keyword
MENU ▼
Read by QxMD icon Read
search

EmOC

keyword
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
#1
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
#2
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
#3
Rocco Panciera, Akib Khan, Syed Jafar Raza Rizvi, Shakil Ahmed, Tanvir Ahmed, Rubana Islam, Alayne M Adam
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...
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
#4
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
#5
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...
2016: Reproductive Health
https://www.readbyqxmd.com/read/27506292/the-influence-of-distance-and-quality-of-care-on-place-of-delivery-in-rural-ghana
#6
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...
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
#7
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...
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
#8
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
#9
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
#10
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...
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
#11
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)...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27273640/availability-and-quality-of-emergency-obstetric-and-newborn-care-in-bangladesh
#12
Wit Wichaidit, Mahbub-Ul Alam, Amal K Halder, Leanne Unicomb, Davidson H Hamer, Pavani K Ram
Bangladesh's maternal mortality and neonatal mortality remain unacceptably high. We assessed the availability and quality of emergency obstetric care (EmOC) and emergency newborn care (EmNC) services at health facilities in Bangladesh. We randomly sampled 50 rural villages and 50 urban neighborhoods throughout Bangladesh and interviewed the director of eight and nine health facilities nearest to each sampled area. We categorized health facilities into different quality levels (high, moderate, low, and substandard) based on staffing, availability of a phone or ambulance, and signal functions (six categories for EmOC and four categories for EmNC)...
August 3, 2016: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/27193837/the-availability-of-emergency-obstetric-care-in-the-context-of-the-jsy-cash-transfer-programme-in-madhya-pradesh-india
#13
Yogesh Sabde, Vishal Diwan, Bharat Randive, Sarika Chaturvedi, Kristi Sidney, Mariano Salazar, Ayesha De Costa
BACKGROUND: Since 2005, India has implemented a national cash transfer programme, the Janani Suraksha Yojana (JSY), which provides women a cash transfer upon giving birth in an existing public facility. This has resulted in a steep rise in facility births across the country. The early years of the programme saw efforts being made to strengthen the ability of facilities to provide obstetric care. Given that the JSY has been able to draw millions of women into facilities to give birth (there have been more than 50 million beneficiaries thus far), it is important to study the ability of these facilities to provide emergency obstetric care (EmOC), as the functionality of these facilities is critical to improved maternal and neonatal outcomes...
2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/26969145/ambulance-referral-for-emergency-obstetric-care-in-remote-settings
#14
Ademe Tsegaye, Edgardo Somigliana, Tadesse Alemayehu, Federico Calia, Massimo Maroli, Paola Barban, Fabio Manenti, Giovanni Putoto, Sandro Accorsi
OBJECTIVE: To evaluate the functionality of an ambulance service dedicated to emergency obstetric care (EmOC) that referred pregnant women to health centers for delivery assistance or to a hospital for the management of obstetric complications. METHODS: A retrospective study investigated an ambulance referral system for EmOC in a rural area of Ethiopia between July 1 and December 31, 2013. The service was available 24h a day and was free of charge. Women requesting referral were transported to nearby health centers...
June 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/26446287/has-chiranjeevi-yojana-changed-the-geographic-availability-of-free-comprehensive-emergency-obstetric-care-services-in-gujarat-india
#15
Kranti Suresh Vora, Sandul Yasobant, Amit Patel, Ashish Upadhyay, Dileep V Mavalankar
BACKGROUND: The high rate of maternal mortality in India is of grave concern. Poor rural Indian women are most vulnerable to preventable maternal deaths primarily because they have limited availability of affordable emergency obstetric care (EmOC) within reasonable geographic proximity. Scarcity of obstetricians in the public sector combined with financial barriers to accessing private sector obstetrician services preclude this underserved population from availing lifesaving functions of comprehensive EmOC such as C-section...
