Evidence map›Paper›PMID 32896148›Full record

ArticleAfrican journal of primary health care & family medicine2020

Implementing the Family-Led Care model for preterm and low birth weight newborns in Malawi: Experience of healthcare workers.

Patani Mhango, Effie Chipeta, Adamson S Muula, Judith Robb-McCord, Patrice White, James A Litch, Irene Kamanga, Rebecca Freeman, Anne-Marie Bergh

Open access · goldAbstract read
In one paragraph

Article in African journal of primary health care & family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
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

8 citing papers in PubMed, 12 citations in OpenAlex.

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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

9 authors at 5 institutions in 3 countries.

Patani MhangoCentre for Reproductive Health, College of Medicine, University of Malawi, Blantyre,. pmhango@medcol.mw.
Effie Chipeta
Adamson S Muula
Judith Robb-McCord
Patrice White
James A Litch
Irene Kamanga
Rebecca Freeman
Anne-Marie Bergh
Project Concern International · USUniversity of Malawi · MWAmerican College of Nurse-Midwives · USGlobal Alliance to Prevent Prematurity and Stillbirth · USUniversity of Pretoria · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvery Preemie-SCALE developed and piloted the Family-Led Care model, an innovative, locally developed model of care for preterm and low birth weight babies receiving kangaroo mother care.

aimThe aim of this study was to describe healthcare workers' experience using Family-Led Care.

settingThis study was conducted in five health facilities and their catchment areas in Balaka district, Malawi.

methodsThe mixed-methods design, with two data collection periods, included record reviews, observations and questionnaires for facility staff and qualitative interviews with health workers of these facilities and their catchment areas. The total convenience sample comprised 123 health professionals, support staff and non-professional community health workers.

resultsFacility-based staff generally had positive perceptions of Family-Led Care (83%). Knowledge and application-of-knowledge scores were 69% and 52%, respectively. A major change between the first and the second data periods was improvement in client record-keeping. Documentation of newborn vital signs increased from 62% to 92%. Themes emerging from the qualitative interview analysis were the following: benefits of Family-Led Care; activities supporting the implementation of Family-Led Care; own care practices; and families' reaction to and experience of Family-Led Care.

conclusionThis article reports improved quality of care through better documentation and better follow-up of preterm and low birth weight babies receiving kangaroo mother care according to the Family-Led Care model. Overall, health workers were positive about their involvement, and they reported positive reactions from families. Lessons learned have been incorporated into a universal Family-Led Care package that is available for adaptation by other countries.

Indexed as

Infant, Low Birth WeightInfant, PrematureKangaroo-Mother Care MethodAdultAttitude of Health PersonnelCatchment Area, HealthFamily NursingFemaleHealth PersonnelHealth Plan ImplementationHumansInfant, NewbornMalawiMalePatient Acceptance of Health CareQualitative Researchfamily-centred carehealthcare providerskangaroo mother carelow birth weightMalawineonatespreterm birthquality of care

Identifiers

PMID32896148
PMCPMC7479669
OpenAlexW3049497119

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.