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https://www.readbyqxmd.com/read/29456825/multi-stakeholder-perspectives-on-access-availability-and-utilization-of-emergency-obstetric-care-services-in-lagos-nigeria-a-mixed-methods-study
#1
Aduragbemi Banke-Thomas, Kikelomo Wright, Olatunji Sonoiki, Onaedo Ilozumba, Babatunde Ajayi, Olawunmi Okikiolu, Oluwarotimi Akinola
Globally, Nigeria is the second most unsafe country to be pregnant, with Lagos, its economic nerve center having disproportionately higher maternal deaths than the national average. Emergency obstetric care (EmOC) is effective in reducing pregnancyrelated morbidities and mortalities. This mixed-methods study quantitatively assessed women's satisfaction with EmOC received and qualitatively engaged multiple key stakeholders to better understand issues around EmOC access, availability and utilization in Lagos...
December 31, 2017: Journal of Public Health in Africa
https://www.readbyqxmd.com/read/29444779/estimating-the-met-need-for-emergency-obstetric-care-emoc-services-in-three-payams-of-torit-county-south-sudan-a-facility-based-retrospective-cross-sectional-study
#2
Pontius Bayo, Imose Itua, Suzie Paul Francis, Kofi Boateng, Elijo Omoro Tahir, Abdulmumini Usman
OBJECTIVE: To determine the met need for emergency obstetric care (EmOC) services in three Payams of Torit County, South Sudan in 2015 and to determine the frequency of each major obstetric complication. DESIGN: This was a retrospective cross-sectional study. SETTING: Four primary healthcare centres (PHCCs) and one state hospital in three payams (administrative areas that form a county) in Torit County, South Sudan. PARTICIPANTS: All admissions in the obstetrics and gynaecology wards (a total of 2466 patient admission files) in 2015 in all the facilities designated to conduct deliveries in the study area were reviewed to identify obstetric complications...
February 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29385135/bypassing-health-facilities-for-childbirth-in-the-context-of-the-jsy-cash-transfer-program-to-promote-institutional-birth-a-cross-sectional-study-from-madhya-pradesh-india
#3
Yogesh Sabde, Sarika Chaturvedi, Bharat Randive, Kristi Sidney, Mariano Salazar, Ayesha De Costa, Vishal Diwan
Bypassing health facilities for childbirth can be costly both for women and health systems. There have been some reports on this from Sub-Saharan African and from Nepal but none from India. India has implemented the Janani Suraksha Yojana (JSY), a large national conditional cash transfer program which has successfully increased the number of institutional births in India. This paper aims to study the extent of bypassing the nearest health facility offering intrapartum care in three districts of Madhya Pradesh, India, and to identify individual and facility determinants of bypassing in the context of the JSY program...
2018: PloS One
https://www.readbyqxmd.com/read/29202731/economic-evaluation-of-emergency-obstetric-care-training-a-systematic-review
#4
Aduragbemi Banke-Thomas, Megan Wilson-Jones, Barbara Madaj, Nynke van den Broek
BACKGROUND: Training healthcare providers in Emergency Obstetric Care (EmOC) has been shown to be effective in improving their capacity to provide this critical care package for mothers and babies. However, little is known about the costs and cost-effectiveness of such training. Understanding costs and cost-effectiveness is essential in guaranteeing value-for-money in healthcare spending. This study systematically reviewed the available literature on cost and cost-effectiveness of EmOC trainings...
December 4, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28867883/examining-the-use-of-magnesium-sulfate-to-treat-pregnant-women-with-preeclampsia-and-eclampsia-results-of-a-program-assessment-of-emergency-obstetric-care-emoc-training-in-india
#5
Henna Budhwani, Poonam Shivkumar, Chittaranjan Narhari Purandare, Nicholas A Cataldo, Sadhana Desai, Prakash Bhatt, Dinesh Baswal, Ajey Bhardwaj
BACKGROUND: The aim of this study is to examine rates of magnesium sulfate utilization by emergency obstetric care trainees to treat preeclampsia-eclampsia in India. Secondarily, structural barriers are identified which limit the use of magnesium sulfate, highlighting limitations of emergency obstetric care training, which is a commonly implemented intervention in resource-poor settings. METHODS: Trainees' curriculum specified magnesium sulfate treatment for eclampsia and severe preeclampsia...
