World Health Organization Guidelines for Feeding Low Birth Weight Infants: Effects of Implementation in First Referral Level Health Facilities in India

2015 ◽  
Vol 83 (6) ◽  
pp. 522-528 ◽  
Author(s):  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
World Health Organization ◽  
Health Facilities ◽  
World Health ◽  
Low Birth Weight Infants ◽  
Health Organization

Full-term and Low Birth Weight

PEDIATRICS ◽  
1962 ◽  
Vol 29 (2) ◽  
pp. 333-334
Author(s):  
Peter Gruenwald
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
World Health Organization ◽  
Full Term ◽  
World Health ◽  
Numerical Magnitude ◽  
Obstetrical Care ◽  
The World ◽  
Health Organization

It has been customary to determine prematurity by birth weight alone, even though the shortcomings of this practice have been pointed out convincingly, for instance, by McKeown and Gibson.1 The World Health Organization has recently taken cognizance of this problem, realizing that its previous recommendation of a birth weight limit of 2,500 gm is but a temporary expedient while no better method is available to define, study, and manage prematurity. The new, brief report2 points out the numerical magnitude of the problem by stating that among infants of healthy, young primigravidae receiving good obstetrical care, only two-thirds of those weighing less than 2,500 gm are born before the thirty-eighth week.

scholarly journals Outdoor Air Pollution, Preterm Birth, and Low Birth Weight: Analysis of the World Health Organization Global Survey on Maternal and Perinatal Health

2014 ◽  
Vol 122 (4) ◽  
pp. 425-430 ◽  
Author(s):  
Nancy L. Fleischer ◽  
Mario Merialdi ◽  
Aaron van Donkelaar ◽  
Felipe Vadillo-Ortega ◽  
Randall V. Martin ◽  
...  
Keyword(s):  
Air Pollution ◽  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
World Health Organization ◽  
World Health ◽  
Outdoor Air ◽  
The World ◽  
Weight Analysis ◽  
Health Organization

scholarly journals Quality Evaluation of Ethambutol Hydrochloride Tablet Batches Available in Governmental Health Facilities of Jimma Town, Southwest Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Meseret Yirdaw ◽  
Belachew Umeta ◽  
Yimer Mokennen
Keyword(s):  
World Health Organization ◽  
The United States ◽  
Health Facilities ◽  
World Health ◽  
Southwest Ethiopia ◽  
Weight Variation ◽  
The World ◽  
Storage Area ◽  
Health Organization ◽  
Jimma Town

Background. The availability of poor-quality drugs on the drug market might favor the ineffectiveness of the drug and/antimicrobial resistance. Aim. To evaluate the quality of similar batches of ethambutol hydrochloride tablets available in different governmental health facilities of Jimma town, southwest Ethiopia. Methods. The World Health Organization checklist was used to inspect the storage area of health facilities and check medicines for the sign of counterfeit. The test was conducted as per the United States Pharmacopeia on six similar batches of ethambutol hydrochloride sampled from different governmental health facilities. Data were analyzed using SPSS version 20, and one-way ANOVA was used for comparing the dissolution profile and weight variation of batches. Results. Three health facilities did not comply with the storage area specifications for pharmaceuticals. No batches have shown any sign of counterfeit. All of the tablet batches tested complied with USP specifications for weight variation, percentage purity, and dissolution test. Conclusions and Recommendation. The entire tablet batches complied with the World Health Organization specification for packaging and labelling of pharmaceuticals. All tablet batches complied with the test for weight variation, purity of drug substance, and dissolution. Since some health facilities did not comply with at least one specification for storage of pharmaceuticals, regulatory agencies and stack holders are advised to inspect the health facilities to ensure appropriate storage of pharmaceuticals in health facilities.

