Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries

BACKGROUND:Antenatal corticosteroids (ACS) for women at high risk of preterm birth is an effective intervention to reduce neonatal mortality among preterm babies delivered in hospital settings, but has not been widely used in low-middle resource settings. We sought to assess the rates of ACS use at...

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Autores: Berrueta, Amanda Mabel, Hemingway Foday, Jennifer, Thorsten, Vanessa R., Goldenberg, Robert L., Carlo, Waldemar A., Garces, Ana, Patel, Archana, Saleem, Sarah, Pasha, Omrana, Chomba, Elwyn, Hibberd, Patricia L., Krebs, Nancy F., Goudar, Shivaprasad, Derman, Richard J., Esamai, Fabian, Liechty, Edward A., Moore, Janet L., McClure, Elizabeth M., Koso Thomas, Marion, Buekens, Pierre, Belizan, Jose, Althabe, Fernando
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Argentina
Institución:Consejo Nacional de Investigaciones Científicas y Técnicas
Repositorio:CONICET Digital (CONICET)
Idioma:inglés
OAI Identifier:oai:ri.conicet.gov.ar:11336/48881
Acceso en línea:http://hdl.handle.net/11336/48881
Access Level:acceso abierto
Palabra clave:Corticosteroids
https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
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network_acronym_str AR
network_name_str Argentina
repository_id_str
dc.title.none.fl_str_mv Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries
title Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries
spellingShingle Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries
Berrueta, Amanda Mabel
Corticosteroids
https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
title_short Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries
title_full Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries
title_fullStr Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries
title_full_unstemmed Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries
title_sort Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries
dc.creator.none.fl_str_mv Berrueta, Amanda Mabel
Hemingway Foday, Jennifer
Thorsten, Vanessa R.
Goldenberg, Robert L.
Carlo, Waldemar A.
Garces, Ana
Patel, Archana
Saleem, Sarah
Pasha, Omrana
Chomba, Elwyn
Hibberd, Patricia L.
Krebs, Nancy F.
Goudar, Shivaprasad
Derman, Richard J.
Esamai, Fabian
Liechty, Edward A.
Moore, Janet L.
McClure, Elizabeth M.
Koso Thomas, Marion
Buekens, Pierre
Belizan, Jose
Althabe, Fernando
author Berrueta, Amanda Mabel
author_facet Berrueta, Amanda Mabel
Hemingway Foday, Jennifer
Thorsten, Vanessa R.
Goldenberg, Robert L.
Carlo, Waldemar A.
Garces, Ana
Patel, Archana
Saleem, Sarah
Pasha, Omrana
Chomba, Elwyn
Hibberd, Patricia L.
Krebs, Nancy F.
Goudar, Shivaprasad
Derman, Richard J.
Esamai, Fabian
Liechty, Edward A.
Moore, Janet L.
McClure, Elizabeth M.
Koso Thomas, Marion
Buekens, Pierre
Belizan, Jose
Althabe, Fernando
author_role author
author2 Hemingway Foday, Jennifer
Thorsten, Vanessa R.
Goldenberg, Robert L.
Carlo, Waldemar A.
Garces, Ana
Patel, Archana
Saleem, Sarah
Pasha, Omrana
Chomba, Elwyn
Hibberd, Patricia L.
Krebs, Nancy F.
Goudar, Shivaprasad
Derman, Richard J.
Esamai, Fabian
Liechty, Edward A.
Moore, Janet L.
McClure, Elizabeth M.
Koso Thomas, Marion
Buekens, Pierre
Belizan, Jose
Althabe, Fernando
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Corticosteroids
https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
topic Corticosteroids
https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
description BACKGROUND:Antenatal corticosteroids (ACS) for women at high risk of preterm birth is an effective intervention to reduce neonatal mortality among preterm babies delivered in hospital settings, but has not been widely used in low-middle resource settings. We sought to assess the rates of ACS use at all levels of health care in low and middle income countries (LMIC).METHODS:We assessed rates of ACS in 7 sites in 6 LMIC participating in the Eunice Kennedy Shriver National Institute of Child Health and Human Development´s Global Network for Women and Children´s Health Research Antenatal Corticosteroids Trial (ACT), a cluster-randomized trial to assess the feasibility, effectiveness, and safety of a multifaceted intervention designed to increase the use of ACS. We conducted this analysis using data from the control clusters, which did not receive any components of the intervention and intended to follow usual care. We included women who delivered an infant with a birth weight <5th percentile, a proxy for preterm birth, and were enrolled in the Maternal Newborn Health (MNH) Registry between October 2011 and March 2014 in all clusters. A survey of the site investigators regarding existing policies on ACS in health facilities and for health workers in the community was part of pre-trial activities.RESULTS:Overall, of 51,523 women delivered in control clusters across all sites, the percentage of <5th percentile babies ranged from 3.5 % in Kenya to 10.7 % in Pakistan. There was variation among the sites in the use of ACS at all hospitals and among those hospitals having cesarean section and neonatal care capabilities (bag and mask and oxygen or mechanical ventilation). Rates of ACS use for <5th percentile babies in all hospitals ranged from 3.8 % in the Kenya sites to 44.5 % in the Argentina site, and in hospitals with cesarean section and neonatal care capabilities from 0 % in Zambia to 43.5 % in Argentina. ACS were rarely used in clinic or home deliveries at any site. Guidelines for ACS use at all levels of the health system were available for most of the sites.CONCLUSION:Our study reports an overall low utilization of ACS among mothers of <5th percentile infants in hospital and clinic deliveries in LMIC.
