Household Survey Measurement of Newborn Postnatal Care: Coverage, Quality Gaps, and Internal Inconsistencies in Responses.

Autor:	Peven K; Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, United Kingdom. Kimberly.peven@kcl.ac.uk.; Maternal and Newborn Health Group, Department of Infectious Disease Epidemiology and Centre for Maternal, Adolescent, Reproductive, & Child Health (MARCH), London School of Hygiene & Tropical Medicine, London, United Kingdom., Day LT; Maternal and Newborn Health Group, Department of Infectious Disease Epidemiology and Centre for Maternal, Adolescent, Reproductive, & Child Health (MARCH), London School of Hygiene & Tropical Medicine, London, United Kingdom., Bick D; Warwick Clinical Trials Unit, University of Warwick, Coventry, United Kingdom., Purssell E; Little Havens Children's Hospice, Benfleet, United Kingdom., Taylor C; School of Health Sciences, University of Surrey, Guildford, United Kingdom., Akuze J; Maternal and Newborn Health Group, Department of Infectious Disease Epidemiology and Centre for Maternal, Adolescent, Reproductive, & Child Health (MARCH), London School of Hygiene & Tropical Medicine, London, United Kingdom.; Department of Health Policy, Planning and Management and Centre of Excellence for Maternal, Newborn and Child Health, Makerere University School of Public Health, Kampala, Uganda., Mallick L; Department of Family Science, School of Public Health, University of Maryland, College Park, MD, USA.; Avenir Health, Glastonbury, CT, USA.
Jazyk:	angličtina
Zdroj:	Global health, science and practice [Glob Health Sci Pract] 2021 Dec 21; Vol. 9 (4), pp. 737-751. Date of Electronic Publication: 2021 Dec 21 (Print Publication: 2021).
DOI:	10.9745/GHSP-D-21-00209
Abstrakt:	Background: Reliable measurement of newborn postnatal care is essential to understand gaps in coverage and quality and thereby improve outcomes. This study examined gaps in coverage and measurement of newborn postnatal care in the first 2 days of life. Methods: We analyzed Demographic and Health Survey data from 15 countries for 71,366 births to measure the gap between postnatal contact coverage and content coverage within 2 days of birth. Coverage was a contact with the health system in the first 2 days (postnatal check or newborn care intervention), and quality was defined as reported receipt of 5 health worker-provided interventions. We examined internal consistency between interrelated questions regarding examination of the umbilical cord. Results: Reported coverage of postnatal check ranged from 13% in Ethiopia to 78% in Senegal. Report of specific newborn care interventions varied widely by intervention within and between countries. Quality-coverage gaps were high, ranging from 26% in Malawi to 89% in Burundi. We found some internally inconsistent reporting of newborn care. The percentage of women who reported that a health care provider checked their newborn's umbilical cord but responded "no" to the postnatal check question was as high as 16% in Malawi. Conclusion: Reliable measurement of coverage and content of early postnatal newborn care is essential to track progress in improving quality of care. Postnatal contact coverage is challenging to measure because it may be difficult for women to distinguish postnatal care from intrapartum care and it is a less recognizable concept than antenatal care. Co-coverage measures may provide a useful summary of contact and content, reflecting both coverage and an aspect of quality. (© Peven et al.)
Databáze:	MEDLINE
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