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

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ID: 277914
2016
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Ranked #37 of 114 articles by views in International journal for quality in health care : journal of the International Society for Quality in Health Care

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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.
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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

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