Quality newborn care in East New Britain, Papua New Guinea: measuring early newborn care practices and identifying opportunities for improvement.

Wilson, AN; Melepia, P; Suruka, R; Hezeri, P; Kabiu, D; Babona, D; Wapi, P; Spotswood, N; Bohren, MA; Vogel, JP; Kelly-Hanku, A; Morgan, A; Beeson, JG; Morgan, C; Vallely, LM; Waramin, EJ; Scoullar, MJL; Homer, CSE

Quality newborn care in East New Britain, Papua New Guinea: measuring early newborn care practices and identifying opportunities for improvement.

Wilson, AN Melepia, P Suruka, R Hezeri, P Kabiu, D Babona, D Wapi, P Spotswood, N Bohren, MA Vogel, JP Kelly-Hanku, A Morgan, A Beeson, JG Morgan, C Vallely, LM Waramin, EJ Scoullar, MJL Homer, CSE

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Publisher:: BioMed Central
Publication Type:: Journal Article
Citation:: BMC Pregnancy and Childbirth, 2022, 22, (1), pp. 1-14
Issue Date:: 2022-06-01

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Field	Value	Language
dc.contributor.author	Wilson, AN
dc.contributor.author	Melepia, P
dc.contributor.author	Suruka, R
dc.contributor.author	Hezeri, P
dc.contributor.author	Kabiu, D
dc.contributor.author	Babona, D
dc.contributor.author	Wapi, P
dc.contributor.author	Spotswood, N
dc.contributor.author	Bohren, MA
dc.contributor.author	Vogel, JP
dc.contributor.author	Kelly-Hanku, A
dc.contributor.author	Morgan, A
dc.contributor.author	Beeson, JG
dc.contributor.author	Morgan, C
dc.contributor.author	Vallely, LM
dc.contributor.author	Waramin, EJ
dc.contributor.author	Scoullar, MJL
dc.contributor.author	Homer, CSE
dc.date.accessioned	2022-11-24T04:58:36Z
dc.date.available	2022-05-05
dc.date.available	2022-11-24T04:58:36Z
dc.date.issued	2022-06-01
dc.identifier.citation	BMC Pregnancy and Childbirth, 2022, 22, (1), pp. 1-14
dc.identifier.issn	1471-2393
dc.identifier.issn	1471-2393
dc.identifier.uri	http://hdl.handle.net/10453/163726
dc.description.abstract	BACKGROUND: Renewed attention and investment is needed to improve the quality of care during the early newborn period to address preventable newborn deaths and stillbirths in Papua New Guinea (PNG). We aimed to assess early newborn care practices and identify opportunities for improvement in one province (East New Britain) in PNG. METHODS: A mixed-methods study was undertaken in five rural health facilities in the province using a combination of facility audits, labour observations and qualitative interviews with women and maternity providers. Data collection took place between September 2019 and February 2020. Quantitative data were analysed descriptively, whilst qualitative data were analysed using content analysis. Data were triangulated by data source. RESULTS: Five facility audits, 30 labour observations (in four of the facilities), and interviews with 13 women and eight health providers were conducted to examine early newborn care practices. We found a perinatal mortality rate of 32.2 perinatal deaths per 1000 total births and several barriers to quality newborn care, including an insufficient workforce, critical infrastructure and utility constraints, and limited availability of essential newborn medicines and equipment. Most newborns received at least one essential newborn care practice in the first hour of life, such as immediate and thorough drying (97%). CONCLUSIONS: We observed high rates of essential newborn care practices including immediate skin-to-skin and delayed cord clamping. We also identified multiple barriers to improving the quality of newborn care in East New Britain, PNG. These findings can inform the development of effective interventions to improve the quality of newborn care. Further, this study demonstrates that multi-faceted programs that include increased investment in the health workforce, education and training, and availability of essential equipment, medicines, and supplies are required to improve newborn outcomes.
dc.format	Electronic
dc.language	eng
dc.publisher	BioMed Central
dc.relation.ispartof	BMC Pregnancy and Childbirth
dc.relation.isbasedon	10.1186/s12884-022-04735-7
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.mesh	Female
dc.subject.mesh	Health Facilities
dc.subject.mesh	Humans
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Papua New Guinea
dc.subject.mesh	Parturition
dc.subject.mesh	Pregnancy
dc.subject.mesh	Quality of Health Care
dc.subject.mesh	United Kingdom
dc.subject.mesh	Female
dc.subject.mesh	Health Facilities
dc.subject.mesh	Humans
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Papua New Guinea
dc.subject.mesh	Parturition
dc.subject.mesh	Pregnancy
dc.subject.mesh	Quality of Health Care
dc.subject.mesh	United Kingdom
dc.subject.mesh	Humans
dc.subject.mesh	Pregnancy
dc.subject.mesh	Parturition
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Health Facilities
dc.subject.mesh	Quality of Health Care
dc.subject.mesh	Papua New Guinea
dc.subject.mesh	Female
dc.subject.mesh	United Kingdom
dc.title	Quality newborn care in East New Britain, Papua New Guinea: measuring early newborn care practices and identifying opportunities for improvement.
dc.type	Journal Article
utslib.citation.volume	22
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-24T04:58:20Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	22
utslib.citation.issue	1

Abstract:

BACKGROUND: Renewed attention and investment is needed to improve the quality of care during the early newborn period to address preventable newborn deaths and stillbirths in Papua New Guinea (PNG). We aimed to assess early newborn care practices and identify opportunities for improvement in one province (East New Britain) in PNG. METHODS: A mixed-methods study was undertaken in five rural health facilities in the province using a combination of facility audits, labour observations and qualitative interviews with women and maternity providers. Data collection took place between September 2019 and February 2020. Quantitative data were analysed descriptively, whilst qualitative data were analysed using content analysis. Data were triangulated by data source. RESULTS: Five facility audits, 30 labour observations (in four of the facilities), and interviews with 13 women and eight health providers were conducted to examine early newborn care practices. We found a perinatal mortality rate of 32.2 perinatal deaths per 1000 total births and several barriers to quality newborn care, including an insufficient workforce, critical infrastructure and utility constraints, and limited availability of essential newborn medicines and equipment. Most newborns received at least one essential newborn care practice in the first hour of life, such as immediate and thorough drying (97%). CONCLUSIONS: We observed high rates of essential newborn care practices including immediate skin-to-skin and delayed cord clamping. We also identified multiple barriers to improving the quality of newborn care in East New Britain, PNG. These findings can inform the development of effective interventions to improve the quality of newborn care. Further, this study demonstrates that multi-faceted programs that include increased investment in the health workforce, education and training, and availability of essential equipment, medicines, and supplies are required to improve newborn outcomes.

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http://hdl.handle.net/10453/163726