학술논문
Facility-based care for moderately low birthweight infants in India, Malawi, and Tanzania
Document Type
article
Author
Katherine E. A. Semrau; Rana R. Mokhtar; Karim Manji; Shivaprasad S. Goudar; Tisungane Mvalo; Christopher R. Sudfeld; Melissa F. Young; Bethany A. Caruso; Christopher P. Duggan; Sarah S. Somji; Anne C. C. Lee; Mohamed Bakari; Kristina Lugangira; Rodrick Kisenge; Linda S. Adair; Irving F. Hoffman; Friday Saidi; Melda Phiri; Kingsly Msimuko; Fadire Nyirenda; Mallory Michalak; Sangappa M. Dhaded; Roopa M. Bellad; Sujata Misra; Sanghamitra Panda; Sunil S. Vernekar; Veena Herekar; Manjunath Sommannavar; Rashmita B. Nayak; S. Yogeshkumar; Saraswati Welling; Krysten North; Kiersten Israel-Ballard; Kimberly L. Mansen; Stephanie L. Martin; Katelyn Fleming; Katharine Miller; Arthur Pote; Lauren Spigel; Danielle E. Tuller; Linda Vesel
Source
PLOS Global Public Health, Vol 3, Iss 4 (2023)
Subject
Language
English
ISSN
2767-3375
Abstract
Globally, increasing rates of facility-based childbirth enable early intervention for small vulnerable newborns. We describe health system-level inputs, current feeding, and discharge practices for moderately low birthweight (MLBW) infants (1500-10% less than their birthweight; 18.8% of infants were discharged with weights below facility-specific policy [1800g in India, 1500g in Malawi, and 2000g in Tanzania]. Based on descriptive analysis, we found constraints in health system inputs which have the potential to hinder high quality care for MLBW infants. Targeted LBW-specific lactation support, discharge at appropriate weight, and access to feeding alternatives would position MLBW for successful feeding and growth post-discharge.