Evaluation of antenatal referrals from health centres to the maternity and children′s hospital in Dammam city, Saudi Arabia

Al-Soweilem, Latifa S; Mangoud, Abdallah M

doi:10.4103/2230-8229.98587

Cited by 1 publication

(1 citation statement)

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“…In Dammam, Saudi, an evaluation of the antenatal referral rates from different Primary Health Care centers and Maternity and Children's hospitals was done. 34 From the questionnaires distributed, it was observed that there was a variation of referral rates (11.5 -21.2 for every 100 antenatal consultations) among the general practitioners; specific characteristics of the physician influenced their said rates. The authors then concluded that there was indeed variation in referral rates in Dammam.…”

Section: Discussionmentioning

confidence: 99%

Determination of Public and Private Primary Birthing Centers Service Delivery Network Functionality in Albay, Philippines

Cagayan

Ang-Bon

2022

Acta Med Philipp

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Background. One of the strategies adopted by the Department of Health (DOH) to improve maternal outcomes is the systems approach which means understanding extensively how the system operates to determine factors affecting the delivery of services. In 2014, Albay province responded by adapting and implementing the Maternal, Newborn and Child Health, and Nutrition (MNCHN) Service Delivery Network Guidelines. However, no external monitoring and evaluation have been done to assess the compliance of birthing facilities to these guidelines. Objectives. To determine Legazpi city’s obstetric service delivery network functionality and to compare government and private primary level birthing facilities in terms of 1) governance; 2) human resources; 3) protocols; 4) transportation and communication; and 5) emergency drugs and equipment. Materials and Methods. A cross-sectional study using the referral system assessment (RSA) questionnaire translated into a scorecard with a review of secondary data on high-risk pregnancies, referral rates, and maternal mortalities was done on eight facilities in Legazpi City. Results: Overall, none of the health facilities assessed were fully-functional. Privately owned facilities scored highest in emergency drugs and equipment (83.3%) and lowest in human resources (38.9%). Government facilities scored highest in emergency drugs and equipment (88.9%) but lowest in transportation and communication (44.4%). Statistically significant differences were observed for human resources (p-value=0.0180), wherein public facilities garnered higher scores, and in transportation and communication (p-value=0.0294), private facilities showed better scores. Only one maternal death in 418 referrals was reported. Conclusion. Overall, the health facilities varied in the level of functionality in terms of SDN guidelines.

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Section: Discussionmentioning

confidence: 99%