Does facility-based newborn care improve neonatal outcomes? A review of evidence
Context Facility based newborn care is gaining importance as an intervention aiming at reduction of neonatal mortality. Objective To assess different factors that affect effectiveness of facility based newborn care on neonatal outcomes. Evidence acquisition Electronic search using key search engines...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Neogi, Sutapa Bandyopadhyay [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2012 |
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| Anmerkung: |
© Indian Academy of Pediatrics 2012 |
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| Übergeordnetes Werk: |
Enthalten in: Indian Pediatrics - Springer-Verlag, 2010, 49(2012), 8 vom: Aug., Seite 651-658 |
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| Übergeordnetes Werk: |
volume:49 ; year:2012 ; number:8 ; month:08 ; pages:651-658 |
| Links: |
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| DOI / URN: |
10.1007/s13312-012-0135-0 |
|---|
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SPR031280900 |
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| 520 | |a Context Facility based newborn care is gaining importance as an intervention aiming at reduction of neonatal mortality. Objective To assess different factors that affect effectiveness of facility based newborn care on neonatal outcomes. Evidence acquisition Electronic search using key search engines along with search of grey literature manually. Observational and interventional studies published between 1966–Aug 2010 in English having a change in neonatal mortality as an outcome measure were considered. Results A total of 40 articles were fully reviewed for generating synthesized evidence. All were observational studies. The exposure variables that affected neonatal outcomes were grouped into three categories-regionalization of perinatal care (17 articles), strengthening of lower level neonatal facilities (12), and other miscellaneous factors (11). Regionalization played a key role in advancing newborn care practices. It increased in-utero transfer of high risk newborns and improved survival outcomes especially for very low birth weight neonates at level III facilities. It led to reduction in neonatal mortality owing primarily to enhanced survival of low birth weight infants. Strengthening of lower level units contributed significantly in reducing neonatal mortality. High patient volume (>2,000 deliveries/year), inborn status, availability of referral system and inter-facility transfers, and adequate nursing care staff in neonatal units also demonstrated protective effect in averting neonatal deaths. Conclusions Countries investing in facility based newborn care should give impetus to establishing regionalized systems of perinatal care. Strengthening of lower level units with high case loads, can yield optimal reduction in NMR. | ||
| 700 | 1 | |a Malhotra, Sumit |4 aut | |
| 700 | 1 | |a Zodpey, Sanjay |4 aut | |
| 700 | 1 | |a Mohan, Pavitra |4 aut | |
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10.1007/s13312-012-0135-0 doi (DE-627)SPR031280900 (SPR)s13312-012-0135-0-e DE-627 ger DE-627 rakwb eng Neogi, Sutapa Bandyopadhyay verfasserin aut Does facility-based newborn care improve neonatal outcomes? A review of evidence 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Academy of Pediatrics 2012 Context Facility based newborn care is gaining importance as an intervention aiming at reduction of neonatal mortality. Objective To assess different factors that affect effectiveness of facility based newborn care on neonatal outcomes. Evidence acquisition Electronic search using key search engines along with search of grey literature manually. Observational and interventional studies published between 1966–Aug 2010 in English having a change in neonatal mortality as an outcome measure were considered. Results A total of 40 articles were fully reviewed for generating synthesized evidence. All were observational studies. The exposure variables that affected neonatal outcomes were grouped into three categories-regionalization of perinatal care (17 articles), strengthening of lower level neonatal facilities (12), and other miscellaneous factors (11). Regionalization played a key role in advancing newborn care practices. It increased in-utero transfer of high risk newborns and improved survival outcomes especially for very low birth weight neonates at level III facilities. It led to reduction in neonatal mortality owing primarily to enhanced survival of low birth weight infants. Strengthening of lower level units contributed significantly in reducing neonatal mortality. High patient volume (>2,000 deliveries/year), inborn status, availability of referral system and inter-facility transfers, and adequate nursing care staff in neonatal units also demonstrated protective effect in averting neonatal deaths. Conclusions Countries investing in facility based newborn care should give impetus to establishing regionalized systems of perinatal care. Strengthening of lower level units with high case loads, can yield optimal reduction in NMR. Malhotra, Sumit aut Zodpey, Sanjay aut Mohan, Pavitra aut Enthalten in Indian Pediatrics Springer-Verlag, 2010 49(2012), 8 vom: Aug., Seite 651-658 (DE-627)SPR031274943 nnns volume:49 year:2012 number:8 month:08 pages:651-658 https://dx.doi.org/10.1007/s13312-012-0135-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_70 GBV_ILN_72 GBV_ILN_110 GBV_ILN_131 GBV_ILN_160 GBV_ILN_376 GBV_ILN_607 AR 49 2012 8 08 651-658 |
