Evidence map›Paper›PMID 35650540›Full record

ArticleBMC pregnancy and childbirth2022

Quality newborn care in East New Britain, Papua New Guinea: measuring early newborn care practices and identifying opportunities for improvement.

Alyce N Wilson, Pele Melepia, Rose Suruka, Priscah Hezeri, Dukduk Kabiu, Delly Babona, Pinip Wapi, Naomi Spotswood, Meghan A Bohren, Joshua P Vogel and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

18 authors.

Alyce N WilsonMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia. alyce.wilson@burnet.edu.au.
Pele MelepiaMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Rose SurukaMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Priscah HezeriMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Dukduk KabiuMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Delly BabonaSt Mary's Hospital, Kokopo, Papua New Guinea.
Pinip WapiNonga General Hospital, Rabaul, Papua New Guinea.
Naomi SpotswoodMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Meghan A BohrenGender and Women's Health Unit, Centre for Health Equity, School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Joshua P VogelMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Angela Kelly-HankuPapua New Guinea Institute for Medical Research, Goroka, Papua New Guinea.
Alison MorganNossal Institute for Global Health, School of Population and Global Health, University of Melbourne, Melbourne, Australia.
James G BeesonMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Christopher MorganMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Lisa M VallelyPapua New Guinea Institute for Medical Research, Goroka, Papua New Guinea.
Edward J WaraminPopulation and Family Health, National Department of Health, Port Moresby, Papua New Guinea.
Michelle J L ScoullarMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Caroline S E HomerMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRenewed attention and investment is needed to improve the quality of care during the early newborn period to address preventable newborn deaths and stillbirths in Papua New Guinea (PNG). We aimed to assess early newborn care practices and identify opportunities for improvement in one province (East New Britain) in PNG.

methodsA mixed-methods study was undertaken in five rural health facilities in the province using a combination of facility audits, labour observations and qualitative interviews with women and maternity providers. Data collection took place between September 2019 and February 2020. Quantitative data were analysed descriptively, whilst qualitative data were analysed using content analysis. Data were triangulated by data source.

resultsFive facility audits, 30 labour observations (in four of the facilities), and interviews with 13 women and eight health providers were conducted to examine early newborn care practices. We found a perinatal mortality rate of 32.2 perinatal deaths per 1000 total births and several barriers to quality newborn care, including an insufficient workforce, critical infrastructure and utility constraints, and limited availability of essential newborn medicines and equipment. Most newborns received at least one essential newborn care practice in the first hour of life, such as immediate and thorough drying (97%).

conclusionsWe observed high rates of essential newborn care practices including immediate skin-to-skin and delayed cord clamping. We also identified multiple barriers to improving the quality of newborn care in East New Britain, PNG. These findings can inform the development of effective interventions to improve the quality of newborn care. Further, this study demonstrates that multi-faceted programs that include increased investment in the health workforce, education and training, and availability of essential equipment, medicines, and supplies are required to improve newborn outcomes.

Indexed as

Health FacilitiesQuality of Health CareFemaleHumansInfant, NewbornPapua New GuineaParturitionPregnancyUnited KingdomMaternal and newborn healthNewborn carePapua New GuineaQuality care

Identifiers

PMID35650540
PMCPMC9157041

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.