Publications by authors named "Md Jahurul Islam"
Introducing a standardised register for strengthening the inpatient management of newborns and sick children: Implementation research in selected health facilities of Bangladesh.
J Glob Health
May 2024
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.
Feasibility and acceptability of bubble continuous positive airway pressure oxygen therapy for the treatment of childhood severe pneumonia and hypoxaemia in Bangladeshi children.
J Glob Health
May 2023
Article Synopsis
- Effective management of hypoxaemia is crucial for reducing pneumonia deaths in children, and the use of bubble continuous positive airway pressure (bCPAP) therapy has shown promise in intensive care settings in Bangladesh.
- A qualitative assessment was conducted to evaluate the structural and functional capacity of district hospitals for implementing bCPAP, involving interviews with healthcare staff and parents, as well as an analysis of pneumonia cases over 12 months.
- Challenges for implementation included a shortage of essential medical equipment, insufficient staffing, high patient loads, and the need for improved routine care, leading to recommendations for more regular clinical reviews.
Background: This study aimed to identify a set of newborn signal functions (NSFs) that can categorize health facilities and assist policymakers and health managers in appropriately planning and adequately monitoring the progress and performance of health facilities delivering newborn health care in Bangladesh and similar low-income settings.
Methods: A modified Delphi method was used to identify a set of NSFs and a cross-sectional health facility assessment among the randomly selected facilities was conducted to test them in public health facilities in Bangladesh. In the modified Delphi approach, three main steps of listing, prioritizing, and testing were followed to identify the set of NSFs.
Introducing 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.
Success and time implications of SpO measurement through pulse oximetry among hospitalised children in rural Bangladesh: Variability by various device-, provider- and patient-related factors.
J Glob Health
May 2022
Background: Hypoxaemia is one of the strongest predictors of mortality among children with pneumonia. It can be identified through pulse oximetry instantaneously, which is a non-invasive procedure but can be influenced by factors related to the specific measuring device, health provider and patient. Following WHO's global recommendation in 2014, Bangladesh decided to introduce pulse oximetry in paediatric outpatient services, ie, the Integrated Management of Childhood Illness (IMCI) services in 2019.
View Article and Find Full Text PDFUniversities worldwide have been conducting e-learning during the COVID-19 pandemic to continue education irrespective of faculties are familiar with e-education or not. This study assessed perception and preference for e-teaching amongst 438 faculty members. Results revealed that around half of teachers were conducting e-classes without any training, and they also had conducted examinations using online platforms.
View Article and Find Full Text PDFIntroduction: There is a set of globally accepted and nationally adapted signal functions for categorising health facilities for maternal services. Newborn resuscitation is the only newborn intervention which is included in the WHO recommended list of emergency obstetric care signal functions. This is not enough to comprehensively assess the readiness of a health facility for providing newborn services.
View Article and Find Full Text PDFIntroduction: Antenatal care (ANC) has long been considered a critical component of the continuum of care during pregnancy, with the potential to contribute to the survival and thriving of women and newborns. Although ANC utilization has increased in over the past decades, adequate coverage and content of ANC contacts have fallen under increased scrutiny. The objectives of this article are to describe the coverage and content of ANC contacts in the context of rural Bangladesh.
View Article and Find Full Text PDF