BACKGROUND There is dearth of evidence on provider cost of contracted out services particularly for Maternal and Newborn Health (MNH). The evidence base is weak for policy makers to estimate resources required for scaling up contracting. This paper ascertains provider unit costs and expenditure distribution at contracted out government primary health centers to inform the development of optimal...

Continuing professional development (CPD) continues to gain acceptance as a model for health care professionals to engage in lifelong learning. Little is known about how CPD participants put the experience and the new knowledge into practice and whether it has impact on patient care outcomes. The primary objective of this study was to evaluate the effectiveness of CPD of Midwives on Essential M...

the interpretation of supernumerary chromosome is important for genetic counseling and prognosis. here, we used snp array and conventional karyotyping method to identify a denovo marker chromosome originated from chromosome 22 and 11 in a newborn transferred to the neonatal intensive care unit of shahid sadoughi hospital in 2015.  clinical abnormalities identified in the newborn were dysmorphic...

BACKGROUND Delivery of essential newborn care is key to reducing neonatal mortality rates, yet coverage of protective birth practices remains incomplete and variable, with or without skilled attendance. Evidence of changes over time in newborn care provision, disaggregated by care practice and delivery type, can be used by policymakers to review efforts to reduce mortality. We examine such tren...

BACKGROUND There is a lack of systematic information documenting recognition of potentially life-threatening complications and decisions to seek care, as well as reaching care and the specific steps in that process. In response to this gap in knowledge, a multi-country mixed methods study was conducted to illuminate the dynamics driving Delays 1 and 2 across seven countries for maternal and new...

background diaphragm of eventration is a defect of whole or a part of diaphragm muscle and replacing it with fibroplastic tissue. the incidence of eventration is uncertain. the article aims to report a newborn with congenital diaphragmatic eventration. case report the case is a dysmorphic male premature newborn which born at 33 gestational age. due to sever respiratory distress the patient admi...

OBJECTIVE To obtain a snapshot of the maternal and newborn care provided by different types of maternal and child health providers in Latin America and the Caribbean (LAC) to 1) better inform advocacy and programmatic strategies and interventions to improve the quality of those services in the region, and 2) determine the need for more rigorous study of the issues. METHODS A rapid assessment ...

Prenatal substance abuse continues to be a significant problem in this country and poses important health risks for the developing fetus. The primary care pediatrician's role in addressing prenatal substance exposure includes prevention, identification of exposure, recognition of medical issues for the exposed newborn infant, protection of the infant, and follow-up of the exposed infant. This r...

Objective: to understand the knowledge and actions of the nursing team about humanized care in a Neonatal Intensive Care Center. Methods: qualitative research carried out with 14 nurses and 20 nursing technicians working in a public institution. Semi-structured interview and content analysis were applied. Results: three thematic categories emerged: Humanized care to the newborn; Welcoming the n...

INDIAN PEDIATRICS 1211 VOLUME 40DECEMBER17, 2003 randomizing infants to CPAP or intubation, the primary outcome being the incidence of Chronic Lung Disease. What would be of interest is to identify variables, which will help recognize babies likely to fail trial of CPAP, so that ventilation could be initiated in them straight away. Arvind Sehgal, Jacqueline Stack, Department of Newborn Care, Li...