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Evidence · Systematic review or meta-analysis

Evaluating implementation strategies for essential newborn care interventions in low- and low middle-income countries: a systematic review.

Systematic review or meta-analysisHealth Policy and Planning2020Over 5 years oldFull text
  • Breast milk and breastfeeding
  • Cord management
  • Delivery room and stabilisation
  • Education and simulation
  • Medical
  • Nursing
  • Nutrition and gastrointestinal
  • Postnatal and transitional care
  • Quality improvement
  • Thermoregulation

This paper is from 2020, more than five years ago. Newer evidence may have been published since.

Summary

Systematic review of 43 studies examining implementation strategies and outcomes for essential newborn care interventions (delayed cord clamping, immediate drying, skin-to-skin contact and early initiation of breastfeeding) in low- and low middle-income countries. Strategies were categorised using the ERIC framework, with educational meetings the most frequently used, and coverage the most commonly reported outcome. No significant association was found between the number of strategies used and coverage, and heterogeneity was high. The authors highlight poor reporting of interventions and call for better process evaluation and implementation reporting to reduce neonatal mortality.

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