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10.1007/s13312-012-0135-0 doi (DE-627)SPR031280900 (SPR)s13312-012-0135-0-e DE-627 ger DE-627 rakwb eng Neogi, Sutapa Bandyopadhyay verfasserin aut Does facility-based newborn care improve neonatal outcomes? A review of evidence 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Academy of Pediatrics 2012 Context Facility based newborn care is gaining importance as an intervention aiming at reduction of neonatal mortality. Objective To assess different factors that affect effectiveness of facility based newborn care on neonatal outcomes. Evidence acquisition Electronic search using key search engines along with search of grey literature manually. Observational and interventional studies published between 1966–Aug 2010 in English having a change in neonatal mortality as an outcome measure were considered. Results A total of 40 articles were fully reviewed for generating synthesized evidence. All were observational studies. The exposure variables that affected neonatal outcomes were grouped into three categories-regionalization of perinatal care (17 articles), strengthening of lower level neonatal facilities (12), and other miscellaneous factors (11). Regionalization played a key role in advancing newborn care practices. It increased in-utero transfer of high risk newborns and improved survival outcomes especially for very low birth weight neonates at level III facilities. It led to reduction in neonatal mortality owing primarily to enhanced survival of low birth weight infants. Strengthening of lower level units contributed significantly in reducing neonatal mortality. High patient volume (>2,000 deliveries/year), inborn status, availability of referral system and inter-facility transfers, and adequate nursing care staff in neonatal units also demonstrated protective effect in averting neonatal deaths. Conclusions Countries investing in facility based newborn care should give impetus to establishing regionalized systems of perinatal care. Strengthening of lower level units with high case loads, can yield optimal reduction in NMR. Malhotra, Sumit aut Zodpey, Sanjay aut Mohan, Pavitra aut Enthalten in Indian Pediatrics Springer-Verlag, 2010 49(2012), 8 vom: Aug., Seite 651-658 (DE-627)SPR031274943 nnns volume:49 year:2012 number:8 month:08 pages:651-658 https://dx.doi.org/10.1007/s13312-012-0135-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_70 GBV_ILN_72 GBV_ILN_110 GBV_ILN_131 GBV_ILN_160 GBV_ILN_376 GBV_ILN_607 AR 49 2012 8 08 651-658 |
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10.1007/s13312-012-0135-0 doi (DE-627)SPR031280900 (SPR)s13312-012-0135-0-e DE-627 ger DE-627 rakwb eng Neogi, Sutapa Bandyopadhyay verfasserin aut Does facility-based newborn care improve neonatal outcomes? A review of evidence 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Academy of Pediatrics 2012 Context Facility based newborn care is gaining importance as an intervention aiming at reduction of neonatal mortality. Objective To assess different factors that affect effectiveness of facility based newborn care on neonatal outcomes. Evidence acquisition Electronic search using key search engines along with search of grey literature manually. Observational and interventional studies published between 1966–Aug 2010 in English having a change in neonatal mortality as an outcome measure were considered. Results A total of 40 articles were fully reviewed for generating synthesized evidence. All were observational studies. The exposure variables that affected neonatal outcomes were grouped into three categories-regionalization of perinatal care (17 articles), strengthening of lower level neonatal facilities (12), and other miscellaneous factors (11). Regionalization played a key role in advancing newborn care practices. It increased in-utero transfer of high risk newborns and improved survival outcomes especially for very low birth weight neonates at level III facilities. It led to reduction in neonatal mortality owing primarily to enhanced survival of low birth weight infants. Strengthening of lower level units contributed significantly in reducing neonatal mortality. High patient volume (>2,000 deliveries/year), inborn status, availability of referral system and inter-facility transfers, and adequate nursing care staff in neonatal units also demonstrated protective effect in averting neonatal deaths. Conclusions Countries investing in facility based newborn care should give impetus to establishing regionalized systems of perinatal care. Strengthening of lower level units with high case loads, can yield optimal reduction in NMR. Malhotra, Sumit aut Zodpey, Sanjay aut Mohan, Pavitra aut Enthalten in Indian Pediatrics Springer-Verlag, 2010 49(2012), 8 vom: Aug., Seite 651-658 (DE-627)SPR031274943 nnns volume:49 year:2012 number:8 month:08 pages:651-658 https://dx.doi.org/10.1007/s13312-012-0135-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_70 GBV_ILN_72 GBV_ILN_110 GBV_ILN_131 GBV_ILN_160 GBV_ILN_376 GBV_ILN_607 AR 49 2012 8 08 651-658 |
