Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, India
Introduction Essential newborn care (ENBC) practices are recommended for all births to improve neonatal survival. This paper aims to understand the facility-level variations and factors associated with the essential newborn care practices by providers in higher-level public health facilities in 25 h...
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/10/1/e017117.full |
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| author | James Blanchard Marissa L Becker Ties Boerma Ravi Prakash Shajy Isac Bidyadhar Dehury Banadakoppa Manjappa Ramesh Vasanthakumar Namasivayam John Anthony Nihal Hasan Prakash P Javalkar |
| author_facet | James Blanchard Marissa L Becker Ties Boerma Ravi Prakash Shajy Isac Bidyadhar Dehury Banadakoppa Manjappa Ramesh Vasanthakumar Namasivayam John Anthony Nihal Hasan Prakash P Javalkar |
| author_sort | James Blanchard |
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| description | Introduction Essential newborn care (ENBC) practices are recommended for all births to improve neonatal survival. This paper aims to understand the facility-level variations and factors associated with the essential newborn care practices by providers in higher-level public health facilities in 25 high priority districts (HPDs) of Uttar Pradesh (UP).Methods We used observational cross-sectional quantitative data from 48 selected public health facilities (23 district hospitals (DH) and 25 community health centres (CHC)—first referral units (FRU)) implemented in 25 HPDs of UP from February 2020 to May 2021. We defined ENBC practice as both cord care and initiation of breastfeeding within 1 hour of birth were practiced in normal deliveries by the staff nurse. Descriptive analysis was done based on data from 2603 newborns attended by 318 providers. A stratified analysis was done by DH and CHC-FRU.Results Overall, essential newborn care was practiced among 26.1% of the newborns (26.2% in DH and 35.0% in CHC-FRU). The ENBC practice varied across facilities from 3.0% to 64.1% in DH and from 0% to 91.0% in CHC-FRU. The ENBC practice was about 2.3 times higher in facilities with a high level of skill and knowledge of the providers (39.0%) compared with the facilities with a low level of skill and knowledge (16.9%). Similar patterns of association between providers’ skills and knowledge of ENBC practices were observed in DH and CHC-FRU.Conclusion Skill and knowledge on ENBC components are significantly associated with the clinical practices of providers, with a high level of variability across facilities. This suggests a focused facility-based assessment and enhancement of the clinical competencies of the providers to improve the quality of care in public health facilities in UP. |
| format | Article |
| id | doaj-art-c3e377236b584ec8bd0b63f53b5fb9ea |
| institution | Kabale University |
| issn | 2059-7908 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj-art-c3e377236b584ec8bd0b63f53b5fb9ea2025-02-01T06:10:08ZengBMJ Publishing GroupBMJ Global Health2059-79082025-01-0110110.1136/bmjgh-2024-017117Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, IndiaJames Blanchard0Marissa L Becker1Ties Boerma2Ravi Prakash3Shajy Isac4Bidyadhar Dehury5Banadakoppa Manjappa Ramesh6Vasanthakumar Namasivayam7John Anthony8Nihal Hasan9Prakash P Javalkar10Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, CanadaIndia Health Action Trust, Lucknow, Uttar Pradesh, IndiaDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, CanadaSecretary, Union Territory of Ladakh, Leh, Ladakh, IndiaDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, CanadaIndia Health Action Trust, Lucknow, Uttar Pradesh, IndiaIndia Health Action Trust, Lucknow, Uttar Pradesh, IndiaIntroduction Essential newborn care (ENBC) practices are recommended for all births to improve neonatal survival. This paper aims to understand the facility-level variations and factors associated with the essential newborn care practices by providers in higher-level public health facilities in 25 high priority districts (HPDs) of Uttar Pradesh (UP).Methods We used observational cross-sectional quantitative data from 48 selected public health facilities (23 district hospitals (DH) and 25 community health centres (CHC)—first referral units (FRU)) implemented in 25 HPDs of UP from February 2020 to May 2021. We defined ENBC practice as both cord care and initiation of breastfeeding within 1 hour of birth were practiced in normal deliveries by the staff nurse. Descriptive analysis was done based on data from 2603 newborns attended by 318 providers. A stratified analysis was done by DH and CHC-FRU.Results Overall, essential newborn care was practiced among 26.1% of the newborns (26.2% in DH and 35.0% in CHC-FRU). The ENBC practice varied across facilities from 3.0% to 64.1% in DH and from 0% to 91.0% in CHC-FRU. The ENBC practice was about 2.3 times higher in facilities with a high level of skill and knowledge of the providers (39.0%) compared with the facilities with a low level of skill and knowledge (16.9%). Similar patterns of association between providers’ skills and knowledge of ENBC practices were observed in DH and CHC-FRU.Conclusion Skill and knowledge on ENBC components are significantly associated with the clinical practices of providers, with a high level of variability across facilities. This suggests a focused facility-based assessment and enhancement of the clinical competencies of the providers to improve the quality of care in public health facilities in UP.https://gh.bmj.com/content/10/1/e017117.full |
| spellingShingle | James Blanchard Marissa L Becker Ties Boerma Ravi Prakash Shajy Isac Bidyadhar Dehury Banadakoppa Manjappa Ramesh Vasanthakumar Namasivayam John Anthony Nihal Hasan Prakash P Javalkar Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, India BMJ Global Health |
| title | Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, India |
| title_full | Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, India |
| title_fullStr | Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, India |
| title_full_unstemmed | Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, India |
| title_short | Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, India |
| title_sort | essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in uttar pradesh india |
| url | https://gh.bmj.com/content/10/1/e017117.full |
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