publishDate 2016
dc.date.none.fl_str_mv 2016-05
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/48881
Berrueta, Amanda Mabel; Hemingway Foday, Jennifer; Thorsten, Vanessa R.; Goldenberg, Robert L.; Carlo, Waldemar A.; et al.; Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries; BioMed Central; Reproductive Health; 13; 1; 5-2016; 1-6
1471-2458
CONICET Digital
CONICET
url http://hdl.handle.net/11336/48881
identifier_str_mv Berrueta, Amanda Mabel; Hemingway Foday, Jennifer; Thorsten, Vanessa R.; Goldenberg, Robert L.; Carlo, Waldemar A.; et al.; Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries; BioMed Central; Reproductive Health; 13; 1; 5-2016; 1-6
1471-2458
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1186/s12978-016-0176-2
info:eu-repo/semantics/altIdentifier/url/https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-016-0176-2
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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spelling Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countriesBerrueta, Amanda MabelHemingway Foday, JenniferThorsten, Vanessa R.Goldenberg, Robert L.Carlo, Waldemar A.Garces, AnaPatel, ArchanaSaleem, SarahPasha, OmranaChomba, ElwynHibberd, Patricia L.Krebs, Nancy F.Goudar, ShivaprasadDerman, Richard J.Esamai, FabianLiechty, Edward A.Moore, Janet L.McClure, Elizabeth M.Koso Thomas, MarionBuekens, PierreBelizan, JoseAlthabe, FernandoCorticosteroidshttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3BACKGROUND:Antenatal corticosteroids (ACS) for women at high risk of preterm birth is an effective intervention to reduce neonatal mortality among preterm babies delivered in hospital settings, but has not been widely used in low-middle resource settings. We sought to assess the rates of ACS use at all levels of health care in low and middle income countries (LMIC).METHODS:We assessed rates of ACS in 7 sites in 6 LMIC participating in the Eunice Kennedy Shriver National Institute of Child Health and Human Development´s Global Network for Women and Children´s Health Research Antenatal Corticosteroids Trial (ACT), a cluster-randomized trial to assess the feasibility, effectiveness, and safety of a multifaceted intervention designed to increase the use of ACS. We conducted this analysis using data from the control clusters, which did not receive any components of the intervention and intended to follow usual care. We included women who delivered an infant with a birth weight <5th percentile, a proxy for preterm birth, and were enrolled in the Maternal Newborn Health (MNH) Registry between October 2011 and March 2014 in all clusters. A survey of the site investigators regarding existing policies on ACS in health facilities and for health workers in the community was part of pre-trial activities.RESULTS:Overall, of 51,523 women delivered in control clusters across all sites, the percentage of <5th percentile babies ranged from 3.5 % in Kenya to 10.7 % in Pakistan. There was variation among the sites in the use of ACS at all hospitals and among those hospitals having cesarean section and neonatal care capabilities (bag and mask and oxygen or mechanical ventilation). Rates of ACS use for <5th percentile babies in all hospitals ranged from 3.8 % in the Kenya sites to 44.5 % in the Argentina site, and in hospitals with cesarean section and neonatal care capabilities from 0 % in Zambia to 43.5 % in Argentina. ACS were rarely used in clinic or home deliveries at any site. Guidelines for ACS use at all levels of the health system were available for most of the sites.CONCLUSION:Our study reports an overall low utilization of ACS among mothers of <5th percentile infants in hospital and clinic deliveries in LMIC.Fil: Berrueta, Amanda Mabel. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Hemingway Foday, Jennifer. University Of Durham; Reino UnidoFil: Thorsten, Vanessa R.. University Of Durham; Reino UnidoFil: Goldenberg, Robert L.. Columbia University; Estados UnidosFil: Carlo, Waldemar A.. University of Alabama at Birmingahm; Estados UnidosFil: Garces, Ana. Fundación para la Alimentación y Nutrición de Centro América y Panamá; GuatemalaFil: Patel, Archana. Lata Medical Research Foundation, Indira Gandhi Government Medical College; IndiaFil: Saleem, Sarah. Aga Khan University. Department of Community Health Sciences, ; PakistánFil: Pasha, Omrana. Aga Khan University. Department of Community Health Sciences, ; PakistánFil: Chomba, Elwyn. University Teaching Hospital; ZambiaFil: Hibberd, Patricia L.. Massachusetts General Hospital; Estados UnidosFil: Krebs, Nancy F.. 0University of Colorado School of Medicine; Estados UnidosFil: Goudar, Shivaprasad. KLE University’s Jawaharlal Nehru Medical College,; IndiaFil: Derman, Richard J.. 2Christiana Health Care; Estados UnidosFil: Esamai, Fabian. Moi University School of Medicine; KeniaFil: Liechty, Edward A.. Indiana University; Estados UnidosFil: Moore, Janet L.. University Of Durham; Reino UnidoFil: McClure, Elizabeth M.. University Of Durham; Reino UnidoFil: Koso Thomas, Marion. Eunice Kennedy Shriver National Institute of Child Health and Human Development; Estados UnidosFil: Buekens, Pierre. Tulane School of Public Health & Tropical Medicine; Estados UnidosFil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Althabe, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaBioMed Central2016-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/48881Berrueta, Amanda Mabel; Hemingway Foday, Jennifer; Thorsten, Vanessa R.; Goldenberg, Robert L.; Carlo, Waldemar A.; et al.; Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries; BioMed Central; Reproductive Health; 13; 1; 5-2016; 1-61471-2458CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1186/s12978-016-0176-2info:eu-repo/semantics/altIdentifier/url/https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-016-0176-2info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2024-05-08T13:55:52Zoai:ri.conicet.gov.ar:11336/48881instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982024-05-08 13:55:52.962CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
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