Newborn signal functions in Bangladesh: identification through expert consultation and assessment of readiness among public health facilities—study protocol using Delphi technique
Introduction There is a set of globally accepted and nationally adapted signal functions for categorising health facilities for maternal services. Newborn resuscitation is the only newborn intervention which is included in the WHO recommended list of emergency obstetric care signal functions. This i...
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BMJ Publishing Group
2020-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/9/e037418.full |
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| author | Afsana Karim Joby George Sanjoy Kumer Dey Mohammod Shahidullah Shams El Arifeen Mahbuba Khan Ahmed Ehsanur Rahman Goutom Banik Shema Mhajabin Tazeen Tahsina Md. Jahurul Islam Farid Uddin Ahmed Mushair Ul Islam Md Abdul Mannan Shamina Sharmin Fida Mehran Anisuddin Ahmed Ahmed Al Sabir Shahin Sultana Ziaul Ahsan Sayed Rubayet |
| author_facet | Afsana Karim Joby George Sanjoy Kumer Dey Mohammod Shahidullah Shams El Arifeen Mahbuba Khan Ahmed Ehsanur Rahman Goutom Banik Shema Mhajabin Tazeen Tahsina Md. Jahurul Islam Farid Uddin Ahmed Mushair Ul Islam Md Abdul Mannan Shamina Sharmin Fida Mehran Anisuddin Ahmed Ahmed Al Sabir Shahin Sultana Ziaul Ahsan Sayed Rubayet |
| author_sort | Afsana Karim |
| collection | DOAJ |
| description | Introduction There is a set of globally accepted and nationally adapted signal functions for categorising health facilities for maternal services. Newborn resuscitation is the only newborn intervention which is included in the WHO recommended list of emergency obstetric care signal functions. This is not enough to comprehensively assess the readiness of a health facility for providing newborn services. In order to address the major causes of newborn death, the Government of Bangladesh has prioritised a set of newborn interventions for national scale-up, the majority of which are facility-based. Effective delivery of these interventions depends on a core set of functions (skills and services). However, there is no standardised and approved set of newborn signal functions (NSFs) based on which the service availability and readiness of a health facility can be assessed for providing newborn services. Thus, this study will be the first of its kind to identify such NSFs. These NSFs can categorise health facilities and assist policymakers and health managers to appropriately plan and adequately monitor the progress and performance of health facilities delivering newborn healthcare.Methods and analysis We will adopt the Delphi technique of consensus building for identification of NSFs and 1–2 indicator for each function while employing expert consultation from relevant experts in Bangladesh. Based on the identified NSFs and signal function indicators, the existing health facility assessment (HFA) tools will be updated, and an HFA survey will be conducted to assess service availability and readiness of public health facilities in relation to the new NSFs. Descriptive statistics (proportion) with a 95% CI will be used to report the level of service availability and readiness of public facilities regarding NSFs.Ethics and dissemination Ethical approval was obtained from Research Review and Ethical Review Committee of icddr, b (PR-17089). Results will be disseminated through meetings, seminars, conference presentations and international peer-review journal articles. |
| format | Article |
| id | doaj-art-753c156d37504787a4b03b20db6f2eb6 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-753c156d37504787a4b03b20db6f2eb62025-01-07T12:15:09ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-037418Newborn signal functions in Bangladesh: identification through expert consultation and assessment of readiness among public health facilities—study protocol using Delphi techniqueAfsana Karim0Joby George1Sanjoy Kumer Dey2Mohammod Shahidullah3Shams El Arifeen4Mahbuba Khan5Ahmed Ehsanur Rahman6Goutom Banik7Shema Mhajabin8Tazeen Tahsina9Md. Jahurul Islam10Farid Uddin Ahmed11Mushair Ul Islam12Md Abdul Mannan13Shamina Sharmin14Fida Mehran15Anisuddin Ahmed16Ahmed Al Sabir17Shahin Sultana18Ziaul Ahsan19Sayed Rubayet20Save the Children Bangladesh, Dhaka, BangladeshMaMoni Health Systems Strengthening Project, Save the Children, Dhaka, Dhaka District, Bangladesh14 Bangabandhu Sheikh Mujib Medical University, Dhaka, Dhaka District, BangladeshDepartment of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, BangladeshMaternal and Child Health Division, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshWHO