Harriet Ruysen
A5086839334- Neonatal Respiratory Health Research
- Global Maternal and Child Health
- Breastfeeding Practices and Influences
- Maternal and Neonatal Healthcare
- Infant Development and Preterm Care
- Maternal and Perinatal Health Interventions
- Emergency and Acute Care Studies
- Birth, Development, and Health
- Injury Epidemiology and Prevention
- Mobile Health and mHealth Applications
- Child Nutrition and Water Access
- Maternal and fetal healthcare
- Grief, Bereavement, and Mental Health
- Healthcare Policy and Management
- Medical Coding and Health Information
- Neonatal and Maternal Infections
- Neonatal skin health care
- Geriatric Care and Nursing Homes
- Healthcare Systems and Technology
- Healthcare Systems and Reforms
- Pressure Ulcer Prevention and Management
- Antibiotic Use and Resistance
- Health disparities and outcomes
- Demographic Trends and Gender Preferences
- Pneumonia and Respiratory Infections
London School of Hygiene & Tropical Medicine
2015-2024
Center for Assessment
2024
The Every Newborn Action Plan (ENAP), launched in 2014, aims to end preventable newborn deaths and stillbirths, with national targets of ≤12 neonatal per 1000 live births stillbirths total by 2030. This requires ambitious improvement the data on care at birth small sick newborns, particularly track coverage, quality equity.In a multistage process, matrix 70 indicators were assessed steering group. Indicators graded based their availability importance ENAP, resulting 10 core additional...
To achieve Sustainable Development Goals and Universal Health Coverage, programmatic data are essential. The Every Newborn Action Plan, agreed by all United Nations member states >80 development partners, includes an ambitious Measurement Improvement Roadmap. Quality of care at birth is prioritised both Ending Preventable Maternal Mortality strategies, hence metrics need to advance from health service contact alone, content care. As facility births increase, monitoring using routine in DHIS2...
Progress in reducing maternal and neonatal deaths stillbirths is impeded by data gaps, especially regarding coverage quality of care hospitals. We aimed to assess the validity indicators newborn health-care around time birth survey routine facility register data.Every Newborn-BIRTH Indicators Research Tracking Hospitals was an observational study five hospitals Bangladesh, Nepal, Tanzania. included women their babies who consented on admission hospital. Exclusion critiera at were no fetal...
Abstract Background Each year an estimated 2.3 million newborns die in the first 28 days of life. Most these deaths are preventable, and high-quality neonatal care is fundamental for surviving thriving. Service readiness used to assess capacity hospitals provide care, but current health facility assessment (HFA) tools do not fully evaluate inpatient small sick newborn (SSNC). Methods Health systems ingredients SSNC were identified from international guidelines, notably World Organization...
Kangaroo mother care (KMC) reduces mortality among stable neonates ≤2000 g. Lack of data tracking coverage and quality KMC in both surveys routine information systems impedes scale-up. This paper evaluates measurement as part the Every Newborn Birth Indicators Research Tracking Hospitals (EN-BIRTH) study.
Policymakers need regular high-quality coverage data on care around the time of birth to accelerate progress for ending preventable maternal and newborn deaths stillbirths. With increasing facility births, routine Health Management Information System (HMIS) have potential track coverage. Identifying barriers enablers faced by frontline health workers recording HMIS source in registers is important improve use.
Abstract Background Countries with the highest burden of maternal and newborn deaths stillbirths often have little information on these deaths. Since over 81% births worldwide now occur in facilities, using routine facility data could reduce this gap. We assessed availability, quality, utility labour delivery ward register five hospitals Bangladesh, Nepal, Tanzania. This paper forms baseline assessment for Every Newborn -Birth Indicators Research Tracking Hospitals (EN-BIRTH) study. Methods...
To achieve Sustainable Development Goals and Universal Health Coverage, programmatic data are essential. The Every Newborn Action Plan, agreed by all United Nations member states >80 development partners, includes an ambitious Measurement Improvement Roadmap. Quality of care at birth is prioritised both Ending Preventable Maternal Mortality strategies, hence metrics need to advance from health service contact alone, content care. As facility births increase, monitoring using routine in DHIS2...
Abstract Background Accurate birthweight is critical to inform clinical care at the individual level and tracking progress towards national/global targets population level. Low (LBW) < 2500 g affects over 20.5 million newborns annually. However, data are lacking may be affected by heaping. This paper evaluates measurement within Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study. Methods The EN-BIRTH study took place five hospitals Bangladesh, Nepal Tanzania...
Abstract Background Immediate newborn care (INC) practices, notably early initiation of breastfeeding (EIBF), are fundamental for health. However, coverage tracking currently relies on household survey data in many settings. “ Every Newborn Birth Indicators Research Tracking Hospitals” (EN-BIRTH) was an observational study validating selected maternal and health indicators. This paper reports results EIBF. Methods The EN-BIRTH conducted five public hospitals Bangladesh, Nepal, Tanzania, from...
Abstract Background Annually, 14 million newborns require stimulation to initiate breathing at birth and 6 bag-mask-ventilation (BMV). Many countries have invested in facility-based neonatal resuscitation equipment training. However, there is no consistent tracking for coverage. Methods The EN-BIRTH study, five hospitals Bangladesh, Nepal, Tanzania (2017–2018), collected time-stamped data care around birth, including resuscitation. Researchers surveyed women extracted from routine labour...
