A tool for assessing ‘readiness’ in emergency obstetric care: The room‐by‐room ‘walk‐through’

Gill, Zafarullah; Bailey, Patricia; Waxman, Rachel; Smith, Jason B.

doi:10.1016/j.ijgo.2004.12.043

Cited by 22 publications

(23 citation statements)

References 6 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Mozambique was no exception and resistance to investing in infrastructure was encountered at multiple levels. Ideally renovations should be planned and initiated as soon as possible so that by the time staff have been trained and equipment and supplies have been distributed, both staff and patients will benefit from these visible and functional improvements [14]. Renovations were slow to start but by early 2004 all renovations were complete.…”

Section: Improvements In Infrastructurementioning

confidence: 99%

See 1 more Smart Citation

Improving emergency obstetric care in Mozambique: The story of Sofala

Santos

Diante

Baptista

et al. 2006

Intl J Gynecology & Obste

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Improvements In Infrastructurementioning

confidence: 99%

“…The bwalk-throughQ tool was introduced and modeled by AMDD staff as a method of assessing readiness in the facility [14]. This tool was designed to be used for frequent if not daily assessments by an external supervisor or internally by senior staff.…”

Section: Quality Improvement Activitiesmentioning

confidence: 99%

Improving emergency obstetric care in Mozambique: The story of Sofala

Santos

Diante

Baptista

et al. 2006

Intl J Gynecology & Obste

Self Cite

View full text Add to dashboard Cite

show abstract

“…It is important, therefore, to measure facility level data [27]. Research has shown that in order to reduce maternal mortality, three facility level components need to be in place: application of good quality medical technology and use of skilled clinical providers; good management and organization within the facility including personnel, equipment, drugs and supplies; and a respect for human rights efforts to improve functioning at the facility level [28,29]. …”

Section: Introductionmentioning

confidence: 99%

“…This framework serves as a blueprint for organizing program priorities and has also proved useful in conflict settings [29,30]. As a first step in the process of improving RH care, it is important to have a clear understanding of the service delivery environment.…”

Section: Introductionmentioning

confidence: 99%

Use of facility assessment data to improve reproductive health service delivery in the Democratic Republic of the Congo

et al. 2009

View full text Add to dashboard Cite

BackgroundProlonged exposure to war has severely impacted the provision of health services in the Democratic Republic of the Congo (DRC). Health infrastructure has been destroyed, health workers have fled and government support to health care services has been made difficult by ongoing conflict. Poor reproductive health (RH) indicators illustrate the effect that the prolonged crisis in DRC has had on the on the reproductive health (RH) of Congolese women. In 2007, with support from the RAISE Initiative, the International Rescue Committee (IRC) and CARE conducted baseline assessments of public hospitals to evaluate their capacities to meet the RH needs of the local populations and to determine availability, utilization and quality of RH services including emergency obstetric care (EmOC) and family planning (FP).MethodsData were collected from facility assessments at nine general referral hospitals in five provinces in the DRC during March, April and November 2007. Interviews, observation and clinical record review were used to assess the general infrastructure, EmOC and FP services provided, and the infection prevention environment in each of the facilities.ResultsNone of the nine hospitals met the criteria for classification as an EmOC facility (either basic or comprehensive). Most facilities lacked any FP services. Shortage of trained staff, essential supplies and medicines and poor infection prevention practices were consistently documented. All facilities had poor systems for routine monitoring of RH services, especially with regard to EmOC.ConclusionsWomen's lives can be saved and their well-being improved with functioning RH services. As the DRC stabilizes, IRC and CARE in partnership with the local Ministry of Health and other service provision partners are improving RH services by: 1) providing necessary equipment and renovations to health facilities; 2) improving supply management systems; 3) providing comprehensive competency-based training for health providers in RH and infection prevention; 4) improving referral systems to the hospitals; 5) advocating for changes in national RH policies and protocols; and 6) providing technical assistance for monitoring and evaluation of key RH indicators. Together, these initiatives will improve the quality and accessibility of RH services in the DRC - services which are urgently needed and to which Congolese women are entitled by international human rights law.

show abstract

“…Health centres and hospitals play a crucial role in reducing maternal mortality and morbidity by providing respectively Basic Emergency Obstetric and Newborn Care (BEmONC) and Comprehensive Emergency Obstetric and Newborn Care (CEmONC) [5-7]. The readiness of hospitals to provide CEmONC depends on the availability of qualified human resources, infrastructure like surgical theatres, and supplies like drugs and blood for transfusion [8]. Recent studies carried out in Africa and Asia pointed out the limited availability of caesarean section and blood transfusion services in many hospitals [9-11].…”

Section: Introductionmentioning

confidence: 99%

Readiness of district and regional hospitals in Burkina Faso to provide caesarean section and blood transfusion services: a cross-sectional study

Compaoré

Sombié

Ganaba

et al. 2014

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundHealth centres and hospitals play a crucial role in reducing maternal mortality and morbidity by offering respectively Basic Emergency Obstetric and Newborn Care (BEmONC) and Comprehensive Emergency Obstetric and Newborn Care (CEmONC). The readiness of hospitals to provide CEmONC depends on the availability of qualified human resources, infrastructure like surgical theatres, and supplies like drugs and blood for transfusion. We assessed the readiness of district and regional hospitals in Burkina Faso to provide two key CEmONC functions, namely caesarean section and blood transfusion. As countries conduct EmONC needs assessments it is critical to provide national and subnational data, e.g. on the distribution of EmONC facilities as well as on facilities lacking the selected signal functions, to support the planning process for upgrading facilities so that they are ready to provide CEmONC.MethodsIn a cross-sectional study we assessed the availability of relevant health workers, obstetric guidelines, caesarean section and blood transfusion services and experience with quality assurance approaches across all forty-three (43) district and nine (9) regional hospitals.ResultsThe indicator corresponding to one comprehensive emergency care unit for 500,000 inhabitants was not achieved in Burkina Faso. Physicians with surgical skills, surgical assistants and anaesthesiologist assistants are sufficiently available in only 51.2%, 88.3% and 72.0% of district hospitals, respectively. Two thirds of regional and 20.9% of district hospitals had blood banks. Most district hospitals as opposed to only one third of regional hospitals had experience in maternal death reviews.ConclusionsOur findings suggest that only 27.8% of hospitals in Burkina Faso at the time of the study could continuously offer caesarean sections and blood transfusion services. Four years later, progress has likely been made but many challenges remain to be overcome. Information provided in this study can serve as a baseline for monitoring progress in district and regional hospitals.

show abstract

A tool for assessing ‘readiness’ in emergency obstetric care: The room‐by‐room ‘walk‐through’

Cited by 22 publications

References 6 publications

Improving emergency obstetric care in Mozambique: The story of Sofala

Improving emergency obstetric care in Mozambique: The story of Sofala

Use of facility assessment data to improve reproductive health service delivery in the Democratic Republic of the Congo

Readiness of district and regional hospitals in Burkina Faso to provide caesarean section and blood transfusion services: a cross-sectional study

Contact Info

Product

Resources

About