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10.1007/s13312-012-0135-0 doi (DE-627)SPR031280900 (SPR)s13312-012-0135-0-e DE-627 ger DE-627 rakwb eng Neogi, Sutapa Bandyopadhyay verfasserin aut Does facility-based newborn care improve neonatal outcomes? A review of evidence 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Academy of Pediatrics 2012 Context Facility based newborn care is gaining importance as an intervention aiming at reduction of neonatal mortality. Objective To assess different factors that affect effectiveness of facility based newborn care on neonatal outcomes. Evidence acquisition Electronic search using key search engines along with search of grey literature manually. Observational and interventional studies published between 1966–Aug 2010 in English having a change in neonatal mortality as an outcome measure were considered. Results A total of 40 articles were fully reviewed for generating synthesized evidence. All were observational studies. The exposure variables that affected neonatal outcomes were grouped into three categories-regionalization of perinatal care (17 articles), strengthening of lower level neonatal facilities (12), and other miscellaneous factors (11). Regionalization played a key role in advancing newborn care practices. It increased in-utero transfer of high risk newborns and improved survival outcomes especially for very low birth weight neonates at level III facilities. It led to reduction in neonatal mortality owing primarily to enhanced survival of low birth weight infants. Strengthening of lower level units contributed significantly in reducing neonatal mortality. High patient volume (>2,000 deliveries/year), inborn status, availability of referral system and inter-facility transfers, and adequate nursing care staff in neonatal units also demonstrated protective effect in averting neonatal deaths. Conclusions Countries investing in facility based newborn care should give impetus to establishing regionalized systems of perinatal care. Strengthening of lower level units with high case loads, can yield optimal reduction in NMR. Malhotra, Sumit aut Zodpey, Sanjay aut Mohan, Pavitra aut Enthalten in Indian Pediatrics Springer-Verlag, 2010 49(2012), 8 vom: Aug., Seite 651-658 (DE-627)SPR031274943 nnns volume:49 year:2012 number:8 month:08 pages:651-658 https://dx.doi.org/10.1007/s13312-012-0135-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_70 GBV_ILN_72 GBV_ILN_110 GBV_ILN_131 GBV_ILN_160 GBV_ILN_376 GBV_ILN_607 AR 49 2012 8 08 651-658 |
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10.1007/s13312-012-0135-0 doi (DE-627)SPR031280900 (SPR)s13312-012-0135-0-e DE-627 ger DE-627 rakwb eng Neogi, Sutapa Bandyopadhyay verfasserin aut Does facility-based newborn care improve neonatal outcomes? A review of evidence 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Academy of Pediatrics 2012 Context Facility based newborn care is gaining importance as an intervention aiming at reduction of neonatal mortality. Objective To assess different factors that affect effectiveness of facility based newborn care on neonatal outcomes. Evidence acquisition Electronic search using key search engines along with search of grey literature manually. Observational and interventional studies published between 1966–Aug 2010 in English having a change in neonatal mortality as an outcome measure were considered. Results A total of 40 articles were fully reviewed for generating synthesized evidence. All were observational studies. The exposure variables that affected neonatal outcomes were grouped into three categories-regionalization of perinatal care (17 articles), strengthening of lower level neonatal facilities (12), and other miscellaneous factors (11). Regionalization played a key role in advancing newborn care practices. It increased in-utero transfer of high risk newborns and improved survival outcomes especially for very low birth weight neonates at level III facilities. It led to reduction in neonatal mortality owing primarily to enhanced survival of low birth weight infants. Strengthening of lower level units contributed significantly in reducing neonatal mortality. High patient volume (>2,000 deliveries/year), inborn status, availability of referral system and inter-facility transfers, and adequate nursing care staff in neonatal units also demonstrated protective effect in averting neonatal deaths. Conclusions Countries investing in facility based newborn care should give impetus to establishing regionalized systems of perinatal care. Strengthening of lower level units with high case loads, can yield optimal reduction in NMR. Malhotra, Sumit aut Zodpey, Sanjay aut Mohan, Pavitra aut Enthalten in Indian Pediatrics Springer-Verlag, 2010 49(2012), 8 vom: Aug., Seite 651-658 (DE-627)SPR031274943 nnns volume:49 year:2012 number:8 month:08 pages:651-658 https://dx.doi.org/10.1007/s13312-012-0135-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_70 GBV_ILN_72 GBV_ILN_110 GBV_ILN_131 GBV_ILN_160 GBV_ILN_376 GBV_ILN_607 AR 49 2012 8 08 651-658 |
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Does facility-based newborn care improve neonatal outcomes? A review of evidence |
