Systematic identification of facility-based stillbirths and neonatal deaths through the piloted use of an adapted RAPID tool in Liberia and Nepal


Autoři: Blanche Greene-Cramer aff001;  Andrew T. Boyd aff001;  Steven Russell aff001;  Erin Hulland aff001;  Erin Tromble aff001;  Yulia Widiati aff002;  Sharad Sharma aff003;  Asha Pun aff004;  Denise Roth Allen aff005;  Emily Kainne Dokubo aff005;  Endang Handzel aff001
Působiště autorů: Emergency Response and Recovery Branch, Division of Global Health Protection, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America aff001;  Health Section, UNICEF Liberia, Monrovia, Liberia aff002;  Management Division, Department of Health Services, Kathmandu, Nepal aff003;  Health Section, UNICEF Nepal, Kathmandu, Nepal aff004;  Liberia Country Office, Division of Global Health Protection, Centers for Disease Control and Prevention, Monrovia, Liberia aff005
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0222583

Souhrn

Maternal, fetal, and neonatal health outcomes are interdependent. Designing public health strategies that link fetal and neonatal outcomes with maternal outcomes is necessary in order to successfully reduce perinatal and neonatal mortality, particularly in low- and middle- income countries. However, to date, there has been no standardized method for documenting, reporting, and reviewing facility-based stillbirths and neonatal deaths that links to maternal health outcomes would enable a more comprehensive understanding of the burden and determinants of poor fetal and neonatal outcomes. We developed and pilot-tested an adapted RAPID tool, Perinatal-Neonatal Rapid Ascertainment Process for Institutional Deaths (PN RAPID), to systematically identify and quantify facility-based stillbirths and neonatal deaths and link them to maternal health factors in two countries: Liberia and Nepal. This study found an absence of stillbirth timing documented in records, a high proportion of neonatal deaths occurring within the first 24 hours, and an absence of documentation of pregnancy-related and maternal factors that might be associated with fetal and neonatal outcomes. The use of an adapted RAPID methodology and tools was limited by these data gaps, highlighting the need for concurrent strengthening of death documentation through training and standardized record templates.

Klíčová slova:

Medicine and health sciences – Women's health – Obstetrics and gynecology – Stillbirths – Maternal health – Birth – Pregnancy – Pediatrics – Neonatology – Neonatal care – Health care – Diagnostic medicine – Signs and symptoms – Sepsis – Neonatal sepsis – Pathology and laboratory medicine – Biology and life sciences – Developmental biology – Neonates – Population biology – Population metrics – Death rates – Computer and information sciences – Data visualization – Infographics – Charts


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Článek vyšel v časopise

PLOS One


2019 Číslo 9
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