2015: Global Health Action
https://www.readbyqxmd.com/read/26433509/emergency-obstetric-care-making-the-impossible-possible-through-task-shifting
#16
REVIEW
Caroline Schneeberger, Matthews Mathai
Task shifting-moving tasks to healthcare workers with a shorter training-for emergency obstetric care (EmOC) can potentially improve access to lifesaving interventions and thereby contribute to reducing maternal and neonatal morbidity and mortality. The present paper reviews studies on task shifting for the provision of EmOC. Most studies were performed in Sub-Saharan Africa and South Asia and focused primarily on task shifting for the performance of cesarean deliveries. Cesarean delivery rates increased following EmOC training without significant increase in adverse outcomes...
October 2015: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/26265149/socio-cultural-factors-gender-roles-and-religious-ideologies-contributing-to-caesarian-section-refusal-in-nigeria
#17
Nnanna U Ugwu, Bregje de Kok
BACKGROUND: The death of women from pregnancy-related causes is a serious challenge that international development initiatives, including the Millennium Development Goals, have been trying to redress for decades. The majority of these pregnancy-related deaths occur in developing countries especially in Sub-Saharan Africa. The provision of Emergency Obstetric Care (EmOC), including Caesarean section (CS) has been identified as one of the key ingredients necessary for the reduction of high maternal mortality ratios...
2015: Reproductive Health
https://www.readbyqxmd.com/read/26165908/coverage-of-emergency-obstetric-care-and-availability-of-services-in-public-and-private-health-facilities-in-bangladesh
#18
Badrul Alam, Malay K Mridha, Taposh K Biswas, Lumbini Roy, Maksudur Rahman, Mahbub E Chowdhury
OBJECTIVE: To assess the coverage of emergency obstetric care (EmOC) and the availability of obstetric services in Bangladesh. METHODS: In a national health facility assessment performed between November 2007 and July 2008, all public EmOC facilities and private facilities providing obstetric services in the 64 districts of Bangladesh were mapped. The performance of EmOC services in these facilities during the preceding month was investigated using a semi-structured questionnaire completed through interviews of managers and service providers, and record review...
October 2015: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/26000964/assessing-coverage-equity-and-quality-gaps-in-maternal-and-neonatal-care-in-sub-saharan-africa-an-integrated-approach
#19
Calistus Wilunda, Giovanni Putoto, Donata Dalla Riva, Fabio Manenti, Andrea Atzori, Federico Calia, Tigist Assefa, Bruno Turri, Onapa Emmanuel, Manuela Straneo, Firma Kisika, Giorgio Tamburlini, Giorgio Tarmbulini
BACKGROUND: Gaps in coverage, equity and quality of health services hinder the achievement of the Millennium Development Goals 4 and 5 in most countries of sub-Saharan Africa as well as in other high-burden countries, yet few studies attempt to assess all these dimensions as part of the situation analysis. We present the base-line data of a project aimed at simultaneously addressing coverage, equity and quality issues in maternal and neonatal health care in five districts belonging to three African countries...
2015: PloS One
https://www.readbyqxmd.com/read/25884616/availability-utilisation-and-quality-of-maternal-and-neonatal-health-care-services-in-karamoja-region-uganda-a-health-facility-based-survey
#20
Calistus Wilunda, Koyejo Oyerinde, Giovanni Putoto, Peter Lochoro, Giovanni Dall'Oglio, Fabio Manenti, Giulia Segafredo, Andrea Atzori, Bart Criel, Alessio Panza, Gianluca Quaglio
BACKGROUND: Maternal mortality is persistently high in Uganda. Access to quality emergency obstetrics care (EmOC) is fundamental to reducing maternal and newborn deaths and is a possible way of achieving the target of the fifth millennium development goal. Karamoja region in north-eastern Uganda has consistently demonstrated the nation's lowest scores on key development and health indicators and presents a substantial challenge to Uganda's stability and poverty eradication ambitions. The objectives of this study were: to establish the availability of maternal and neonatal healthcare services at different levels of health units; to assess their utilisation; and to determine the quality of services provided...
2015: Reproductive Health
keyword
keyword
48719
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"