Evidence map›Paper›PMID 34551768›Full record

ArticlePopulation health metrics2021

Effect of birthweight measurement quality improvement on low birthweight prevalence in rural Ethiopia.

Estifanos Baye, Firehiwot Workneh Abate, Michelle Eglovitch, Fisseha Shiferie, Ingrid E Olson, Tigest Shifraw, Workagegnehu Tarekegn Kidane, Kalkidan Yibeltal, Sitota Tsegaye, Mulatu Melese Derebe and 9 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Population health metrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 11 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

19 authors at 7 institutions in 2 countries.

Estifanos BayeDepartment of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.
Firehiwot Workneh AbateAddis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Michelle EglovitchDepartment of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.
Fisseha ShiferieAddis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Ingrid E OlsonDepartment of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.
Tigest ShifrawAddis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Workagegnehu Tarekegn KidaneAddis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Kalkidan YibeltalAddis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Sitota TsegayeAddis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Mulatu Melese DerebeAmhara Public Health Institute, Bahir Dar, Ethiopia.
Sheila IsanakaDepartments of Nutrition and Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Blair J WylieDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Rose L MolinaDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Grace J ChanDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Amare WorkuAddis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Luke C MullanyDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Alemayehu WorkuAddis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Yemane BerhaneAddis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Anne C C LeeDepartment of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA. alee6@bwh.harvard.edu.ORCID 0000-0003-2654-9862
Addis Continental Institute of Public Health · ETBrigham and Women's Hospital · USBeth Israel Deaconess Medical Center · USEthiopian Public Health Institute · ETHarvard Global Health Institute · USHarvard University · USJohns Hopkins University · US

Funding

The Roles of Perinatal Nutrition, Infection and Inflammation in the Neurodevelopment of Bangladeshi InfantsK23HD091390 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI LEE, ANNE SHEE CC · 2017 to 2021
$864k
NICHD NIH HHS K23 HD091390
6 · The paper itself

Abstract

backgroundLow birthweight (LBW) (< 2500 g) is a significant determinant of infant morbidity and mortality worldwide. In low-income settings, the quality of birthweight data suffers from measurement and recording errors, inconsistent data reporting systems, and missing data from non-facility births. This paper describes birthweight data quality and the prevalence of LBW before and after implementation of a birthweight quality improvement (QI) initiative in Amhara region, Ethiopia.

methodsA comparative pre-post study was performed in selected rural health facilities located in West Gojjam and South Gondar zones. At baseline, a retrospective review of delivery records from February to May 2018 was performed in 14 health centers to collect birthweight data. A birthweight QI initiative was introduced in August 2019, which included provision of high-quality digital infant weight scales (precision 5 g), routine calibration, training in birth weighing and data recording, and routine field supervision. After the QI implementation, birthweight data were prospectively collected from late August to early September 2019, and December 2019 to June 2020. Data quality, as measured by heaping (weights at exact multiples of 500 g) and rounding to the nearest 100 g, and the prevalence of LBW were calculated before and after QI implementation.

resultsWe retrospectively reviewed 1383 delivery records before the QI implementation and prospectively measured 1371 newborn weights after QI implementation. Heaping was most frequently observed at 3000 g and declined from 26% pre-initiative to 6.7% post-initiative. Heaping at 2500 g decreased from 5.4% pre-QI to 2.2% post-QI. The percentage of rounding to the nearest 100 g was reduced from 100% pre-initiative to 36.5% post-initiative. Before the QI initiative, the prevalence of recognized LBW was 2.2% (95% confidence interval [CI]: 1.5-3.1) and after the QI initiative increased to 11.7% (95% CI: 10.1-13.5).

conclusionsA QI intervention can improve the quality of birthweight measurements, and data measurement quality may substantially affect estimates of LBW prevalence.

Indexed as

Quality ImprovementBirth WeightEthiopiaHumansInfantInfant, NewbornPrevalenceRetrospective StudiesBirthweight heapingData quality improvement initiativeDelivery registersEthiopiaLow birthweight

Identifiers

PMID34551768
PMCPMC8459538
OpenAlexW3199037154

What OpenQuestion holds

Textmetadata
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.