Community-based validation of assessment of newborn illnesses by trained community health workers in Sylhet district of Bangladesh.
Trop Med Int Health
; 14(12): 1448-56, 2009 Dec.
Article
en En
| MEDLINE
| ID: mdl-19807901
ABSTRACT
OBJECTIVES:
To validate trained community health workers' recognition of signs and symptoms of newborn illnesses and classification of illnesses using a clinical algorithm during routine home visits in rural Bangladesh.METHODS:
Between August 2005 and May 2006, 288 newborns were assessed independently by a community health worker and a study physician. Based on a 20-sign algorithm, sick neonates were classified as having very severe disease, possible very severe disease or no disease. The physician's assessment was considered as the gold standard.RESULTS:
Community health workers correctly classified very severe disease in newborns with a sensitivity of 91%, specificity of 95% and kappa value of 0.85 (P < 0.001). Community health workers' recognition showed a sensitivity of more than 60% and a specificity of 97-100% for almost all signs and symptoms.CONCLUSION:
Community health workers with minimal training can use a diagnostic algorithm to identify severely ill newborns with high validity.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Algoritmos
/
Tamizaje Neonatal
/
Agentes Comunitarios de Salud
/
Enfermedades del Recién Nacido
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
/
Prognostic_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Middle aged
/
Newborn
País/Región como asunto:
Asia
Idioma:
En
Revista:
Trop Med Int Health
Asunto de la revista:
MEDICINA TROPICAL
/
SAUDE PUBLICA
Año:
2009
Tipo del documento:
Article
País de afiliación:
Estados Unidos