ArticleBMJ open2013
Quality of newborn care: a health facility assessment in rural Ghana using survey, vignette and surveillance data.
Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00623337 (Cluster Randomised Trial to Evaluate the Impact of Routine Home Visits to Provide a Package of Essential Newborn Care Interventions in the Third Trimester of Pregnancy and the 1st Week of Life on Neonatal Mortality in Rural Ghana), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Cluster Randomised Trial to Evaluate the Impact of Routine Home Visits to Provide a Package of Essential Newborn Care Interventions in the Third Trimester of Pregnancy and the 1st Week of Life on Neonatal Mortality in Rural Ghana
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Assessing trauma care systems in low-income and middle-income countries: a systematic review and evidence synthesis mapping the Three Delays framework to injury health system assessments.BMJ global health · 2021Pooled it
- Cost and cost-effectiveness of newborn home visits: findings from the Newhints cluster-randomised controlled trial in rural Ghana.The Lancet. Global health · 2016Pooled it
- Increasing access to care for sick newborns: evidence from the Ghana Newhints cluster-randomised controlled trial.BMJ open · 2016Trial
- Coverage and factors associated with receipt of early newborn postnatal care components in Afghanistan: findings from the 2022-2023 multiple indicator cluster survey.Global health action · 2026Article
- Evaluating the implementation of the vignettes-based injury care process assessment tool in low- and middle-income countries settings.BMC health services research · 2026Article
- Benchmarking newborn care quality in Ghana: Evidence from structured observations of clinical practice against WHO quality standards.PloS one · 2026Observational
- Article
- Health system assessment for access to care after injury in low- or middle-income countries: A mixed methods study from Northern Malawi.PLoS medicine · 2024Article
- Trends in Neonatal Mortality at Princess Marie Louise Children's Hospital, Accra, and the Newborn Strategic Plan: Implications for Reducing Mortality in Hospital and the Community.Children (Basel, Switzerland) · 2023Article
- Women's perspectives on human milk banking in Ghana: results from a cross-sectional study.Frontiers in public health · 2023Article
- Essential newborn care practices for healthy newborns at a district hospital in Pemba, Tanzania: a cross-sectional observational study utilizing video recordings.Global health action · 2022Observational
- The quality of service provision to newborns in the primary healthcare, West Gojjam zone, North-West of Ethiopia: a cross-sectional survey.BMC pediatrics · 2022Article
- Quality of care assessment for small and sick newborns and young infants in Pakistan: findings from a cross-sectional study.BMC pediatrics · 2022Article
- The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana.BMC health services research · 2021Article
- The Transport and Outcome of Sick Outborn Neonates Admitted to a Regional and District Hospital in the Upper West Region of Ghana: A Cross-Sectional Study.Children (Basel, Switzerland) · 2020Article
- Quality of neonatal resuscitation in Ethiopia: implications for the survival of neonates.BMC pediatrics · 2020Article
- Article
- Missed nursing care in newborn units: a cross-sectional direct observational study.BMJ quality & safety · 2020Observational
- Collective strategies to cope with work related stress among nurses in resource constrained settings: An ethnography of neonatal nursing in Kenya.Social science & medicine (1982) · 2020Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the structural capacity for, and quality of, immediate and essential newborn care (ENC) in health facilities in rural Ghana, and to link this with demand for facility deliveries and admissions.
designHealth facility assessment survey and population-based surveillance data.
settingSeven districts in Brong Ahafo Region, Ghana.
participantsHeads of maternal/neonatal wards in all 64 facilities performing deliveries.
main outcome measuresIndicators include: the availability of essential infrastructure, newborn equipment and drugs, and personnel; vignette scores and adequacy of reasons given for delayed discharge of newborn babies; and prevalence of key immediate ENC practices that facilities should promote. These are matched to the percentage of babies delivered in and admitted to each type of facility.
results70% of babies were delivered in health facilities; 56% of these and 87% of neonatal admissions were in four referral level hospitals. These had adequate infrastructure, but all lacked staff trained in ENC and some essential equipment (including incubators and bag and masks) and/or drugs. Vignette scores for care of very low-birth-weight babies were generally moderate-to-high, but only three hospitals achieved high overall scores for quality of ENC. We estimate that only 33% of babies were born in facilities capable of providing high quality, basic resuscitation as assessed by a vignette plus the presence of a bag and mask. Promotion of immediate ENC practices in facilities was also inadequate, with coverage of early initiation of breastfeeding and delayed bathing both below 50% for babies born in facilities; this represents a lost opportunity.
conclusionsUnless major gaps in ENC equipment, drugs, staff, practices and skills are addressed, strategies to increase facility utilisation will not achieve their potential to save newborn lives.
trial registrationhttp://clinicaltrials.gov NCT00623337.
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