Engagement of private healthcare sector in reproductive, maternal, newborn, child and adolescent health in selected Eastern Mediterranean countries

Iqbal, Meesha; Feroz, Anam Shahil; Siddeeg, Khalid; Gholbzouri, Karima; Al-Raiby, Jamela; Hemachandra, Nilmini; Saleem, Sarah; Siddiq, Sameen

doi:10.26719/emhj.22.057

Cited by 2 publications

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“…Several countries, including Iraq (an upper-middle-income country in the Middle East), have seen a rapidly expanding private sector involved in the delivery and acceptance of basic health services over the past decade [ 10 , 11 ]. A study of 70 countries revealed that the private health care industry is accountable for the delivery of more than a third of the world's maternal health care [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Quality of maternal and newborn health care at private hospitals in Iraq: a cross-sectional study

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Lak

Alhilfi

et al. 2023

BMC Pregnancy Childbirth

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Background Approximately 25% of facility births take place in private health facilities. Recent national studies of maternal and newborn health (MNH) service availability and quality have focused solely on the status of public sector facilities, leaving a striking gap in information on the quality of maternal and newborn care services. Methods A rapid cross-sectional assessment was conducted in November 2022 to assess the quality of MNH services at private hospitals in Iraq. Multi-stage sampling was used to select 15% of the country’s 164 private hospitals. Assessment tools included a facility assessment checklist, a structured health worker interview tool, and a structured client exit interview tool. Data collection was conducted using KoboToolbox software on Android tablets, and analysis conducted using SPSS v28. Results All hospitals visited provided MNH services and had skilled personnel present or on-call 24 h/day, 7 days/week. Most births (88%) documented between January and June 2022 were cesarean births. Findings indicate that nearly all hospitals have the human resources, equipment, medicines and supplies necessary for quality antenatal, intrapartum and early essential newborn care, and many are also equipped with special units and resources needed to care for small and sick babies. However, while resources are in place for basic and advanced care, there are gaps in knowledge and practice of high-impact interventions that require few or no resources to perform, including skin-to-skin thermal care and support for early initiation of breastfeeding. Person-centered maternity care scores suggest that private hospitals offer a positive experience of care for all clients, however there is room for improvement in provider–client communication. Conclusions This assessment highlights the need for deeper dives into factors that underly decisions about how and where to give birth, and both understanding and practice of early essential newborn care and pre-discharge examinations and counseling at private healthcare facilities in Iraq. Engaging private health facility staff in efforts to monitor and improve the quality of maternal and newborn care, with a focus on early essential newborn care and provider–client communication for all clients, will ensure that women and newborns benefit from the best care possible with available resources.

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Section: Introductionmentioning

confidence: 99%

Quality of maternal and newborn health care at private hospitals in Iraq: a cross-sectional study

Tappis

Lak

Alhilfi

et al. 2023

BMC Pregnancy Childbirth

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“…The guidelines are based on best practices and recommendations from the WHO and other international agencies for planning and managing pregnancy and childbirth ( MOH, 2016 ). These guidelines are part of Oman's effort to adopt UNs’ sustainable development goals that aim to reduce U5MR to < 25 per 1000 and MMR to 70 per 100 000 live births by 2030 ( Iqbal et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Antenatal Education Services in Oman: A Descriptive Qualitative Inquiry of Healthcare Provider's Perspective

2023

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Introduction To ensure positive pregnancy and birth outcomes, healthcare providers working in antenatal clinics are expected to provide regular antenatal education to enable early detection and timely treatment of pregnancy-related morbidities to prevent complications during labor, birth, and postnatal period. Although antenatal education and services are provided through standard programs in developed countries, presently there are no well-structured programs in many developing countries. The study compares the current service with the national and international guidelines. Objective To identify the current practices of healthcare providers in antenatal education service in Oman with the aim of identifying any major implementation gaps. Methods A qualitative inquiry was implemented through semi-structured in-depth interviews guided by open-ended questions. The study population were healthcare providers who routinely provide antenatal services at healthcare facilities. A purposive non-probability sampling technique was used to select the key informants. Data was analyzed manually using the thematic analysis framework. Results The antenatal education services provided fall under four themes: In relation to “Education for safe pregnancy,” the findings revealed that healthcare providers did not adequately address the needs. In relation to “Education for Safe labor and Birth,” the pregnant women are briefed with inadequate information about labor and birth during the antenatal period. In relation to “Education related to Postpartum,” healthcare providers generally do not provide information regarding pregnant women's psychological wellbeing, breastfeeding, family planning, hygiene, and nutrition during antenatal visits. In relation to “Education related to Newborn Care,” the study findings indicate that contrary to what was stipulated by the WHO (2016) to establish antenatal educational programs to help pregnant women gain the skills and knowledge regarding proper newborn care, our findings demonstrated a lack of education about newborn care by providers. Conclusion The findings have the capacity to contribute towards the development of remedial strategies to improve maternal and neonatal outcomes in Oman. This can be achieved by addressing the practice gaps identified when comparing the current practices with international standards.

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Engagement of private healthcare sector in reproductive, maternal, newborn, child and adolescent health in selected Eastern Mediterranean countries

Cited by 2 publications

References 0 publications

Quality of maternal and newborn health care at private hospitals in Iraq: a cross-sectional study

Quality of maternal and newborn health care at private hospitals in Iraq: a cross-sectional study

Antenatal Education Services in Oman: A Descriptive Qualitative Inquiry of Healthcare Provider's Perspective

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