Global Core Indicators for Measuring WHO’s Paediatric Quality- of-care Standards in Health Facilities: Development and Expert Consensus

2021 ◽  
Author(s):  
Moise Muzigaba ◽  
Tamar Chitashvili ◽  
Allysha Choudhury ◽  
Wilson M Were ◽  
Theresa Diaz ◽  
...  
Keyword(s):  
Quality Of Care ◽  
World Health Organization ◽  
Quality Standards ◽  
Health Facilities ◽  
World Health ◽  
Young Adolescents ◽  
World Health Organization Quality ◽  
Children And Young Adolescents ◽  
Health Organization

Abstract BackgroundThere are currently no global recommendations on a parsimonious and robust set of indicators that can be measured routinely or periodically to monitor quality of hospital care for children and young adolescents. We describe a systematic methodology used to prioritize and define a core set of such indicators and their metadata for progress tracking, accountability, learning and improvement, at facility, (sub) national, national, and global levels.MethodsWe used a deductive methodology which involved the use of the World Health Organization Standards for improving the quality-of-care for children and young adolescents in health facilities as the organizing framework for indicator development. The entire process involved 9 complementary steps which included: a rapid literature review of available evidence, the application of a peer-reviewed systematic algorithm for indicator systematization and prioritization, and multiple iterative expert consultations to establish consensus on the proposed indicators and their metadata. ResultsWe derived a robust set of 25 core indicators and their metadata, representing all 8 World Health Organization quality standards, 40 quality statements and 520 quality measures. Most of these indicators are process-related (64%) and 20% are outcome/impact indicators. A large proportion (84%) of indicators were proposed for measurement at both outpatient and inpatient levels. By virtue of being a parsimonious set and given the stringent criteria for prioritizing indicators with “quality measurement” attributes, the recommended set is not evenly distributed across the 8 quality standards. ConclusionsTo support ongoing global and national initiatives around paediatric quality-of-care programming at country level, the recommended indicators can be adopted using a tiered approach that considers indicator measurability in the short-, medium-, and long-terms, within the context of the country’s health information system readiness and maturity. However, there is a need for further research to assess the feasibility of implementing these indicators across contexts, and the need for their validation for global common reporting.

scholarly journals Socio-demographic factors associated with low birth weight in a tertiary care hospital of Odisha

2018 ◽  
Vol 5 (5) ◽  
pp. 1797
Author(s):  
Pradip Kumar Bhue ◽  
Himansu Prasad Acharya ◽  
Subrat Kumar Pradhan ◽  
Pratima Biswal ◽  
Amit Pritam Swain ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
World Health ◽  
Care Hospital ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Health Organization

Background: World Health Organization has defined low birth weight (LBW) as birth weight less than 2,500 grams. Giving birth to a LBW infant is influenced by several factors. Objective of the study was to measure the proportion of low birth weight babies delivered in V.S.S medical college and hospital, Burla and its association with socio-demographic factors.Methods: Hospital based cross -sectional study comprising of 1030 postnatal women who delivered single live baby in V.S.S Medical College and Hospital, Burla. Selection of study participants was done by systematic random sampling in the study period October 2012 to September 2014. Chi-square test was used to measure association between LBW and socio-demographic factors.Results: The proportion of LBW was found to be 27.76%. The proportion of LBW babies was high and significant in extremes of age i.e. teenage (44.19%) and 30 years and above age group (39.56%) and Muslim mothers (36.36%), illiterate mothers (53.52 %), manual labourer (67.14%), socioeconomic class IV and V (32.98%), consanguinity history (60.58%), smoky fuel (30.02%), consumption of tobacco (49.11%).Conclusions: The proportion of LBW (27.76%) was found to be higher than national average (21.5%).

Importance of Using Standardized Birth Weight Increments to Report Neonatal Mortality Data

PEDIATRICS ◽  
1986 ◽  
Vol 78 (1) ◽  
pp. 144-145
Author(s):  
Marcus C. Hermansen ◽  
Shirin Hasan
Keyword(s):  
Birth Weight ◽  
World Health Organization ◽  
Neonatal Mortality ◽  
World Health ◽  
Mortality Data ◽  
Weight Group ◽  
Mortality Statistics ◽  
Future Studies ◽  
The World ◽  
Health Organization

Neonatal mortality statistics are frequently reported in 100-g increments of birth weight. We tabulated our mortality statistics using two methods of incrementation: 500 to 599 g, 600 to 699 g, 700 to 799 g, etc. (method A) and 501 to 600 g, 601 to 700 g, 701 to 800 g, etc (method B). In each 100-g weight group, the mortality was less using method B. The average reduction in mortality using method B was 4.1%. Use of the two different methods creates difficulty in making meaningful comparisons of various published reports. We recommend that all future studies use method A, as that method is more consistent with previous recommendations of the World Health Organization.

