Publications by authors named "Husam Md Shah Alam"
Article Synopsis
- The study evaluates the implementation of a standardized register developed by Bangladesh’s National Newborn Health and IMCI program, aimed at improving care for newborns and children under five in hospitals.
- Implementation research was conducted in two district and two sub-district hospitals in Kushtia and Dinajpur from November 2022 to January 2023, focusing on usability, acceptability, adoption, fidelity, and utility of the register.
- Results showed good usability (73) and acceptability (82) scores among healthcare providers, with high adoption rates (96%) for children's admissions; however, fidelity was lower for certain data elements, notably investigations completed (24%).
Article Synopsis
- * A four-phase stakeholder engagement process was implemented, involving the identification of key organizations and participants, leading to workshops for awareness and collaboration on the register's design and implementation.
- * The initiative aims to improve the quality of care and accountability for sick children, with plans for rollout in additional districts and recognition from the Government of Bangladesh, alongside allocated funds for further development.
Background: Fifteen million babies are born preterm globally each year, with 81% occurring in low- and middle-income countries (LMICs). Preterm birth complications are the leading cause of newborn deaths and significantly impact health, quality of life, and costs of health services. Improving outcomes for newborns and their families requires prioritising research for developing practical, scalable solutions, especially in low-resource settings such as Bangladesh.
View Article and Find Full Text PDFIntroducing pulse oximetry for outpatient management of childhood pneumonia: An implementation research adopting a district implementation model in selected rural facilities in Bangladesh.
EClinicalMedicine
August 2022
Background: Pulse oximetry has potential for identifying hypoxaemic pneumonia and substantially reducing under-five deaths in low- and middle-income countries (LMICs) setting. However, there are few examples of introducing pulse oximetry in resource-constrained paediatric outpatient settings, such as Integrated Management of Childhood Illness (IMCI) services.
Methods: The National IMCI-programme of Bangladesh designed and developed a district implementation model for introducing pulse oximetry in routine IMCI services through stakeholder engagement and demonstrated the model in Kushtia district adopting a health system strengthening approach.
Background: Pneumonia is the leading cause of under-five child deaths globally and in Bangladesh. Hypoxaemia or low (<90%) oxygen concentration in the arterial blood is one of the strongest predictors of child mortality from pneumonia and other acute respiratory infections. Since 2014, the World Health Organization recommends using pulse oximetry devices in Integrated Management of Childhood Illness (IMCI) services (outpatient child health services), but it was not routinely used in most health facilities in Bangladesh until 2018.
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