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Availability of emergency neonatal care in eight districts of Karnataka state, southern India: a cross-sectional study

Overview of attention for article published in BMC Health Services Research, October 2015
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Title
Availability of emergency neonatal care in eight districts of Karnataka state, southern India: a cross-sectional study
Published in
BMC Health Services Research, October 2015
DOI 10.1186/s12913-015-1126-3
Pubmed ID
Authors

Prem K. Mony, Krishnamurthy Jayanna, Swarnarekha Bhat, Suman V Rao, Maryann Crockett, Lisa Avery, BM Ramesh, Stephen Moses, James Blanchard

Abstract

Emergency Neonatal Care (EmNC) is an important service for the health and survival of newborns. The objective of our study was to assess the availability of emergency neonatal care services in the north-eastern region of Karnataka state in India. We undertook a cross-sectional epidemiologic study in the year 2010. We assessed the provision of eight life-saving 'signal functions' (Comprehensive EmNC) or at least five 'signal functions' (Basic EmNC) by self-reporting through a structured questionnaire, coupled with verification by direct observation for presence of drugs and equipment in the prior three months. The assessment was undertaken in 443 government and 422 private healthcare facilities of eight districts of Karnataka. There was an average of 3.6 EmNC facilities available per 500,000 population for the entire region. Only three out of eight districts and 10 of 42 sub-districts in the region had the recommended [greater than or equal to 5] EmNC facilities per 500,000. Further, over 95 % of CEmNC facilities and 88 % of BEmNC facilities were within the private sector. About 80 % of government hospitals at district and sub-district levels did not have EmNC capability. This study demonstrates the feasibility of using a simple assessment tool to measure health facility availability of life-saving services for newborn care. EmNC availability was seen to be suboptimal at the regional, district and sub-district levels within the northern part of Karnataka state. There is a need to improve availability of emergency newborn care in health facilities, with special emphasis on equity at population level.

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Mendeley readers

The data shown below were compiled from readership statistics for 101 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 101 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 24 24%
Researcher 18 18%
Student > Master 11 11%
Student > Ph. D. Student 10 10%
Student > Doctoral Student 6 6%
Other 16 16%
Unknown 16 16%
Readers by discipline Count As %
Medicine and Dentistry 51 50%
Social Sciences 9 9%
Nursing and Health Professions 9 9%
Unspecified 3 3%
Business, Management and Accounting 2 2%
Other 8 8%
Unknown 19 19%