ArticleJournal of global health2017
Does health facility service environment matter for the receipt of essential newborn care? Linking health facility and household survey data in Malawi.
Article in Journal of global health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 26 citations in OpenAlex.
- Developing scalable strategies for early essential newborn care: A network-driven qualitative analysis.International journal of nursing studies advances · 2026Article
- Specific service readiness for sick child health services and its relationship with quality of care and user experience in eight low-and middle-income countries.BMC health services research · 2026Article
- Readiness to deliver quality curative care for under-five children at health posts in Ethiopia.BMC health services research · 2025Article
- Article
- A descriptive analysis of the coverage of newborn care services among women who delivered in health facilities in 17 sub-Saharan African countries.BMC pregnancy and childbirth · 2023Article
- Measures to assess quality of postnatal care: A scoping review.PLOS global public health · 2023Article
- Facility level factors that determine consistent delivery of essential newborn care at health centers in Ethiopia.BMC pregnancy and childbirth · 2022Article
- Household Survey Measurement of Newborn Postnatal Care: Coverage, Quality Gaps, and Internal Inconsistencies in Responses.Global health, science and practice · 2021Article
- Equity in newborn care, evidence from national surveys in low- and middle-income countries.International journal for equity in health · 2021Article
- Distance to available services for newborns at facilities in Malawi: A secondary analysis of survey and health facility data.PloS one · 2021Article
- Why improving the measurement and monitoring of essential maternal and newborn health interventions matters.Journal of global health · 2020Article
- Quality of Care for Maternal and Newborn Health in Health Facilities in Nepal.Maternal and child health journal · 2020Article
- Essential new-born care practices and associated factors among post natal mothers in Nekemte City, Western Ethiopia.PloS one · 2020Article
- Gap between contact and content in maternal and newborn care: An analysis of data from 20 countries in sub-Saharan Africa.Journal of global health · 2017Article
- Skilled attendant at birth and newborn survival in Sub-Saharan Africa.Journal of global health · 2017Article
- Measuring coverage of essential maternal and newborn care interventions: An unfinished agenda.Journal of global health · 2017Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth facility service environment is an important factor for newborns survival and well-being in general and in particular in high mortality settings such as Malawi where despite high coverage of essential interventions, neonatal mortality remains high. The aim of this study is to assess whether the quality of the health service environment at birth is associated with quality of care received by the newborn.
methodsWe used data from the Malawi Millennium Development Goals Endline household survey conducted as part of MICS survey program and Service Provision Assessment Survey carried out in 2014. The analysis is based on 6218 facility births that occurred during the past 2 years. Descriptive statistics, bivariate and multivariate random effect models are used to assess the association of health facility service readiness score for normal deliveries and newborn care with newborns receiving appropriate newborn care, defined for this analysis as receiving 5 out of 6 recommended interventions during the first 2 days after birth.
resultsNewborns in districts with top facility service readiness score have 1.5 higher odds of receiving appropriate newborn care (adjusted odds ratio (aOR) = 1.52, 95% confidence interval CI = 1.19-1.95,
conclusionsThere is need to increase the level of service readiness across all facilities, so that all newborns irrespective of the health facility, district or region of delivery are able to receive all recommended essential interventions. Investments in health systems in Malawi should concentrate on increasing training and availability of health staff in facilities that offer normal delivery and newborn care services at all levels in the country.
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