Providing antenatal corticosteroids for preterm birth: a quality improvement initiative in Cambodia and the Philippines.

Clicks: 179
ID: 277914
2016
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Popular

Ranked #35 of 144 articles by views in International journal for quality in health care : journal of the International Society for Quality in Health Care

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 144 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
To determine whether a simple quality improvement initiative consisting of a technical update and regular audit and feedback sessions will result in increased use of antenatal corticosteroids among pregnant women at risk of imminent preterm birth delivering at health facilities in the Philippines and Cambodia.Non-randomized, observational study using a pre-/post-intervention design conducted between October 2013 and June 2014.A total of 12 high volume facilities providing Emergency Obstetric and Newborn Care services in Cambodia (6) and Philippines (6).A technical update on preterm birth and use of antenatal corticosteroids, followed by monthly audit and feedback sessions.The proportion of women at risk of imminent preterm birth who received at least one dose of dexamethasone.Coverage of at least one dose of dexamethasone increased from 35% at baseline to 86% at endline in Cambodia (P < 0.0001) and from 34% at baseline to 56% at endline in the Philippines (P < 0.0001), among women who had births at 24-36 weeks. In both settings baseline coverage and magnitude of improvement varied notably by facility. Availability of dexamethasone, knowledge of use and cost were not major barriers to coverage.A simple quality improvement strategy was feasible and effective in increasing use of dexamethasone in the management of preterm birth in 12 hospitals in Cambodia and Philippines.
Reference Key
smith2016providinginternational Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Smith, Jeffrey Michael;Gupta, Shivam;Williams, Emma;Brickson, Kate;Ly Sotha, Keth;Tep, Navuth;Calibo, Anthony;Castro, Mary Christine;Marinduque, Bernabe;Hathaway, Mark;
Journal International journal for quality in health care : journal of the International Society for Quality in Health Care
Year 2016
DOI
10.1093/intqhc/mzw095
URL
Keywords
quality improvement philippines premature birth cambodia dexamethasone

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.