October 2017: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/28588954/-women-and-babies-are-dying-but-not-of-ebola-the-effect-of-the-ebola-virus-epidemic-on-the-availability-uptake-and-outcomes-of-maternal-and-newborn-health-services-in-sierra-leone
#6
Susan A Jones, Somasundari Gopalakrishnan, Charles A Ameh, Sarah White, Nynke R van den Broek
BACKGROUND: We sought to determine the impact of the Ebola virus epidemic on the availability, uptake and outcome of routine maternity services in Sierra Leone. METHODS: The number of antenatal and postnatal visits, institutional births, availability of emergency obstetric care (EmOC), maternal deaths and stillbirths were assessed by month, by districts and by level of healthcare for 10 months during, and 12 months prior to, the Ebola virus disease (EVD) epidemic...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28288565/healthcare-workers-behaviors-and-personal-determinants-associated-with-providing-adequate-sexual-and-reproductive-healthcare-services-in-sub-saharan-africa-a-systematic-review
#7
REVIEW
Kim Jonas, Rik Crutzen, Bart van den Borne, Priscilla Reddy
BACKGROUND: Healthcare workers may affect the utilization of sexual and reproductive healthcare (SRH) services, and quality of care thereof, for example by their behaviours or attitudes they hold. This can become a hindrance to accessing and utilizing SRH services, particularly by young people, and thus a better understanding of these behaviours and associated factors is needed to improve access to and utilization of SRH services. METHODS: A systematic review of literature was conducted to identify studies focusing on healthcare workers' behaviors and personal determinants associated with providing adequate SRH services in sub-Saharan Africa (January 1990 - October 2015)...
March 13, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28170398/emergency-obstetric-care-in-a-rural-district-of-burundi-what-are-the-surgical-needs
#8
E De Plecker, R Zachariah, A M V Kumar, M Trelles, S Caluwaerts, W van den Boogaard, J Manirampa, K Tayler-Smith, M Manzi, K Nanan-N'zeth, B Duchenne, B Ndelema, W Etienne, P Alders, R Veerman, R Van den Bergh
OBJECTIVES: In a rural district hospital in Burundi offering Emergency Obstetric care-(EmOC), we assessed the a) characteristics of women at risk of, or with an obstetric complication and their types b) the number and type of obstetric surgical procedures and anaesthesia performed c) human resource cadres who performed surgery and anaesthesia and d) hospital exit outcomes. METHODS: A retrospective analysis of EmOC data (2011 and 2012). RESULTS: A total of 6084 women were referred for EmOC of whom 2534(42%) underwent a major surgical procedure while 1345(22%) required a minor procedure (36% women did not require any surgical procedure)...
2017: PloS One
https://www.readbyqxmd.com/read/28005984/knowledge-and-skills-of-healthcare-providers-in-sub-saharan-africa-and-asia-before-and-after-competency-based-training-in-emergency-obstetric-and-early-newborn-care
#9
Charles A Ameh, Robert Kerr, Barbara Madaj, Mselenge Mdegela, Terry Kana, Susan Jones, Jaki Lambert, Fiona Dickinson, Sarah White, Nynke van den Broek
BACKGROUND: Healthcare provider training in Emergency Obstetric and Newborn Care (EmOC&NC) is a component of 65% of intervention programs aimed at reducing maternal and newborn mortality and morbidity. It is important to evaluate the effectiveness of this. METHODS: We evaluated knowledge and skills among 5,939 healthcare providers before and after 3-5 days 'skills and drills' training in emergency obstetric and newborn care (EmOC&NC) conducted in 7 sub-Saharan Africa countries (Ghana, Kenya, Malawi, Nigeria, Sierra Leone, Tanzania, Zimbabwe) and 2 Asian countries (Bangladesh, Pakistan)...