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Context Facility based newborn care is gaining importance as an intervention aiming at reduction of neonatal mortality. Objective To assess different factors that affect effectiveness of facility based newborn care on neonatal outcomes. Evidence acquisition Electronic search using key search engines along with search of grey literature manually. Observational and interventional studies published between 1966–Aug 2010 in English having a change in neonatal mortality as an outcome measure were considered. Results A total of 40 articles were fully reviewed for generating synthesized evidence. All were observational studies. The exposure variables that affected neonatal outcomes were grouped into three categories-regionalization of perinatal care (17 articles), strengthening of lower level neonatal facilities (12), and other miscellaneous factors (11). Regionalization played a key role in advancing newborn care practices. It increased in-utero transfer of high risk newborns and improved survival outcomes especially for very low birth weight neonates at level III facilities. It led to reduction in neonatal mortality owing primarily to enhanced survival of low birth weight infants. Strengthening of lower level units contributed significantly in reducing neonatal mortality. High patient volume (>2,000 deliveries/year), inborn status, availability of referral system and inter-facility transfers, and adequate nursing care staff in neonatal units also demonstrated protective effect in averting neonatal deaths. Conclusions Countries investing in facility based newborn care should give impetus to establishing regionalized systems of perinatal care. Strengthening of lower level units with high case loads, can yield optimal reduction in NMR. © Indian Academy of Pediatrics 2012 |
| abstractGer |
Context Facility based newborn care is gaining importance as an intervention aiming at reduction of neonatal mortality. Objective To assess different factors that affect effectiveness of facility based newborn care on neonatal outcomes. Evidence acquisition Electronic search using key search engines along with search of grey literature manually. Observational and interventional studies published between 1966–Aug 2010 in English having a change in neonatal mortality as an outcome measure were considered. Results A total of 40 articles were fully reviewed for generating synthesized evidence. All were observational studies. The exposure variables that affected neonatal outcomes were grouped into three categories-regionalization of perinatal care (17 articles), strengthening of lower level neonatal facilities (12), and other miscellaneous factors (11). Regionalization played a key role in advancing newborn care practices. It increased in-utero transfer of high risk newborns and improved survival outcomes especially for very low birth weight neonates at level III facilities. It led to reduction in neonatal mortality owing primarily to enhanced survival of low birth weight infants. Strengthening of lower level units contributed significantly in reducing neonatal mortality. High patient volume (>2,000 deliveries/year), inborn status, availability of referral system and inter-facility transfers, and adequate nursing care staff in neonatal units also demonstrated protective effect in averting neonatal deaths. Conclusions Countries investing in facility based newborn care should give impetus to establishing regionalized systems of perinatal care. Strengthening of lower level units with high case loads, can yield optimal reduction in NMR. © Indian Academy of Pediatrics 2012 |
| abstract_unstemmed |
Context Facility based newborn care is gaining importance as an intervention aiming at reduction of neonatal mortality. Objective To assess different factors that affect effectiveness of facility based newborn care on neonatal outcomes. Evidence acquisition Electronic search using key search engines along with search of grey literature manually. Observational and interventional studies published between 1966–Aug 2010 in English having a change in neonatal mortality as an outcome measure were considered. Results A total of 40 articles were fully reviewed for generating synthesized evidence. All were observational studies. The exposure variables that affected neonatal outcomes were grouped into three categories-regionalization of perinatal care (17 articles), strengthening of lower level neonatal facilities (12), and other miscellaneous factors (11). Regionalization played a key role in advancing newborn care practices. It increased in-utero transfer of high risk newborns and improved survival outcomes especially for very low birth weight neonates at level III facilities. It led to reduction in neonatal mortality owing primarily to enhanced survival of low birth weight infants. Strengthening of lower level units contributed significantly in reducing neonatal mortality. High patient volume (>2,000 deliveries/year), inborn status, availability of referral system and inter-facility transfers, and adequate nursing care staff in neonatal units also demonstrated protective effect in averting neonatal deaths. Conclusions Countries investing in facility based newborn care should give impetus to establishing regionalized systems of perinatal care. Strengthening of lower level units with high case loads, can yield optimal reduction in NMR. © Indian Academy of Pediatrics 2012 |
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Does facility-based newborn care improve neonatal outcomes? A review of evidence |
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Malhotra, Sumit Zodpey, Sanjay Mohan, Pavitra |
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