Evidence map›Paper›PMID 39890208›Full record

Observational studyBMJ global health2025

Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, India.

Shajy Isac, Bidyadhar Dehury, Ravi Prakash, Nihal Hasan, John Anthony, Banadakoppa Manjappa Ramesh, Prakash P Javalkar, Vasanthakumar Namasivayam, Marissa L Becker, James Blanchard and 1 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Shajy IsacDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada shajy.isac@ihat.in.ORCID http://orcid.org/0000-0002-4272-7748
Bidyadhar DehuryIndia Health Action Trust, Lucknow, Uttar Pradesh, India.ORCID http://orcid.org/0000-0001-8708-6115
Ravi PrakashDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID http://orcid.org/0000-0003-3715-5789
Nihal HasanIndia Health Action Trust, Lucknow, Uttar Pradesh, India.ORCID http://orcid.org/0009-0000-8302-8102
John AnthonyDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID http://orcid.org/0000-0002-5574-7051
Banadakoppa Manjappa RameshDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID http://orcid.org/0000-0003-3038-4415
Prakash P JavalkarIndia Health Action Trust, Lucknow, Uttar Pradesh, India.ORCID http://orcid.org/0000-0001-5569-5792
Vasanthakumar NamasivayamSecretary, Union Territory of Ladakh, Leh, Ladakh, India.ORCID http://orcid.org/0000-0001-7905-0155
Marissa L BeckerDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID http://orcid.org/0000-0002-9235-0547
James BlanchardDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID http://orcid.org/0000-0002-4701-590X
Ties BoermaDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID http://orcid.org/0000-0001-9922-495X

Funding

Gates Foundation INV-009987
6 · The paper itself

Abstract

introductionEssential newborn care (ENBC) practices are recommended for all births to improve neonatal survival. This paper aims to understand the facility-level variations and factors associated with the essential newborn care practices by providers in higher-level public health facilities in 25 high priority districts (HPDs) of Uttar Pradesh (UP).

methodsWe used observational cross-sectional quantitative data from 48 selected public health facilities (23 district hospitals (DH) and 25 community health centres (CHC)-first referral units (FRU)) implemented in 25 HPDs of UP from February 2020 to May 2021. We defined ENBC practice as both cord care and initiation of breastfeeding within 1 hour of birth were practiced in normal deliveries by the staff nurse. Descriptive analysis was done based on data from 2603 newborns attended by 318 providers. A stratified analysis was done by DH and CHC-FRU.

resultsOverall, essential newborn care was practiced among 26.1% of the newborns (26.2% in DH and 35.0% in CHC-FRU). The ENBC practice varied across facilities from 3.0% to 64.1% in DH and from 0% to 91.0% in CHC-FRU. The ENBC practice was about 2.3 times higher in facilities with a high level of skill and knowledge of the providers (39.0%) compared with the facilities with a low level of skill and knowledge (16.9%). Similar patterns of association between providers' skills and knowledge of ENBC practices were observed in DH and CHC-FRU.

conclusionSkill and knowledge on ENBC components are significantly associated with the clinical practices of providers, with a high level of variability across facilities. This suggests a focused facility-based assessment and enhancement of the clinical competencies of the providers to improve the quality of care in public health facilities in UP.

Indexed as

Delivery, ObstetricInfant CareAdultBreast FeedingCommunity Health CentersCross-Sectional StudiesFemaleHealth FacilitiesHumansIndiaInfant, NewbornPregnancyChild healthHealth policyHospital-based studyIndiaPublic Health

Identifiers

PMID39890208
PMCPMC11792291

What OpenQuestion holds

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LicenceCC BY
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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.