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2 results on '"Workagegnehu Tarekegn Kidane"'

1. Enhancing Nutrition and Antenatal Infection Treatment (ENAT) study: protocol of a pragmatic clinical effectiveness study to improve birth outcomes in Ethiopia

Author

Anne CC Lee, Firehiwot Workneh Abate, Luke C Mullany, Estifanos Baye, Yoseph Yemane Berhane, Mulatu Melese Derebe, Michelle Eglovitch, Nebiyou Fasil, Ingrid E Olson, Workagegnehu Tarekegn Kidane, Tigest Shiferaw, Fisseha Shiferie, Fitsum Tsegaye, Sitota Tsegaye, Kalkidan Yibeltal, Grace J Chan, Parul Christian, Sheila Isanaka, Yunhee Kang, Chunling Lu, Mandefro M Mengistie, Rose L. Molina, Michele D Stojanov, Fred Van Dyk, Amare Worku Tadesse, Asresie T Wondale, Blair J Wylie, Alemayehu Worku, and Yemane Berhane

Subjects
Iron, growth, Infant, Newborn, Parturition, Infant, Infant, Low Birth Weight, Pediatrics, neonatology, RJ1-570, Folic Acid, Treatment Outcome, Pregnancy, Pragmatic Clinical Trials as Topic, Pediatrics, Perinatology and Child Health, Protocol, Humans, Premature Birth, Female, Ethiopia, Randomized Controlled Trials as Topic
Abstract

IntroductionThe WHO Nutrition Target aims to reduce the global prevalence of low birth weight by 30% by the year 2025. The Enhancing Nutrition and Antenatal Infection Treatment (ENAT) study will test the impact of packages of pregnancy interventions to enhance maternal nutrition and infection management on birth outcomes in rural Ethiopia.Methods and analysisENAT is a pragmatic, open-label, 2×2 factorial, randomised clinical effectiveness study implemented in 12 rural health centres in Amhara, Ethiopia. Eligible pregnant women presenting at antenatal care (ANC) visits at Ethics and disseminationENAT is approved by the Institutional Review Boards of Addis Continental Institute of Public Health (001-A1-2019) and Mass General Brigham (2018P002479). Results will be disseminated to local and international stakeholders.Registration numberISRCTN15116516.

Published
2022

2. Effect of birthweight measurement quality improvement on low birthweight prevalence in rural Ethiopia

Author

Amare Worku, Fisseha Shiferie, Workagegnehu Tarekegn Kidane, Sheila Isanaka, Estifanos Baye, Michelle Eglovitch, Luke C. Mullany, Mulatu Melese Derebe, Sitota Tsegaye, Grace J Chan, Blair J. Wylie, Firehiwot Workneh Abate, Tigest Shifraw, Ingrid E. Olson, Rose L. Molina, Yemane Berhane, Kalkidan Yibeltal, Anne C C Lee, and Alemayehu Worku

Subjects
medicine.medical_specialty, Quality management, Low birthweight, Epidemiology, Computer applications to medicine. Medical informatics, R858-859.7, Data quality improvement initiative, Prevalence, Birth Weight, Humans, Medicine, Data reporting, Birthweight heaping, Retrospective Studies, business.industry, Research, Rural health, Public health, Infant, Newborn, Public Health, Environmental and Occupational Health, Health services research, Infant, Quality Improvement, Delivery registers, Confidence interval, Data quality, Ethiopia, Public aspects of medicine, RA1-1270, business, Demography
Abstract

Background Low birthweight (LBW) ( Methods A comparative pre-post study was performed in selected rural health facilities located in West Gojjam and South Gondar zones. At baseline, a retrospective review of delivery records from February to May 2018 was performed in 14 health centers to collect birthweight data. A birthweight QI initiative was introduced in August 2019, which included provision of high-quality digital infant weight scales (precision 5 g), routine calibration, training in birth weighing and data recording, and routine field supervision. After the QI implementation, birthweight data were prospectively collected from late August to early September 2019, and December 2019 to June 2020. Data quality, as measured by heaping (weights at exact multiples of 500 g) and rounding to the nearest 100 g, and the prevalence of LBW were calculated before and after QI implementation. Results We retrospectively reviewed 1383 delivery records before the QI implementation and prospectively measured 1371 newborn weights after QI implementation. Heaping was most frequently observed at 3000 g and declined from 26% pre-initiative to 6.7% post-initiative. Heaping at 2500 g decreased from 5.4% pre-QI to 2.2% post-QI. The percentage of rounding to the nearest 100 g was reduced from 100% pre-initiative to 36.5% post-initiative. Before the QI initiative, the prevalence of recognized LBW was 2.2% (95% confidence interval [CI]: 1.5–3.1) and after the QI initiative increased to 11.7% (95% CI: 10.1–13.5). Conclusions A QI intervention can improve the quality of birthweight measurements, and data measurement quality may substantially affect estimates of LBW prevalence.

Published
2021
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