Availability, utilization, and quality of emergency obstetric care services in Bauchi State, Nigeria

Abegunde, Dele; Kabo, Ibrahim A.; Sambisa, William; Akomolafe, Toyin; Orobaton, Nosa; Abdulkarim, Masduk; Sadauki, Habib

doi:10.1016/j.ijgo.2014.09.029

Cited by 32 publications

(58 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This finding was similar to previous published studies where hospital levels appeared to influence resources allocation and performance outcome of health care providers providing effective care [29] as well as PPH management [6]. Although it is clear that sufficient resource allocation can prevent maternal complications after delivery [30,31], many health care institutions could not provide the standard of EmOC which is recommended by WHO [16,29,32,33].…”

Section: Discussionsupporting

confidence: 87%

Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand

Prapawichar

Ratinthorn

Utriyaprasit

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background: Postpartum hemorrhage (PPH) is a preventable complication, however, it remains being the leading cause of maternal mortality and morbidity worldwide including Thailand. Methods: A case-control study to examine the risk factors associated with PPH across the hospitals under the Ministry of Public Health in Thailand, was conducted. A total of 1833 patient birth records and hospital profiles including human and physical resources from 14 hospitals were obtained. A multiple logistic regression was used identifing the factors that are significantly associated with PPH. Results:The results show that the rate of PPH varied across the hospitals ranging from 1.4 to 10.6%. Women with past history of PPH were more likely to have increased risk of having PPH by 10.97 times (95% CI 2.27,53.05) compared to those who did not. The odds of PPH was higher in district and general hospitals by 14 (95% CI 3.95, 50.04) and 7 (95% CI 2.27,23.27) times respectively, compared to regional hospitals. The hospitals which had inadequate nurse midwife to patient ratio (OR 2.31,95% CI 1.08,4.92), lacked nurse midwives with working experience of 6-10 years (OR 2.35, 95% CI 1.41,3.92), as well as inadequate equipment and supplies for emergency obstetric care (OR 6.47, 95% CI 1.93,21.63), had significantly higher incidence of having PPH, respectively. Conclusions:This study provides interesting information that the rate of PPH varies across the hospitals in Thailand, in particular where essential nurse midwives, equipment, and supplies are limited. Therefore, improving health care services by allocating sufficient human and physical resources would contribute to significantly reduce this complication.

show abstract

Section: Discussionsupporting

confidence: 87%

Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand

Prapawichar

Ratinthorn

Utriyaprasit

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Being an EmONC facility reassures the readiness of the facility to effectively manage women with direct obstetric complications that claim majority of maternal deaths. The current results are comparable or better than the results reported in other African countries including Ghana (7.7%), Zanzibar (7.6%), Nigeria, South Africa and Zambia [8,[11][12][13][14]. In contrast to most these studies, the 90% obstetric care facilities that could not provide the full set of EmONC functions renders a huge potential for promotion into EmONC facilities.…”

Section: Discussionsupporting

confidence: 64%

Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland

Muganyizi¹

2017

JGO

View full text Add to dashboard Cite

Abstract:In order to assess the availability of Emergency Obstetric and Neonatal Care (EmONC) services in Tanzania Mainland, a Cross-sectional survey of a National sample of obstetric care facilities was conducted in 2015. We adapted the Averting Maternal Deaths and Disabilities (AMDD) tool and did spatial mapping using a calibrated Global Positioning System (GPS) Essential Software for Android and Arc Geographical Information System (GIS) software. Data were analysed using STATA, SPSS and Excel computer programs. Ethical approval was granted by the National Institute for Medical Research and the Ministry of Health, Community Development, Gender, Elderly and Children. We identified 5207 obstetric care facilities which is equivalent to 59.7 facilities per 500,000 population. We surveyed 2405 (46.2%) facilities of which 251 (10.4%) had provided all the 7 Basic Emergency Obstetric and Neonatal Care (BEmONC) in past 3 months. Among these, 130 had provided Comprehensive Emergency Obstetric and Neonatal Care (CEmONC). The UN benchmarks for BEmONC and CEmONC facility densities were attained or exceeded by 40% and 76% in all 25 regions respectively. EmONC facilities were dominated by hospitals and were clustered in cities and townships. In conclusions, the distribution of EmONC facilities in Tanzania Mainland is suboptimal in more than half of regions with clustering around cities and townships.

show abstract

“…Access to care was conceptualised using the model outlined by Gulliford, Figueroa‐Munoz, and Morgan (), Gulliford et al (), and applied to social, rather than health, care. This model builds upon the framework of Aday and Andersen () and the key concepts are widely applied in international healthcare research (for example, see [Abegunde et al, ]; [Blake, Thorpe, & Howell, ]; [Kuhlthau, ]). That is, access to social care was defined as the availability and supply of care, the utilisation of care , equitable access to care and the quality of care .…”

Section: Introductionmentioning

confidence: 99%

Does older adults’ use of social care influence their healthcare utilisation? A systematic review of international evidence

Spiers

Matthews

Moffatt

et al. 2019

Health Soc Care Community

View full text Add to dashboard Cite

Improving our understanding of the complex relationship between health and social care utilisation is vital as populations age. This systematic review aimed to synthesise evidence on the relationship between older adults’ use of social care and their healthcare utilisation. Ten databases were searched for international literature on social care (exposure), healthcare use (outcome) and older adults (population). Searches were carried out in October 2016, and updated May 2018. Studies were eligible if they were published after 2000 in a high income country, examined the relationship between use of social care and healthcare utilisation by older adults (aged ≥60 years), and controlled for an indicator of need. Study quality and bias were rated using the National Institute of Health (NIH) Quality Assessment Tool for Observational Cohort and Cross‐Sectional Studies. Study data were extracted and a narrative synthesis was conducted. Data were not suitable for quantitative synthesis. Thirteen studies were identified from 12,065 citations. Overall, the quality and volume of evidence was low. There was limited evidence to suggest that longer lengths of stay in care homes were associated with a lower risk of inpatient admissions. Residents of care homes with onsite nursing had fewer than expected admissions to hospital, compared to people in care homes without nursing, and adjusting for need. Evidence for other healthcare use outcomes was even more limited and heterogeneous, with notable gaps in primary care. We conclude that older adults’ use of care homes may moderate inpatient admissions. In particular, the presence of registered nurses in care homes may reduce the need to transfer residents to hospital. However, further evidence is needed to add weight to this conclusion. Future research should build on this evidence and address gaps regarding the influence of community based social care on older adults’ healthcare use. A greater focus on primary care outcomes is imperative.

show abstract

Availability, utilization, and quality of emergency obstetric care services in Bauchi State, Nigeria

Abstract: Availability, utilization, and quality of EmOC services in Bauchi State, Nigeria, are suboptimal. The health system's capacity to manage emergency obstetric complications needs to be strengthened.

Cited by 32 publications

References 11 publications

Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand

Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand

Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland

Does older adults’ use of social care influence their healthcare utilisation? A systematic review of international evidence

Contact Info

Product

Resources

About