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Treatment of neonatal infections: a multi-country analysis of health system bottlenecks and potential solutions

Overview of attention for article published in BMC Pregnancy and Childbirth, September 2015
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  • Good Attention Score compared to outputs of the same age (70th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (61st percentile)

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1 policy source
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1 X user

Citations

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27 Dimensions

Readers on

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252 Mendeley
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Title
Treatment of neonatal infections: a multi-country analysis of health system bottlenecks and potential solutions
Published in
BMC Pregnancy and Childbirth, September 2015
DOI 10.1186/1471-2393-15-s2-s6
Pubmed ID
Authors

Aline Simen-Kapeu, Anna C Seale, Steve Wall, Christabel Nyange, Shamim A Qazi, Sarah G Moxon, Mark Young, Grace Liu, Gary L Darmstadt, Kim E Dickson, Joy E Lawn

Abstract

Around one-third of the world's 2.8 million neonatal deaths are caused by infections. Most of these deaths are preventable, but occur due to delays in care-seeking, and access to effective antibiotic treatment with supportive care. Understanding variation in health system bottlenecks to scale-up of case management of neonatal infections and identifying solutions is essential to reduce mortality, and also morbidity. A standardised bottleneck analysis tool was applied in 12 countries in Africa and Asia as part of the development of the Every Newborn Action Plan. Country workshops involved technical experts to complete a survey tool, to grade health system "bottlenecks" hindering scale up of maternal-newborn intervention packages. Quantitative and qualitative methods were used to analyse the data, combined with literature review, to present priority bottlenecks and synthesise actions to improve case management of newborn infections. For neonatal infections, the health system building blocks most frequently graded as major or significant bottlenecks, irrespective of mortality context and geographical region, were health workforce (11 out of 12 countries), and community ownership and partnership (11 out of 12 countries). Lack of data to inform decision making, and limited funding to increase access to quality neonatal care were also major challenges. Rapid recognition of possible serious bacterial infection and access to care is essential. Inpatient hospital care remains the first line of treatment for neonatal infections. In situations where referral is not possible, the use of simplified antibiotic regimens for outpatient management for non-critically ill young infants has recently been reported in large clinical trials; WHO is developing a guideline to treat this group of young infants. Improving quality of care through more investment in the health workforce at all levels of care is critical, in addition to ensuring development and dissemination of national guidelines. Improved information systems are needed to track coverage and adequately manage drug supply logistics for improved health outcomes. It is important to increase community ownership and partnership, for example through involvement of community groups.

X Demographics

X Demographics

The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 252 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Switzerland 1 <1%
Unknown 251 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 46 18%
Researcher 42 17%
Student > Ph. D. Student 21 8%
Other 19 8%
Student > Bachelor 19 8%
Other 49 19%
Unknown 56 22%
Readers by discipline Count As %
Medicine and Dentistry 79 31%
Nursing and Health Professions 37 15%
Social Sciences 21 8%
Psychology 8 3%
Pharmacology, Toxicology and Pharmaceutical Science 8 3%
Other 32 13%
Unknown 67 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 August 2020.
All research outputs
#6,436,243
of 22,865,319 outputs
Outputs from BMC Pregnancy and Childbirth
#1,798
of 4,202 outputs
Outputs of similar age
#76,407
of 267,839 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#40
of 108 outputs
Altmetric has tracked 22,865,319 research outputs across all sources so far. This one has received more attention than most of these and is in the 70th percentile.
So far Altmetric has tracked 4,202 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.8. This one has gotten more attention than average, scoring higher than 56% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 267,839 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 70% of its contemporaries.
We're also able to compare this research output to 108 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 61% of its contemporaries.