2016: PloS One
https://www.readbyqxmd.com/read/27733286/global-regional-and-national-levels-of-maternal-mortality-1990-2015-a-systematic-analysis-for-the-global-burden-of-disease-study-2015
#10
COMMENT
(no author information available yet)
BACKGROUND: In transitioning from the Millennium Development Goal to the Sustainable Development Goal era, it is imperative to comprehensively assess progress toward reducing maternal mortality to identify areas of success, remaining challenges, and frame policy discussions. We aimed to quantify maternal mortality throughout the world by underlying cause and age from 1990 to 2015. METHODS: We estimated maternal mortality at the global, regional, and national levels from 1990 to 2015 for ages 10-54 years by systematically compiling and processing all available data sources from 186 of 195 countries and territories, 11 of which were analysed at the subnational level...
October 8, 2016: Lancet
https://www.readbyqxmd.com/read/27651579/brought-in-dead-an-avoidable-delay-in-maternal-deaths
#11
Aruna Kumar, Neha Agrawal
PURPOSE: Maternal brought in dead are the patient who dies in the need of adequate medical care. These deaths are often not analyzed sincerely as they are not institutional deaths. Our aim is to find out actual life threatening cause of delay leading to death. METHOD: Patients brought dead to casualty were seen by the doctors on duty in Department of Obstetrics and Gynaecology,Gandhi Medical College, Bhopal round the clock. Cause of death was analyzed by verbal autopsy of attendants and referral letter from the institute...
October 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27549156/the-influence-of-travel-time-on-emergency-obstetric-care-seeking-behavior-in-the-urban-poor-of-bangladesh-a-gis-study
#12
Rocco Panciera, Akib Khan, Syed Jafar Raza Rizvi, Shakil Ahmed, Tanvir Ahmed, Rubana Islam, Alayne M Adams
BACKGROUND: Availability of Emergency Obstetric Care (EmOC) is crucial to avert maternal death due to life-threatening complications potentially arising during delivery. Research on the determinants of utilization of EmOC has neglected urban settings, where traffic congestion can pose a significant barrier to the access of EmOC facilities, particularly for the urban poor due to costly and limited transportation options. This study investigates the impact of travel time to EmOC facilities on the utilization of facility-based delivery services among mothers living in urban poor settlements in Sylhet, Bangladesh...
August 22, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27545454/bypassing-health-facilities-for-childbirth-a-multilevel-study-in-three-districts-of-gujarat-india
#13
Mariano Salazar, Kranti Vora, Ayesha De Costa
BACKGROUND: Bypassing available facilities for childbirth has important implications for maternal health service delivery and human resources within a health system. The results are the additional expenses imposed on the woman and her family, as well as the inefficient use of health system resources. Bypassing often indicates a lack of confidence in the care provided by the facility nearest to the mother, which implies a level of dysfunctionality that the health system needs to address...
2016: Global Health Action
https://www.readbyqxmd.com/read/27515487/clinical-and-perceived-quality-of-care-for-maternal-neonatal-and-antenatal-care-in-kenya-and-namibia-the-service-provision-assessment
#14
Nadia Diamond-Smith, May Sudhinaraset, Dominic Montagu
BACKGROUND: The majority of women in sub-Saharan Africa now deliver in a facility, however, little is known about the quality of services for maternal and newborn basic and emergency care, nor how this is associated with patient's perception of their experiences. METHODS: Using data from the Service Provision Assessment (SPA) survey from Kenya 2010 and Namibia 2009, we explore whether facilities have the necessary signal functions for providing emergency and basic maternal (EmOC) and newborn care (EmNC), and antenatal care (ANC) using descriptives and multivariate regression...
August 11, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27506292/the-influence-of-distance-and-quality-of-care-on-place-of-delivery-in-rural-ghana
#15
Robin C Nesbitt, Terhi J Lohela, Seyi Soremekun, Linda Vesel, Alexander Manu, Eunice Okyere, Chris Grundy, Seeba Amenga-Etego, Seth Owusu-Agyei, Betty R Kirkwood, Sabine Gabrysch
Facility delivery is an important aspect of the strategy to reduce maternal and newborn mortality. Geographic access to care is a strong determinant of facility delivery, but few studies have simultaneously considered the influence of facility quality, with inconsistent findings. In rural Brong Ahafo region in Ghana, we combined surveillance data on 11,274 deliveries with quality of care data from all 64 delivery facilities in the study area. We used multivariable multilevel logistic regression to assess the influence of distance and several quality dimensions on place of delivery...