Bangladesh, Dhaka, BangladeshMaternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Dhaka, BangladeshMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshDirectorate General of Health Services, Government of Bangladesh Ministry of Health and Family Welfare, Dhaka, BangladeshDirector General of Family planning, Government of Bangladesh Ministry of Health and Family Welfare, Dhaka, BangladeshDirectorate General of Health Services, Government of Bangladesh Ministry of Health and Family Welfare, Dhaka, BangladeshNeonatology, BSMMU, Dhaka, BangladeshUNICEF Bangladesh, Dhaka, BangladeshUSAID Bangladesh, Dhaka, BangladeshMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshRTM International, Dhaka, BangladeshNIPORT, Dhaka, BangladeshIpas, Dhaka, BangladeshIpas, Dhaka, BangladeshIntroduction There is a set of globally accepted and nationally adapted signal functions for categorising health facilities for maternal services. Newborn resuscitation is the only newborn intervention which is included in the WHO recommended list of emergency obstetric care signal functions. This is not enough to comprehensively assess the readiness of a health facility for providing newborn services. In order to address the major causes of newborn death, the Government of Bangladesh has prioritised a set of newborn interventions for national scale-up, the majority of which are facility-based. Effective delivery of these interventions depends on a core set of functions (skills and services). However, there is no standardised and approved set of newborn signal functions (NSFs) based on which the service availability and readiness of a health facility can be assessed for providing newborn services. Thus, this study will be the first of its kind to identify such NSFs. These NSFs can categorise health facilities and assist policymakers and health managers to appropriately plan and adequately monitor the progress and performance of health facilities delivering newborn healthcare.Methods and analysis We will adopt the Delphi technique of consensus building for identification of NSFs and 1–2 indicator for each function while employing expert consultation from relevant experts in Bangladesh. Based on the identified NSFs and signal function indicators, the existing health facility assessment (HFA) tools will be updated, and an HFA survey will be conducted to assess service availability and readiness of public health facilities in relation to the new NSFs. Descriptive statistics (proportion) with a 95% CI will be used to report the level of service availability and readiness of public facilities regarding NSFs.Ethics and dissemination Ethical approval was obtained from Research Review and Ethical Review Committee of icddr, b (PR-17089). Results will be disseminated through meetings, seminars, conference presentations and international peer-review journal articles.https://bmjopen.bmj.com/content/10/9/e037418.full |
| spellingShingle | Afsana Karim Joby George Sanjoy Kumer Dey Mohammod Shahidullah Shams El Arifeen Mahbuba Khan Ahmed Ehsanur Rahman Goutom Banik Shema Mhajabin Tazeen Tahsina Md. Jahurul Islam Farid Uddin Ahmed Mushair Ul Islam Md Abdul Mannan Shamina Sharmin Fida Mehran Anisuddin Ahmed Ahmed Al Sabir Shahin Sultana Ziaul Ahsan Sayed Rubayet Newborn signal functions in Bangladesh: identification through expert consultation and assessment of readiness among public health facilities—study protocol using Delphi technique BMJ Open |
| title | Newborn signal functions in Bangladesh: identification through expert consultation and assessment of readiness among public health facilities—study protocol using Delphi technique |
| title_full | Newborn signal functions in Bangladesh: identification through expert consultation and assessment of readiness among public health facilities—study protocol using Delphi technique |
| title_fullStr | Newborn signal functions in Bangladesh: identification through expert consultation and assessment of readiness among public health facilities—study protocol using Delphi technique |
| title_full_unstemmed | Newborn signal functions in Bangladesh: identification through expert consultation and assessment of readiness among public health facilities—study protocol using Delphi technique |
| title_short | Newborn signal functions in Bangladesh: identification through expert consultation and assessment of readiness among public health facilities—study protocol using Delphi technique |
| title_sort | newborn signal functions in bangladesh identification through expert consultation and assessment of readiness among public health facilities study protocol using delphi technique |
| url | https://bmjopen.bmj.com/content/10/9/e037418.full |
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