A systematic review of community-to-facility neonatal referral completion rates in Africa and Asia

BMC Public Health

Table 2 Neonatal danger signs surveilled in each study

Study	Feeding problem^a	Lethargic/unconscious^a	Fast breathing^a	Severe chest indrawing^a	Fever^a	Hypothermia^a	Convulsions/seizures^a	Redness around umbilicus	Skin issues (pustules, abscess)	Weak cry	Jaundice	Vomiting	Diarrhea	Other
Bangladesh 2003	x	x	x	x	x	x	x	x	x	x	x	x		bulging fontanelle
Bangladesh 2004	x	x	x	x	x	x	x	x	x	x	x		diarrhea with blood in stool and/or dehydration	difficulty breathing 20 min after birth, eye pus
Nepal 2002		x	rapid breathing AND chest indrawing and/or fever		x	x		x	x		x		blood in stool, persistent loose/watery stools
Nepal 2005	x	x	x	x	x	x		x	x	x
Pakistan 2011	x	x	x	x	x	x	x
Ghana 2008	x	x	x	x	x	x	x		x		x			very low birthweight
South Africa 2008	X	x	x	x	x	x	x	x	x			x		bulging fontanelle, baby stops breathing for a while but starts again after stimulation, swollen eyes, pus from baby’s ear, baby’s nostrils move outwards every time he/she breathes in
Uganda 2009^b	x	very weak	x		x	x	x	x	x		x	x	x	excessive crying

^aWHO Young Infants Clinical Signs
^bAlso referred for immunization and postnatal care, but those data were excluded from our analysis

ISSN: 1471-2458