Facility audits assessed facility readiness for essential newborn care.
A report from these study hospitals at baseline on their readiness to provide newborn care indicates that they were ill prepared [ 15] and this may explain why care for newborns and those with malnutrition seemed to improve relatively little.
The ENAP measurement improvement roadmap, in partnership with other tracking data harmonisation efforts, aims to test both simple and composite readiness indicators for newborn interventions, considering the presence of essential commodities, trained staff, and space.
The help provided is best if done in conjunction with, paying attention to newborn feeding behaviour s and readiness of babies to begin suckling, no unnecessary suction and if any hands on assistance to attach is needed it should be gentle with helping babies' chins to approach the breast first.
Other ANC services include preventive strategies for tetanus, malaria, anemia and mother to child HIV-transmission, education (birth preparedness and complications readiness, care of newborn, family planning as well as treatment of detected ill health. Although the majority (94%) of pregnant women in Tanzania attend ANC at least once, the quality of care has been of great concern [ 8].
Supportive supervision that makes use of staff self-assessments, quality improvement tools and processes, structured case-sheets for documentation and quality audits can help improve provider-preparedness and facility-readiness for maternal and newborn health (MNH) service delivery.
Establishment of development paediatrics and early intervention services that offer greater opportunities for the child to develop and thrive is taking place in the context national priorities for children embedded in the National Programme on Early Childhood Development and School Readiness and the National Strategy on Maternal, Newborn, Child and Adolescent Health.
Efforts to improve the management of PE/E in facilities should include integrated programs that substantially improve provider and facility readiness to manage PE/E for better maternal and newborn health outcomes in Northern Nigeria.
Some of the key problems identified were little or no monitoring of maternal and fetal condition during labour, rampant augmentation of labour and fundal pressure, routine episiotomy, inadequate readiness to deal with birth asphyxia, lack of hand-washing for delivery and newborn care and inadequate care of the mother and newborn in the postpartum ward.
Studies showing an association between ANC utilization and uptake of skilled delivery care also suggest that ANC can save women and newborn lives through the promotion of skilled delivery care and counseling on birth planning and complication readiness [ 6- 8].
