Evidence map›Paper›PMID 26176535›Full record

Trial reportPloS one2015

Generating Insights from Trends in Newborn Care Practices from Prospective Population-Based Studies: Examples from India, Bangladesh and Nepal.

Sonya Crowe, Audrey Prost, Munir Hossen, Kishwar Azad, Abdul Kuddus, Swati Roy, Nirmala Nair, Prasanta Tripathy, Naomi Saville, Aman Sen and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Sonya CroweClinical Operational Research Unit, University College London, 4 Taviton Street, London, WC1H 0BT, United Kingdom.
Audrey ProstInstitute for Global Health, University College London, 30 Guilford Street, London WC1N 1EH, United Kingdom.
Munir HossenPerinatal Care Project, Diabetic Association of Bangladesh, 122 Kazi Nazrul Islam Avenue, Dhaka 1000, Bangladesh, India.
Kishwar AzadPerinatal Care Project, Diabetic Association of Bangladesh, 122 Kazi Nazrul Islam Avenue, Dhaka 1000, Bangladesh, India.
Abdul KuddusPerinatal Care Project, Diabetic Association of Bangladesh, 122 Kazi Nazrul Islam Avenue, Dhaka 1000, Bangladesh, India.
Swati RoyEkjut, Plot 556B, Potka, Chakradharpur, West Singhbhum, Jharkhand, India.
Nirmala NairEkjut, Plot 556B, Potka, Chakradharpur, West Singhbhum, Jharkhand, India.
Prasanta TripathyEkjut, Plot 556B, Potka, Chakradharpur, West Singhbhum, Jharkhand, India.
Naomi SavilleInstitute for Global Health, University College London, 30 Guilford Street, London WC1N 1EH, United Kingdom; Mother Infant Research Activities (MIRA), YB Bhavan, Thapathali, GPO Box 921, Kathmandu, Nepal.
Aman SenMother Infant Research Activities (MIRA), YB Bhavan, Thapathali, GPO Box 921, Kathmandu, Nepal.
Catherine SikorskiInstitute for Global Health, University College London, 30 Guilford Street, London WC1N 1EH, United Kingdom; Mother Infant Research Activities (MIRA), YB Bhavan, Thapathali, GPO Box 921, Kathmandu, Nepal.
Dharma ManandharMother Infant Research Activities (MIRA), YB Bhavan, Thapathali, GPO Box 921, Kathmandu, Nepal.
Anthony CostelloInstitute for Global Health, University College London, 30 Guilford Street, London WC1N 1EH, United Kingdom.
Christina PagelClinical Operational Research Unit, University College London, 4 Taviton Street, London, WC1H 0BT, United Kingdom.

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundDelivery of essential newborn care is key to reducing neonatal mortality rates, yet coverage of protective birth practices remains incomplete and variable, with or without skilled attendance. Evidence of changes over time in newborn care provision, disaggregated by care practice and delivery type, can be used by policymakers to review efforts to reduce mortality. We examine such trends in four areas using control arm trial data. METHODS AND

findingsWe analysed data from the control arms of cluster randomised controlled trials in Bangladesh (27 553 births), eastern India (8 939), Dhanusha, Nepal (15 344) and Makwanpur, Nepal (6 765) over the period 2001-2011. For each trial, we calculated the observed proportion of attended births and the coverage of WHO essential newborn care practices by year, adjusted for clustering and stratification. To explore factors contributing to the observed trends, we then analysed expected trends due only to observed shifts in birth attendance, accounted for stratification, delivery type and statistically significant interaction terms, and examined disaggregated trends in care practice coverage by delivery type. Attended births increased over the study periods in all areas from very low rates, reaching a maximum of only 30% of deliveries. Newborn care practice trends showed marked heterogeneity within and between areas. Adjustment for stratification, birth attendance and interaction revealed that care practices could change in opposite directions over time and/or between delivery types - e.g. in Bangladesh hygienic cord-cutting and skin-to-skin contact fell in attended deliveries but not home deliveries, whereas in India birth attendant hand-washing rose for institutional deliveries but fell for home deliveries.

conclusionsCoverage of many essential newborn care practices is improving, albeit slowly and unevenly across sites and delivery type. Time trend analyses of birth patterns and essential newborn care practices can inform policy-makers about effective intervention strategies.

Indexed as

ParturitionBangladeshDelivery of Health CareHumansIndiaInfant, NewbornNepalProspective StudiesTime Factors

Identifiers

PMID26176535
PMCPMC4503724

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.