INVESTIGADORES
ALTHABE Fernando
artículos
Título:
Antenatal corticosteroids for management of preterm birth: a multi-country analysis of health system bottlenecks and potential solutions
Autor/es:
LIU NH; SEGRE J; GULMEZOGLU; MATHAI M; SMITH JM; HERMIDA J; SIMEN KAPEU; BARKER P; JERE M; MOSES; MOXON; DICKSON KE; LAWN J; ALTHABE F
Revista:
BMC MEDICINE
Editorial:
BIOMED CENTRAL LTD
Referencias:
Lugar: Londres; Año: 2015
ISSN:
1741-7015
Resumen:
BACKGROUND:Preterm birth complications are the leading cause of deaths for children under five years. Antenatal corticosteroids (ACS) are effective at reducing mortality and serious morbidity amongst infants born at 75%) reported very major or significant bottlenecks. Health information systems should include improved gestational age assessment and track ACS coverage, use and outcomes. Better health service delivery requires clarified policy assigning roles by level of care and cadre of provider, dependent on capability to assess gestational age and risk of preterm birth, and the implementation of guidelines with adequate supervision, mentoring and quality improvement systems, including audit and feedback. National essential medicines lists should include dexamethasone for antenatal use, and dexamethasone should be integrated into supply logistics.
