ArticleBMJ open2019
Quality of essential newborn care and neonatal resuscitation at health facilities in Afghanistan: a cross-sectional assessment.
Article in BMJ open, 2019. 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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Who cites it
16 citing papers in PubMed, 22 citations in OpenAlex.
- 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
- Readiness to Provide Neonatal Care Services in 208 Ethiopian Hospitals Prior to Implementation of the Saving Little Lives Program.Children (Basel, Switzerland) · 2026Article
- Spatial distribution and determinants of missing essential newborn care items after birth in Somaliland: a spatial and multilevel analysis of SDHS.Frontiers in pediatrics · 2026Article
- Factors associated with delayed neonatal bathing in Afghanistan: insights from the 2022-2023 multiple indicator cluster survey.BMC research notes · 2025Article
- Potential Impact of Maternal and Newborn Health Improvements in Afghanistan: Projection of Mortality to 2030.Maternal and child health journal · 2025Article
- Measuring ENAP interventions for small and/or sick newborns in routine health information systems: indicators and considerations from a WHO expert consultation.Journal of global health · 2025Article
- Prevalence and factors associated with mother and newborn skin-to-skin contact in Afghanistan.PloS one · 2025Article
- Quality of newborn care and associated factors: An analysis of the 2022 Kenya demographic and health survey.PLOS global public health · 2024Article
- Facility level factors that determine consistent delivery of essential newborn care at health centers in Ethiopia.BMC pregnancy and childbirth · 2022Article
- Assessment of neonatal resuscitation skills among healthcare workers in Uasin Gishu County, Kenya.SAGE open medicine · 2022Article
- The delivery of essential newborn care in conflict settings: A systematic review.Frontiers in pediatrics · 2022Review
- Article
- Facility-level determinants of quality routine intrapartum care in Afghanistan.BMC pregnancy and childbirth · 2021Article
- Quality of Maternal Death Documentation in Afghanistan: A Retrospective Health Facility Record Review.Frontiers in global women's health · 2021Article
- National and subnational estimates of coverage and travel time to emergency obstetric care in Afghanistan: Modeling of spatial accessibility.Health & place · 2020Article
- Multilevel Determinants of Mother-Infant Skin-to-Skin Contact at Birth in Somalia: Findings from Somali Demographic and Health Survey.SAGE open nursingArticle
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess readiness and quality of essential newborn care and neonatal resuscitation practices in public health facilities in Afghanistan.
designCross-sectional assessment.
setting226 public health facilities in Afghanistan, including 77 public health facilities with at least five births per day (high-volume facilities) and 149 of 1736 public health facilities with fewer than five births per day (low-volume facilities).
participantsManagers of 226 public health facilities, 734 skilled birth attendants (SBAs) working at these facilities, and 643 women and their newborns observed during childbirth at 77 high-volume health facilities. OUTCOME MEASURES: Availability of knowledgeable SBAs, availability of supplies and compliance with global guidelines for essential newborn care and neonatal resuscitation practices.
resultsAt high-volume facilities, 569/636 (87.9%) of babies were dried immediately after birth, 313/636 (49.2%) were placed in skin-to-skin contact with their mother and 581/636 (89.7%) had their umbilical cord cut with a sterile blade or scissors. A total of 87 newborn resuscitation attempts were observed. Twenty-four of the 87 (27.5%) began to breath or cry after simply clearing the airway or on stimulation. In the remaining 63 (72.5%) cases, a healthcare worker began resuscitation with a bag and mask; however, only 54 (62%) used a correct size of mask and three babies died as their resuscitation with bag and mask was unsuccessful.
conclusionsThe study indicates room for improvement of the quality of neonatal resuscitation practices at public health facilities in Afghanistan, requiring only strengthening of the current best practices in newborn care. Certain basic and effective aspects of essential newborn care that can be improved on with little additional resources were also missing, such as skin-to-skin contact of the babies with their mother. Improvement of compliance with the standard newborn care practices must be ensured to reduce preventable newborn mortality and morbidity in Afghanistan.
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