Abstract Background An estimated >2 million babies stillborn around the world each year lack visibility. Low- and middle-income countries carry 84% of burden yet have least data. Most births are now in facilities, hence routine register-recording presents an opportunity to improve counting stillbirths, but research is limited, particularly regarding accuracy. This paper evaluates register-recorded measurement hospital classification accuracy, barriers enablers recording. Methods The...
Abstract Background An estimated 30 million neonates require inpatient care annually, many with life-threatening infections. Appropriate antibiotic management is crucial, yet there no routine measurement of coverage. The Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study aimed to validate maternal and newborn indicators inform coverage quality care. This paper reports validation reported by exit survey mothers for hospitalized newborns clinically-defined...
Abstract Background Respectful maternal and newborn care (RMNC) is an important component of high-quality but progress impeded by critical measurement gaps for women newborns. The Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study was observational with mixed methods assessing validity coverage quality indicators. This paper reports results regarding the respectful Methods At one EN-BIRTH site Pokhara, Nepal, we included additional questions during exit-survey...
Abstract Background Population-based household surveys, notably the Demographic and Health Surveys (DHS) Multiple Indicator Cluster (MICS), remain main source of maternal newborn health data for many low- middle-income countries. As part Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study, this paper focuses on testing validity measurement indicators around time birth (intrapartum postnatal) survey-report. Methods EN-BIRTH was an observational study selected five...
Abstract Background Postpartum haemorrhage (PPH) is a leading cause of preventable maternal mortality worldwide. The World Health Organization (WHO) recommends uterotonic administration for every woman after birth to prevent PPH. There are no standardised data collected in large-scale measurement platforms. Every Newborn Birth Indicators Research Tracking Hospitals (EN-BIRTH) an observational study assess the validity and newborn indicators, this paper reports findings regarding coverage...
Abstract Background Umbilical cord hygiene prevents sepsis, a leading cause of neonatal mortality. The World Health Organization recommends 7.1% chlorhexidine digluconate (CHX) application to the umbilicus after home birth in high mortality contexts. In Bangladesh and Nepal, national policies recommend CHX use for all facility births. Population-based household surveys include optional questions on use, but indicator validation studies are lacking. Every Newborn Birth Indicators Research...
Observation of care at birth is challenging with multiple, rapid and potentially concurrent events occurring for mother, newborn placenta. Design electronic data (E-data) collection needs to account these challenges. The Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) was an observational study assess measurement indicators priority maternal interventions took place five hospitals Bangladesh, Nepal Tanzania (July 2017-July 2018). E-data tools were required capture...
Abstract Background Birth registration marks a child’s right to identity and is the first step establishing citizenship access services. At population level, birth data can inform effective programming planning. In Tanzania, almost two-thirds of births are in health facilities, yet only 26% children under 5 years have their registered. Our mixed-methods research explores gap between hospital Dar es Salaam, Tanzania. Methods The study was conducted two Tanzanian sites Every Newborn -Birth...
An estimated 7 million episodes of severe newborn infections occur annually worldwide, with half a deaths, most occurring in low- and middle-income countries. Whilst injectable antibiotics are necessary to treat the infection, supportive care is also crucial ending preventable mortality morbidity. This study uses multi-country data assess gaps coverage, quality, documentation care, considering implications for measurement.The EN-BIRTH was conducted five hospitals Bangladesh, Nepal, Tanzania...
Grand Challenges for international health and development initiatives have received substantial funding to tackle unsolved problems; however, evidence of their effectiveness in achieving change is lacking. A theory may provide a useful tool track progress towards desired outcomes. The Saving Lives at Birth partnership aims address inequities maternal-newborn survival through the provision strategic investments development, testing transition-to-scale ground-breaking prevention treatment...
The World Health Organization recognises Routine Information System (RHIS) data as integral to data-driven health systems; needed improve intrapartum outcomes for maternal and newborn worldwide. However, research in Bangladesh Tanzania suggests that mode of birth affects register accuracy, but little is known about why. To address this gap, we undertook qualitative these two public-sector systems. We conducted 44 in-depth interviews (Sept-Dec 2020) 35 (Feb-April 2023). Participants included...
The EN-BIRTH study aims to validate selected newborn and maternal indicators for routine facility-based tracking of coverage quality care use at district, national global levels. item contains the following data collection tools: Register extraction, Observation checklist (labour delivery ward), (kangaroo mother care), Patient record verification tools antenatal corticosteroid administration, antibiotic Maternal recall survey.
The EN-BIRTH study aims to validate selected newborn and maternal indicators for routine facility-based tracking of coverage quality care use at district, national global levels. item contains the EN-BIRTH_Trainer's Manual (14 June 2017) EN-BIRTH_Training Handbook (23 May 2017).
The EN-BIRTH study aims to validate selected newborn and maternal indicators for routine facility-based tracking of coverage quality care use at district, national global levels. item contains consent forms participant information, in addition standard operating procedures (SOP) adverse clinical events, managing distress interviews. full complement annex files used during the training can be requested via this site if required.