August 10, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27503328/district-health-manager-and-mid-level-provider-perceptions-of-practice-environments-in-acute-obstetric-settings-in-tanzania-a-mixed-method-study
#16
Njoki Ng'ang'a, Mary Woods Byrne, Margaret E Kruk, Aloisia Shemdoe, Helen de Pinho
BACKGROUND: In sub-Saharan Africa, the capacity of human resources for health (HRH) managers to create positive practice environments that enable motivated, productive, and high-performing HRH is weak. We implemented a unique approach to examining HRH management practices by comparing perspectives offered by mid-level providers (MLPs) of emergency obstetric care (EmOC) in Tanzania to those presented by local health authorities, known as council health management teams (CHMTs). METHODS: This study was guided by the basic strategic human resources management (SHRM) component model...
August 8, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27498964/assessing-emergency-obstetric-care-provision-in-low-and-middle-income-countries-a-systematic-review-of-the-application-of-global-guidelines
#17
REVIEW
Aduragbemi Banke-Thomas, Kikelomo Wright, Olatunji Sonoiki, Oluwasola Banke-Thomas, Babatunde Ajayi, Onaedo Ilozumba, Oluwarotimi Akinola
BACKGROUND: Lack of timely and quality emergency obstetric care (EmOC) has contributed significantly to maternal morbidity and mortality, particularly in low- and middle-income countries (LMICs). Since 2009, the global guideline, referred to as the 'handbook', has been used to monitor availability, utilization, and quality of EmOC. OBJECTIVE: To assess application and explore experiences of researchers in LMICs in assessing EmOC. DESIGN: Multiple databases of peer-reviewed literature were systematically reviewed on EmOC assessments in LMICs, since 2009...
2016: Global Health Action
https://www.readbyqxmd.com/read/27486745/referrals-between-public-sector-health-institutions-for-women-with-obstetric-high-risk-complications-or-emergencies-in-india-a-systematic-review
#18
REVIEW
Samiksha Singh, Pat Doyle, Oona M Campbell, Manu Mathew, G V S Murthy
Emergency obstetric care (EmOC) within primary health care systems requires a linked referral system to be effective in reducing maternal death. This systematic review aimed to summarize evidence on the proportion of referrals between institutions during pregnancy and delivery, and the factors affecting referrals, in India. We searched 6 electronic databases, reviewed four regional databases and repositories, and relevant program reports from India published between 1994 and 2013. All types of study or reports (except editorials, comments and letters) which reported on institution-referrals (out-referral or in-referral) for obstetric care were included...
2016: PloS One
https://www.readbyqxmd.com/read/27449061/healthcare-access-and-quality-of-birth-care-narratives-of-women-living-with-obstetric-fistula-in-rural-tanzania
#19
Lilian T Mselle, Thecla W Kohi
BACKGROUND: Increasing births with skilled attendants and increasing health facilities with Emergency Obstetric Care (EmOC) can reduce maternal mortality and are considered critical interventions for ensuring safe motherhood. Despite Tanzania's policy to support women to give birth with the assistance of skilled personnel, some women do not access this care. This article uses women's stories to illustrate the challenges that caused them to fail to access adequate obstetric care in a timely manner, hence causing the development of fistulas...
July 22, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27387920/the-dominance-of-the-private-sector-in-the-provision-of-emergency-obstetric-care-studies-from-gujarat-india
#20
Mariano Salazar, Kranti Vora, Ayesha De Costa
BACKGROUND: India has experienced a steep rise in institutional childbirth. The relative contributions of public and private sector facilities to emergency obstetric care (EmOC) has not been studied in this setting. This paper aims to study in three districts of Gujarat state, India:(a) the availability of EmOC facilities in the public and private sectors; (b) the availability and distribution of human resources for birth attendance in the two sectors; and (c) to benchmark the above against 2005 World Health Report benchmarks (WHR2005)...
July 7, 2016: BMC Health Services Research
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