scholarly journals Growth and Malnutrition Assessment of Neonates Admitted to a Government Hospital in Nakuru, Kenya

2021 ◽  
Vol 10 (2) ◽  
pp. 51-58
Author(s):  
Melissa Thoene ◽  
◽  
Nora Switchenko ◽  
Anya Morozov ◽  
Elizabeth Kibaru ◽  
...  
Keyword(s):  
Birth Weight ◽  
World Health Organization ◽  
Hospital Length Of Stay ◽  
World Health ◽  
P Value ◽  
Growth Chart ◽  
Z Score ◽  
Government Hospital ◽  
Score Change ◽  
Health Organization

Background and Aims: Inadequate nutrient provision causes neonatal growth failure and malnutrition. Therefore, this study aimed to 1) quantify infant growth velocity from birth to hospital discharge, 2) determine the incidence of neonatal malnutrition at the time of discharge from a government hospital newborn unit in Nakuru, Kenya. Methods: After ethical approval, data was collected for infants (n=104) hospitalized >14 days (June 2016 - December 2018) including: birth gestational age (GA), birth and discharge weight (grams, g) with z-scores (2013 Fenton Preterm or 2006 World Health Organization 0-2 Year growth chart), hospital length of stay (LOS) days. Growth during hospitalization was calculated in g/day [(discharge weight – birth weight)/LOS] and g/kilogram(kg)/day [1000xln(birth weight/discharge weight)/LOS). Malnutrition was diagnosed by birth to discharge weight z-score change (decline): mild = 0.8-1.2 standard deviations (SD), moderate = >1.2-2.0 SD, severe = >2.0 SD. P-value <0.05 was significant. Results: 94/104 (90.4%) infants were preterm with median birth GA 32 weeks, weight 1500 g (z-score -0.33), LOS 21 days and discharge weight 1735 g (z-score -1.95). Median weight gain was 8.2 g/day or 5.2 g/kg/day with weight z-score change -1.34 SD. Linear regression predicted each hospital day decreased z-score by -0.031 (p<0.001). At discharge, 81.7% of infants met malnutrition criteria—27.1% mild, 49.4% moderate, 23.5% severe. Conclusions: Infants with LOS >14 days in a government hospital newborn unit in Nakuru, Kenya, experience growth rates below recommended velocities by the World Health Organization (23-34 grams/day from 0-4 months). Nutrition intervention is necessary to support appropriate growth.

scholarly journals The performance of various anthropometric assessment methods for predicting low birth weight in pregnant women

2009 ◽  
Vol 9 (2) ◽  
pp. 197-206 ◽  
Author(s):  
Patricia de Carvalho Padilha ◽  
Elizabeth Accioly ◽  
Glória Valéria da Veiga ◽  
Tereza Cristina Bessa ◽  
Beatriz Della Libera ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Maternity Hospital ◽  
World Health ◽  
Institute Of Medicine ◽  
Ministry Of Health ◽  
Health Organization

OBJECTIVES: to assess the performance of various anthropometric methods for the evaulation of the nutritional status of pregnant women as a means of predicting low birth weight (LBW). METHODS: a descriptive cross-cutting study carried out among 433 pregnant women (>20 years) attending a Public Maternity Hospital in Rio de Janeiro, Brazil. The adequacy of the weight gain at the end of the pregnancy was evaluated in accordance with the proposals of the Institute of Medicine and the Brazilian Ministry of Health. The sensitivity, specificity and accuracy of the adequacy of weight gain at the end of the pregnancy or nutritional state of mother as a predictor of low birth weight were calculated. RESULTS: the sensitivity of the various methods varied from 63.1% to 68.4% and the specificity from 71.2% to 75.1%. The adapted Institute of Medicine proposal drawn up by the Brazilian Ministry of Health, according to the classification of the pre-delivery nutritional status of the mother according to the World Health Organization cutoff points showed itself to be the most accurate (74.5%), this being the most adequate method for nutritional triage for reason of its association with low birth weight (OR=4.10; 95%CI=1.53-10.92). CONCLUSIONS: the best proposals for this population are those of the Institute of Medicine and the Brazilian Ministry of Health. Further studies aiming to ascertain the most appropriate methods of anthropometric evaluation for different populations should be encouraged.

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