Browsing by Author "Esamai, Fabian"
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- ItemAssessment of obstetric and neonatal health services in developing country health facilities.(2013-09-16) Manasyan, Albert; Saleem, Sarah; Koso-Thomas, Marion; Althabe, Fernando; Pasha, Omrana; Chomba, Elwyn; Goudar, Shivaprasad S; Patel, Archana; Esamai, Fabian; Garces, Ana; Kodkany, Bhala; Belizan, Jose; McClure, Elizabeth M; Derman, Richard J; Hibberd, Patricia; Liechty, Edward A; Hambidge, K Michael; Carlo, Waldemar A; Buekens, Pierre; Moore, Janet; Wright, Linda L; Goldenberg, Robert L; ,To describe the staffing and availability of medical equipment and medications and the performance of procedures at health facilities providing maternal and neonatal care at African Asian and Latin American sites participating in a multicenter trial to improve emergency obstetric neonatal care in communities with high maternal and perinatal mortality
- ItemCommunity based weighing of newborns and use of mobile phones by village elders in rural settings in Kenya: a decentralised approach to health care provision.(2012-05-07) Gisore, Peter; Shipala, Evelyn; Otieno, Kevin; Rono, Betsy; Marete, Irene; Tenge, Constance; Mabeya, Hillary; Bucher, Sherri; Moore, Janet; Liechty, Edward; Esamai, FabianBACKGROUND Identifying every pregnancy regardless of home or health facility delivery is crucial to accurately estimating maternal and neonatal mortality Furthermore obtaining birth weights and other anthropometric measurements in rural settings in resource limited countries is a difficult challenge Unfortunately for the majority of infants born outside of a health care facility pregnancies are often not recorded and birth weights are not accurately known Data from the initial 6 months of the Maternal and Neonatal Health MNH Registry Study of the Global Network for Women and Children s Health study area in Kenya revealed that up to 70 of newborns did not have exact weights measured and recorded by the end of the first week of life nearly all of these infants were born outside health facilities METHODS To more completely obtain accurate birth weights for all infants regardless of delivery site village elders were engaged to assist in case finding for pregnancies and births All elders were provided with weighing scales and mobile phones as tools to assist in subject enrollment and data recording Subjects were instructed to bring the newborn infant to the home of the elder as soon as possible after birth for weight measurement The proportion of pregnancies identified before delivery and the proportion of births with weights measured were compared before and after provision of weighing scales and mobile phones to village elders Primary outcomes were the percent of infants with a measured birth weight recorded within 7 days of birth and the percent of women enrolled before delivery RESULTS The recorded birth weight increased from 43 5 7 to 97 1 1 The birth weight distributions between infants born and weighed in a health facility and those born at home and weighed by village elders were similar In addition a significant increase in the percent of subjects enrolled before delivery was found CONCLUSIONS Pregnancy case finding and acquisition of birth weight information can be successfully shifted to the community level