Quality of basic maternal care functions in health facilities of five African countries: an analysis of national health system surveys

Kruk, Margaret E; Leslie, Hannah H; Verguet, Stéphane; Mbaruku, Godfrey; Adanu, Richard; Langer, Ana

doi:10.1016/s2214-109x(16)30180-2

Cited by 222 publications

(239 citation statements)

References 68 publications

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“…However, strategies such as the Janani Suraksha Yojana (JSY) program in India have increased rates of facility-based childbirth without significantly decreasing maternal and neonatal mortality 4 – 7 . Thus, improving the quality of care provided during facility-based childbirth is a key strategy to decrease maternal and neonatal mortality globally 8 . The World Health Organization (WHO) Quality of Care Framework for Maternal and Neonatal Health describes quality care as being safe, effective, timely, efficient, equitable, and people-centered 9 .…”

Section: Introductionmentioning

confidence: 99%

Improving Adherence to Essential Birth Practices Using the WHO Safe Childbirth Checklist With Peer Coaching: Experience From 60 Public Health Facilities in Uttar Pradesh, India

Delaney

Maji²,

Kalita³

et al. 2017

Glob Health Sci Pract

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Section: Introductionmentioning

confidence: 99%

Improving Adherence to Essential Birth Practices Using the WHO Safe Childbirth Checklist With Peer Coaching: Experience From 60 Public Health Facilities in Uttar Pradesh, India

Delaney

Maji²,

Kalita³

et al. 2017

Glob Health Sci Pract

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“…Facility delivery does not necessarily imply safe delivery, as it has been demonstrated in different studies (Powell-Jackson et al 2015;Okeke et al 2016;Okeke and Godlonton 2015). Beyond the uptake of maternity services, the need for good quality delivery care services has also been stressed in order to achieve health outcomes (Kruk et al 2016). However, in-facility deliveries are one of the most cost-effective way to ensure safe births (Koblinsky et al 2006).…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators for institutional delivery among poor Mesoamerican women: a cross-sectional study

Hernández

Colombara

Gagnier

et al. 2017

Health Policy and Planning

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Professional skilled care has shown to be one of the most promising strategies to reduce maternal mortality, and in-facility deliveries are a cost-effective way to ensure safe births. Countries in Mesoamerica have emphasized in-facility delivery care by professionally skilled attendants, but access to good-quality delivery care is still lacking for many women. We examined the characteristics of women who had a delivery in a health facility and determinants of the decision to bypass a closer facility and travel to a distant one. We used baseline information from the Salud Mesoamerica Initiative (SMI). Data were collected from a large household and facilities sample in the poorest quintile of the population in Guatemala, Honduras and Nicaragua. The analysis included 1592 deliveries. After controlling for characteristics of women and health facilities, being primiparous (RR ¼ 1.15, 95% CI 1.10, 1.21), being literate (RR ¼ 1.24, 95% CI 1.04, 1.48), having antenatal care (RR ¼ 1.68, 95% CI 1.24, 2.27), being informed of the need for having a C-section (RR ¼ 1.07, 95% CI 1.02, 1.11) and travel time to the closest facility totaling 1-2 h vs under 30 min (RR ¼ 0.88, 95% CI 0.77, 0.99) were associated with in-health facility deliveries. In Guatemala, increased availability of medications and equipment at a distant facility was strongly associated with bypassing the closest facility in favor of a distant one for delivery (RR ¼ 2.10, 95% CI 1.08, 4.07). Our study showed a strong correlation between well-equipped facilities and delivery attendance in poor areas of Mesoamerica. Indeed, women were more likely to travel to more distant facilities if the facilities were of higher level, which scored higher on our capacity score. Our findings call for improving the capacity of health facilities, quality of care and addressing cultural and accessibility barriers to increase institutional delivery among the poor population in Mesoamerica.

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“…Effective coverage measures that link population level data on access to health care with facility level data on health care quality are increasingly frequently reported [29][30][31]. However, there is little guidance on appropriate methods for linking: for example, which data to link, for which units, and with what temporal alignment.…”

mentioning

confidence: 99%

Linking data sources for measurement of effective coverage in maternal and newborn health: what do we learn from individual- vs ecological-linking methods?

Willey¹,

Waiswa²,

Kajjo³

et al. 2018

Journal of Global Health

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Quality of basic maternal care functions in health facilities of five African countries: an analysis of national health system surveys

Abstract: None.

Cited by 222 publications

References 68 publications

Improving Adherence to Essential Birth Practices Using the WHO Safe Childbirth Checklist With Peer Coaching: Experience From 60 Public Health Facilities in Uttar Pradesh, India

Improving Adherence to Essential Birth Practices Using the WHO Safe Childbirth Checklist With Peer Coaching: Experience From 60 Public Health Facilities in Uttar Pradesh, India

Barriers and facilitators for institutional delivery among poor Mesoamerican women: a cross-sectional study

Linking data sources for measurement of effective coverage in maternal and newborn health: what do we learn from individual- vs ecological-linking methods?

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