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
Zdroje
1. Lawn J, Cousens S, Zupan J, Lancet Neonatal Survival Steering Team. 4 million neonatal deaths: When? Where? Why?. Lancet. 2005;365(9462):891–900. doi: 10.1016/S0140-6736(05)71048-5 15752534
2. Blencowe H, Cousens S, Jassir F, Say L, Chou D, Mathers C et al. National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000: a systematic analysis. Lancet Glob Health. 2016;4(2):PE98–E108. https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(15)00275-2/fulltext
3. Making every baby count: audit and review of stillbirths and neonatal deaths. World Health Organization; 2016. https://apps.who.int/iris/bitstream/handle/10665/249523/9789241511223-eng.pdf?sequence=1.
4. Oza S, Lawn J, Hogan D, Mathers C, Cousens S. Neonatal cause-of-death estimates for the early and late neonatal periods for 194 countries: 2000–2013. Bull World Health Organ. 2014;93(1):19–28. doi: 10.2471/BLT.14.139790 25558104
5. Reinebrandt H, Leisher S, Coory M, Henry S, Wojcieszek A, Gardener G et al. Making stillbirths visible: a systematic review of globally reported causes of stillbirth. BJOG. doi: 10.1111/1471-0528.14971 29193794
6. Goldenberg R, McClure E. Importance of prenatal care in reducing stillbirth. BJOG. 2017;125(2):148–148. doi: 10.1111/1471-0528.14696 28429869
7. Lawn J, Blencowe H, Waiswa P, Amouzou A, Mathers C, Hogan D et al. Stillbirths: rates, risk factors, and acceleration towards 2030. Lancet. 2016;387(10018):587–603. doi: 10.1016/S0140-6736(15)00837-5 26794078
8. Lawn J, Blencowe H, Oza S, You D, Lee A, Waiswa P et al. Every Newborn: progress, priorities, and potential beyond survival. Lancet. 2014;384(9938):189–205. doi: 10.1016/S0140-6736(14)60496-7 24853593
9. Aberdeen U. Immpact Toolkit | The Institute of Applied Health Sciences | The University of Aberdeen [Internet]. Abdn.ac.uk. [cited 28 September 2018]. https://www.abdn.ac.uk/iahs/research/immpact/immpact-toolkit.php.
10. Morof D. Enhanced detection of facility-based maternal deaths using the Rapid Ascertainment Process for Institutional Deaths in Kigoma Region Tanzania. Presentation presented at: 2015 Global Maternal Health Conference, Mexico City.
11. Boyd A, Hulland E, Grand’Pierre R, Nesi F, Honoré P, Jean-Louis R et al. Use of Rapid Ascertainment Process for Institutional Deaths (RAPID) to identify pregnancy-related deaths in tertiary-care obstetric hospitals in three departments in Haiti. BMC Pregnancy Childbirth. 2017;17(1).
12. Delamou A, Delvaux T, El Ayadi A, Beavogui A, Okumura J et al. Public health impact of the 2014–2015 Ebola outbreak in West Africa: seizing opportunities for the future. BMJ Glob Health 2017;2:e000202. doi: 10.1136/bmjgh-2016-000202 28589018
13. Liberia Institute of Statistics and Geo-Information Services (LISGIS), Ministry of Health and Social Welfare [Liberia], National AIDS Control Program [Liberia], and ICF International. 2014. Liberia 2013 Demographic and Health Survey. Rockville, Maryland, USA: LISGIS and ICF International.
14. World Health Organization. eHealth and innovation in women’s and children’s health: a baseline review: based on the findings of the 2013 survey of CoIA countries by the WHO Global Observatory for eHealth, March 2014. https://apps.who.int/iris/bitstream/handle/10665/111922/9789241564724_eng.pdf?sequence=1
15. Adhikari B, Mishra SR, Raut S. Rebuilding earthquake struck Nepal through community engagement. Front Public Health. 2016;4(121). doi: 10.3389/fpubh.2016.00121 27379225
16. Ministry of Health, Nepal, New ERA, and ICF. 2017. Nepal Demographic and Health Survey 2016. Kathmandu, Nepal: Ministry of Health, Nepal.
17. Bhusal M, Gautam N, Lim A, & Tongkumchum P. Factors Associated with Stillbirth among Pregnant Women in Nepal. J Prev Med Public Health. doi: 10.3961/jpmph.18.270 31163950
18. Pregnancy, childbirth, postpartum and newborn care: A guide for essential practice. 3rd ed. WHO, UNFPA, UNICEF; 2015.
19. Hartung C, Lerer A, Anokwa Y, Tseng C, Brunette W, Borriello G. Open data kit. Proceedings of the 4th ACM/IEEE International Conference on Information and Communication Technologies and Development—ICTD '10. 2010.
20. The WHO application of ICD-10 to deaths during the perinatal period: ICD-PM. World Health Organization; 2016.
21. UNICEF. Neonatal mortality [cited 2018 Nov 11]. Database:excel [Internet]. https://data.unicef.org/topic/child-survival/neonatal-mortality/.
22. Khanal S, GC V, Dawson P, Houston R. Verbal autopsy to ascertain causes of neonatal deaths in a community setting: a study from Morang, Nepal. JMNA J Nepal Med Assoc. 2011;51(181):21–27.
23. Bhutta Z, Yakoob M, Lawn J, Rizvi A, Friberg I, Weissman E, Buchmann E, Goldenberg R, for the Lancet’s Stillbirths Series steering committee. Stillbirths: what difference can we make and at what cost? Lancet. 2016 https://doi.org/10.1016/S0140-6736(10)62269-6
24. Kamath-Rayne B, Griffin J, Moran K, Jones B, Downs A, McClure E, Goldenberg R, Rouse D, Jobe A. Resuscitation and Obstetrical Care to Reduce Intrapartum-Related Neonatal Deaths: A MANDATE Study. Maternal and Child Health Journal. doi: 10.1007/s10995-015-1699-9 25656720
25. Wall S, Lee A, Carlo W, Goldenberg R, Niermeyer S, Darmstadt G et al. Reducing intrapartum-related neonatal deaths in low- and middle-income countries—what works? Semin Perinatol. 2010;34(6):395–407. doi: 10.1053/j.semperi.2010.09.009 21094414
26. Bhutta Z, Das J, Bahl R, Lawn J, Salam R, Paul V et al. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Obstet Gynecoll Surv. 2014;69(11):641–643.
Článek vyšel v časopise
PLOS One
2019 Číslo 9
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