Table. Research priorities for improving newborn health and birth outcomes by 2025 as ranked by 91 experts.
Research priorities | Score | |
---|---|---|
Delivery domain | ||
1 | Can a simplified neonatal resuscitation programme delivered by trained health workers reduce neonatal deaths due to perinatal asphyxia? | 90 |
2 | How can health workers’ skills in preventing and managing asphyxia be scaled up? | 88 |
3 | Can simple clinical algorithms used by community health workers identify and refer neonates with signs of infection and consequently reduce newborn mortality? | 86 |
4 | How can exclusive breastfeeding in low-resource contexts be promoted to reduce neonatal infections and mortality? | 85 |
5 | Can training of community health workers in basic newborn resuscitation reduce morbidity and mortality due to perinatal asphyxia? | 83 |
6 | How can the administration of injectable antibiotics at home and first-level facilities to newborns with signs of sepsis be scaled up to reduce neonatal mortality? | 82 |
7 | How can facility-based initiation of kangaroo mother care or continuous skin-to-skin contact be scaled up? | 80 |
8 | How can chlorhexidine application to the cord be scaled up in facility births and in low neonatal mortality rate settings to reduce neonatal infections and neonatal mortality? | 80 |
9 | How can quality of care during labour and birth be improved to reduce intrapartum stillbirths, neonatal mortality, and disability? | 79 |
10 | Can community-based extra care for preterm/low birthweight babies delivered by community health workers reduce neonatal morbidity and mortality in settings with poor access to facility care? | 79 |
Development domain | ||
1 | Can community-based initiation of kangaroo mother care reduce neonatal mortality of clinically stable preterm and low birthweight babies? | 82 |
2 | How can the accuracy of community health workers in detecting key most important high-risk conditions or danger signs in pregnant women be improved? | 77 |
3 | Can perinatal audits improve quality of care in health facilities and improve fetal and neonatal outcomes? | 74 |
4 | Can intrapartum monitoring to enhance timely referral improve fetal and neonatal outcomes? | 74 |
5 | Can training community health workers to recognise and treat neonatal sepsis at home with oral antibiotics when referral is not possible reduce neonatal mortality? | 74 |
Discovery domain | ||
1 | Can stable surfactant with simpler novel modes of administration increase the use and availability of surfactant for preterm babies at risk of respiratory distress syndrome? | 71 |
2 | Can the method to diagnose fetal distress in labour be made more accurate and affordable? | 66 |
3 | Can strategies for prevention and treatment of intrauterine growth restriction be developed? | 64 |
4 | Can novel tocolytic agents to delay or stop preterm labour be developed in order to reduce neonatal mortality and morbidity? | 63 |
5 | Can major causal pathways and risk factors for antepartum stillbirth be identified? | 61 |
Overall and criterion specific scores ranged from 0% to 100%.