Global patterns in availability of emergency obstetric care

Paxton, Anne; Bailey, Patricia; Lobis, Samantha; Fry, Dustin

doi:10.1016/j.ijgo.2006.01.030

Cited by 129 publications

(148 citation statements)

References 12 publications

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“…The majority of health facilities provide very limited interventions of maternal and emergency obstetric care services. 26 Shortage of human resources is a major obstacle in providing quality services in emergency obstetric care services in developing countries. Women were often dissatisfied with the care which they receive during childbirth and the technical quality of emergency obstetric care had not been adequately maintained.…”

Section: 22mentioning

confidence: 99%

Emergency Obstetric Care: Strategy for Reducing Maternal Mortality in Developing Countries

Bhandari

Dangal

2014

Nepal j. obstet. gynaecol.

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Twenty-five years have passed since the global community agreed in Nairobi to address the high maternal mortality by implementing the Safe Motherhood Initiative. However, every year nearly three million women die due to pregnancy related causes. This tragedy is avoidable if women have timely access to required emergency obstetric care.Emergency obstetric care refers to life-saving services for maternal and neonatal complications provided by skilled health workers. Since the beginning of the 1980's, several efforts have been intensified to improve maternal and child health status and reducing the high morbidity and mortality. There was built on a worldwide consensus to provide improved maternal and child health care for addressing the high morbidity and mortality. All participant countries agreed to integrate emergency obstetric care services in their national health care system. Emergency obstetric care is one of the strategies for reducing the maternal mortality as pregnancy related complications are unpredictable. However, many women in developing countries do not have access to essential health care services including emergency obstetric care. Basic emergency obstetric care by skilled birth attendants or timely referral for further comprehensive emergency obstetric care can reduce maternal deaths and disabilities significantly. This paper is based on the results published in PubMed, Medline, Lancet, WHO and Google Scholar web pages from 1990 to 2013.

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Section: 22mentioning

confidence: 99%

Emergency Obstetric Care: Strategy for Reducing Maternal Mortality in Developing Countries

Bhandari

Dangal

2014

Nepal j. obstet. gynaecol.

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“…models for simulation, a continuum process for mentorship through phone or email, and time for quality mentorship is a key priority [27, 28]. Motivation of the local mentors through compensation of their time and ensuring that they were also mentored continuously by the external mentors and encouraged to refresh their own knowledge and skills in EmONC was also found to be critical [29].…”

Section: Discussionmentioning

confidence: 99%

A cascade model of mentorship for frontline health workers in rural health facilities in Eastern Uganda: processes, achievements and lessons

Ajeani

Ayiasi

Tetui

et al. 2017

Global Health Action

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Background: There is increasing demand for trainers to shift from traditional didactic training to innovative approaches that are more results-oriented. Mentorship is one such approach that could bridge the clinical knowledge gap among health workers. Objectives: This paper describes the experiences of an attempt to improve health-worker performance in maternal and newborn health in three rural districts through a mentoring process using the cascade model. The paper further highlights achievements and lessons learnt during implementation of the cascade model. Methods: The cascade model started with initial training of health workers from three districts of Pallisa, Kibuku and Kamuli from where potential local mentors were selected for further training and mentorship by central mentors. These local mentors then went on to conduct mentorship visits supported by the external mentors. The mentorship process concentrated on partograph use, newborn resuscitation, prevention and management of Post-Partum Haemorrhage (PPH), including active management of third stage of labour, preeclampsia management and management of the sick newborn. Data for this paper was obtained from key informant interviews with district-level managers and local mentors. Results: Mentorship improved several aspects of health-care delivery, ranging from improved competencies and responsiveness to emergencies and health-worker professionalism. In addition, due to better district leadership for Maternal and Newborn Health (MNH), there were improved supplies/medicine availability, team work and innovative local problem-solving approaches. Health workers were ultimately empowered to perform better. Conclusions: The study demonstrated that it is possible to improve the competencies of frontline health workers through performance enhancement for MNH services using locally built capacity in clinical mentorship for Emergency Obstetric and Newborn Care (EmONC). The cascade mentoring process needed strong external mentorship support at the start to ensure improved capacity among local mentors to provide mentorship among local district staff.

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“…Ni land står no for naerare 80 % av mødredødsfalla (2). Tiltak 60 % av verdas kvinner føder framleis heime, i nokre område er denne prosentdelen endå høgare (3). Førebygging av svangerskapsrelaterte komplikasjonar kan grupperast på tre nivå: unngå svangerskap, førebygge komplikasjonar, og hindre død når komplikasjonar oppstår.…”

Section: Framgang?unclassified

“…Dødsfall knytta til svangerskap skjer hovudsakeleg i siste trimester, ved fødselen og vekene etter. Difor har fødsels-omsorg og behandling når det oppstår ein komplikasjon (emergency obstetric care), vore sentrale i mødrehelsearbeidet dei siste ti åra (3,4). Ettersom anemi, dårleg ernaeringstilstand og infeksjonssjukdommar som tuberkulose, malaria og hiv aukar faren for både mor og barn, er også generell svangerskapsomsorg viktig i land med høge døde-legheitstal (2,5,6).…”

Section: Framgang?unclassified

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Mødrehelse og helsebistand

Engjom¹

2010

Tidsskriftet

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Internasjonal medisinMødrehelse og helsebistand2 [38][39][40] Betring av mødrehelsa vart i år 2000 nedfelt som eit av tusenårsmåla til FN og får stor politisk merksemd, også fra norske politikarar. Framleis er svangerskap og fødsel farleg for helsa til fattige kvinner verda over. Analysar av helsearbeid og bistandsøkonomi dei siste ti åra viser ein gledeleg auke i bistand, samstundes som det er stor skeivfordeling mellom ulike land og mellom ulike målgrupper. Løyvingar til mødrehelse-arbeid er utilstrekkelege og planar og fråsegner vert ikkje følgde.

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Global patterns in availability of emergency obstetric care

Abstract: Upgrading maternities, health centers and hospitals to at least basic EmOC status would be a major contributing step towards maternal mortality reduction in resource-poor countries.

Cited by 129 publications

References 12 publications

Emergency Obstetric Care: Strategy for Reducing Maternal Mortality in Developing Countries

Emergency Obstetric Care: Strategy for Reducing Maternal Mortality in Developing Countries

A cascade model of mentorship for frontline health workers in rural health facilities in Eastern Uganda: processes, achievements and lessons

Mødrehelse og helsebistand

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