Kasaye¹,

Yilma²,

Bobo³

et al. 2020

RRN

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Background: Thousands of neonates die annually in Ethiopia related to preventable causes. Low-quality care enhances neonatal morbidity and mortality unless remedial action is taken based on evidence. Here, we show the magnitude of essential newborn care service provisions and factors contributing to substandard care. Methods: We conducted a cross-sectional study in four hospitals of Wollega Zones from April to August 2017. We calculated 390 samples using Epi-info stat calc using necessary assumptions. A systematic random sampling method was used to select study participants. Non-participatory observations of essential newborn care service provisions were conducted using a World Health Organization checklist. We used binary logistic regression models to identify the independent predictors and reported variables having P-values less than 0.05 at 95% confidence intervals of odds ratios as significantly associated variables. Results: A total of 375 childbirths were observed and among these, only 11 (2.9%) neonates were given all components of immediate essential newborn care, while 315 (84.0%) of the newborns initiated early breast-feeding, 131 (34.9%) kept warm, 108 (28.8%) got disease prevention measures (89 (23.7%) helped to breathe, and only 14 (3.7%) kept clean immediately following the birth. Maternal highest annual income, maternal age, need of resuscitation, presence of assistant to a birth attendant, childbirth during the weekends were statistically significantly associated with immediate essential neonatal care categories in various predictive level. Conclusion: The essential newborn care provided for the neonates during childbirth at the health facilities was found to be poor. Continued efforts at improving access to quality essential newborn care provided for neonates are required. Hospital administrators need to consider enhancing the number of skilled delivery attendants, and enforcing implementations of essential newborn care standards is mandatory to protect the lives of neonates.

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Section: Discussionmentioning

confidence: 55%

Section: Introductionmentioning

confidence: 99%

<p>Poor Universal Coverage of Immediate Essential Newborn Care at Hospitals of Wollega Zones, The Case of Western Ethiopia</p>

Kasaye¹,

Yilma²,

Bobo³

et al. 2020

RRN

View full text Add to dashboard Cite

show abstract

“…When the data were presented to healthcare administration personnel, this improved staff retention and the SHIE rate then decreased again (3). EnweronuLaryea and Robertson comment on the study (4). Readers may also be interested in the editorial by Niermeyer (5), who comments on Wrammert et al's paper on an HBB project in Nepal (6), which was published in the previous issue.…”

Section: Helping Babies Breathe Training Can Improve Neonatal Resuscimentioning

confidence: 99%

Highlights in this issue

Käll¹,

Lagercrantz²

2017

Acta Paediatrica

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“…6 More than a million of these neonatal deaths occur on their first day of life, which would have been minimized with appropriate implementation of ENC. 2,4,[7][8][9] Even though each step of ENC is designed to be implemented based on prioritization of newborn problems and/or its impact on neonatal life, most studies from different parts of the world have indicated incomplete or inappropriate practice of ENC. 10,11 This study set out to assess the practice and the determinants of adequate ENC services provided to babies immediately after delivery in privately owned health facilities in southeast Nigeria.…”

Section: Introductionmentioning

confidence: 99%

“…6 More than a million of these neonatal deaths occur on their first day of life, which would have been minimized with appropriate implementation of ENC. 2, 4, 7–9…”

Section: Introductionmentioning

confidence: 99%

Essential Newborn Care Services in Nonpublic Health-Care Facilities in Southeast Nigeria

Iloh

Onukwuli

et al. 2023

Journal of Neonatology

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Background The World Health Organization (WHO) has set some standards of essential newborn care (ENC) with some activities, the implementation of which minimizes the incidence of neonatal morbidity and mortality. This study attempted to assess the practice of ENC services among nonpublic health-care facilities and determinants of adequate ENC practice in southeast Nigeria. Methods This was a cross-sectional descriptive study carried out in 4 of the largest cities in southeast Nigeria. The studied facilities were selected by purposive and convenient sampling method. Scores were assigned to the practice of ENC and computed based on standard validated criteria. Data analysis was done using Epi Info version 7.2 and statistical significance was set at P < .05. Results A total of 77 health facilities in the study area were surveyed. The mean annual birth rate in the surveyed health facilities was approximately 342.2. Majority (64.9%) of the health facilities efficiently executed 3 of the 8 ENC practices while only 27 (35.1%) facilities had good essential newborn practices score. The city where the health-care facilities were located influenced the practice of adequate ENC. A greater proportion of health facilities located in Abakaliki and Awka practiced adequate ENC compared to facilities in Enugu and Nnewi ( P = .001). Conclusion ENC service is poor in nonpublic health-care facilities in southeast Nigeria. Training and retraining of health workers as well as provision of necessary incentives through government-private partnership may help ensure better implementation of ENC in order to reduce neonatal morbidity and mortality in southeast Nigeria.

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Helping babies breathe can reduce deaths with the right combination of training and expertise

Cited by 4 publications

References 7 publications

<p>Poor Universal Coverage of Immediate Essential Newborn Care at Hospitals of Wollega Zones, The Case of Western Ethiopia</p>

<p>Poor Universal Coverage of Immediate Essential Newborn Care at Hospitals of Wollega Zones, The Case of Western Ethiopia</p>

Highlights in this issue

Essential Newborn Care Services in Nonpublic Health-Care Facilities in Southeast Nigeria

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