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Community based weighing of newborns and use of mobile phones by village elders in rural settings in Kenya: a decentralised approach to health care provision.

Gisore P, Shipala E, Otieno K, Rono B, Marete I, Tenge C, Mabeya H, Bucher S, Moore J, Liechty E, Esamai F - BMC Pregnancy Childbirth (2012)

Bottom Line: 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.Pregnancy case finding and acquisition of birth weight information can be successfully shifted to the community level.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Child Health, Moi University School of Medicine, Eldoret, Kenya.

ABSTRACT

Background: 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.

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Related in: MedlinePlus

Top panel shows the percent of infants in each month that had an actual birth weight recorded. The lower panel shows the percent of pregnancies in each month enrolled after the birth date.
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Figure 2: Top panel shows the percent of infants in each month that had an actual birth weight recorded. The lower panel shows the percent of pregnancies in each month enrolled after the birth date.

Mentions: The total number of births in the period between January 2009 and December 2010 was 17,115 (Table 1). Figure 2A shows the percentage of exact weights missing from the Data Management System during this time period. Only weights taken and recorded within 7 days of the birth were considered accurate birth weights. The percentage of exact weight recorded ranged from less than 40% before the intervention to nearly 100% after the intervention.


Community based weighing of newborns and use of mobile phones by village elders in rural settings in Kenya: a decentralised approach to health care provision.

Gisore P, Shipala E, Otieno K, Rono B, Marete I, Tenge C, Mabeya H, Bucher S, Moore J, Liechty E, Esamai F - BMC Pregnancy Childbirth (2012)

Top panel shows the percent of infants in each month that had an actual birth weight recorded. The lower panel shows the percent of pregnancies in each month enrolled after the birth date.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3344691&req=5

Figure 2: Top panel shows the percent of infants in each month that had an actual birth weight recorded. The lower panel shows the percent of pregnancies in each month enrolled after the birth date.
Mentions: The total number of births in the period between January 2009 and December 2010 was 17,115 (Table 1). Figure 2A shows the percentage of exact weights missing from the Data Management System during this time period. Only weights taken and recorded within 7 days of the birth were considered accurate birth weights. The percentage of exact weight recorded ranged from less than 40% before the intervention to nearly 100% after the intervention.

Bottom Line: 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.Pregnancy case finding and acquisition of birth weight information can be successfully shifted to the community level.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Child Health, Moi University School of Medicine, Eldoret, Kenya.

ABSTRACT

Background: 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.

Show MeSH
Related in: MedlinePlus