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A descriptive analysis of the coverage of newborn care services among women who delivered in health facilities in 17 sub-Saharan African countries
BACKGROUND: Sub-Saharan Africa (SSA) has seen an increase in facility-based births over the years. However, the region has the world’s highest newborn mortality rate (42% in 2019). Quality care around the time of birth can avert these deaths. This study examined the newborn care interventions given...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10108479/ https://www.ncbi.nlm.nih.gov/pubmed/37069513 http://dx.doi.org/10.1186/s12884-023-05592-8 |
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author | Wan, Siyuan Jin, Baiming Kpordoxah, Mary Rachael Issah, Abdul-Nasir Yeboah, Daudi Aballo, Jevaise Boah, Michael |
author_facet | Wan, Siyuan Jin, Baiming Kpordoxah, Mary Rachael Issah, Abdul-Nasir Yeboah, Daudi Aballo, Jevaise Boah, Michael |
author_sort | Wan, Siyuan |
collection | PubMed |
description | BACKGROUND: Sub-Saharan Africa (SSA) has seen an increase in facility-based births over the years. However, the region has the world’s highest newborn mortality rate (42% in 2019). Quality care around the time of birth can avert these deaths. This study examined the newborn care interventions given to women who gave birth in health facilities in 17 countries in SSA. METHODS: A cross-sectional population-based study was conducted. We used data from the most recent Demographic and Health Surveys (DHS) conducted in 17 sub-Saharan African countries. We analysed a weighted sample of 226,706 women aged 15–49 years who gave birth in the five years preceding the surveys. We described the coverage of nine newborn care services, namely weighing at birth, breastfeeding initiation within 1 h after birth, skin-to-skin contact, temperature measurement, cord examination, counselling on newborn danger signs, counselling on breastfeeding, breastfeeding observation, and child health assessment before discharge. RESULTS: Overall, 72.0% (95% CI: 71.1, 72.8) of births occurred in health facilities, ranging from 40.0% (95% CI: 38.0, 42.1) in Nigeria to 96.3% (95% CI: 95.4, 97.1) in South Africa. Weighing at birth was the most common intervention (91.4%), followed by health checks before discharge (81%). The other interventions, including those given immediately at birth (breastfeeding and skin-to-skin contact), had suboptimal coverage. For instance, 66% of newborns were breastfed within 1 h after birth, and 56% had immediate skin-to-skin contact. Service coverage varied considerably by country and healthcare provider type. CONCLUSIONS: The majority of the examined services, namely early breastfeeding, skin-to-skin contact, cord examination, temperature measurement, counselling on newborn danger signs, breastfeeding observation, and counselling on breastfeeding, were found to have suboptimal coverage. Even though many pregnant women in SSA give birth in healthcare facilities, some newborns do not always get the care they need to be healthy and live. This is a missed chance to improve newborn health and survival around the time of birth. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-023-05592-8. |
format | Online Article Text |
id | pubmed-10108479 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-101084792023-04-18 A descriptive analysis of the coverage of newborn care services among women who delivered in health facilities in 17 sub-Saharan African countries Wan, Siyuan Jin, Baiming Kpordoxah, Mary Rachael Issah, Abdul-Nasir Yeboah, Daudi Aballo, Jevaise Boah, Michael BMC Pregnancy Childbirth Research BACKGROUND: Sub-Saharan Africa (SSA) has seen an increase in facility-based births over the years. However, the region has the world’s highest newborn mortality rate (42% in 2019). Quality care around the time of birth can avert these deaths. This study examined the newborn care interventions given to women who gave birth in health facilities in 17 countries in SSA. METHODS: A cross-sectional population-based study was conducted. We used data from the most recent Demographic and Health Surveys (DHS) conducted in 17 sub-Saharan African countries. We analysed a weighted sample of 226,706 women aged 15–49 years who gave birth in the five years preceding the surveys. We described the coverage of nine newborn care services, namely weighing at birth, breastfeeding initiation within 1 h after birth, skin-to-skin contact, temperature measurement, cord examination, counselling on newborn danger signs, counselling on breastfeeding, breastfeeding observation, and child health assessment before discharge. RESULTS: Overall, 72.0% (95% CI: 71.1, 72.8) of births occurred in health facilities, ranging from 40.0% (95% CI: 38.0, 42.1) in Nigeria to 96.3% (95% CI: 95.4, 97.1) in South Africa. Weighing at birth was the most common intervention (91.4%), followed by health checks before discharge (81%). The other interventions, including those given immediately at birth (breastfeeding and skin-to-skin contact), had suboptimal coverage. For instance, 66% of newborns were breastfed within 1 h after birth, and 56% had immediate skin-to-skin contact. Service coverage varied considerably by country and healthcare provider type. CONCLUSIONS: The majority of the examined services, namely early breastfeeding, skin-to-skin contact, cord examination, temperature measurement, counselling on newborn danger signs, breastfeeding observation, and counselling on breastfeeding, were found to have suboptimal coverage. Even though many pregnant women in SSA give birth in healthcare facilities, some newborns do not always get the care they need to be healthy and live. This is a missed chance to improve newborn health and survival around the time of birth. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-023-05592-8. BioMed Central 2023-04-17 /pmc/articles/PMC10108479/ /pubmed/37069513 http://dx.doi.org/10.1186/s12884-023-05592-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Wan, Siyuan Jin, Baiming Kpordoxah, Mary Rachael Issah, Abdul-Nasir Yeboah, Daudi Aballo, Jevaise Boah, Michael A descriptive analysis of the coverage of newborn care services among women who delivered in health facilities in 17 sub-Saharan African countries |
title | A descriptive analysis of the coverage of newborn care services among women who delivered in health facilities in 17 sub-Saharan African countries |
title_full | A descriptive analysis of the coverage of newborn care services among women who delivered in health facilities in 17 sub-Saharan African countries |
title_fullStr | A descriptive analysis of the coverage of newborn care services among women who delivered in health facilities in 17 sub-Saharan African countries |
title_full_unstemmed | A descriptive analysis of the coverage of newborn care services among women who delivered in health facilities in 17 sub-Saharan African countries |
title_short | A descriptive analysis of the coverage of newborn care services among women who delivered in health facilities in 17 sub-Saharan African countries |
title_sort | descriptive analysis of the coverage of newborn care services among women who delivered in health facilities in 17 sub-saharan african countries |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10108479/ https://www.ncbi.nlm.nih.gov/pubmed/37069513 http://dx.doi.org/10.1186/s12884-023-05592-8 |
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