The Availability of Emergency Obstetric Care in Birthing Centres in Rural Nepal: A Cross-sectional Survey

Banstola, Amrit; Simkhada, Padam; Teijlingen, Edwin van; Bhatta, Surya; Lama, Susma; Adhikari, Abisha; Banstola, Ashik

doi:10.1007/s10995-019-02832-2

Cited by 9 publications

(8 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The overall readiness score to provide BEmONC in Northwest Ethiopia was lower than the national figure and other similar studies in Low and Middle-Income Countries (LMIC). 10,[14][15][16][17][18] The 62.7% (10/16) overall BEmONC service readiness score refers to the fact that only 62.7% of all facilities in the study area were ready to provide BEmONC as per the WHO requirements 13 such as trained staff and guidelines, equipment, and medicines and commodities. There is only one health facility which had all the tracer items as per WHO guideline.…”

Section: Discussionmentioning

confidence: 99%

“…A similar study in Nepal also indicated that it was the lowest domain score, but the real figure was higher (51.3%) than the current finding. 14 The difference could be due to variations in the curricula of health education, distribution of guidelines, and the healthcare system. Only 18.8% (3/16) of the health facilities had staff trained in essential childbirth care in the past two years in 2019, which is a little higher than the previous studies done in Ethiopia.…”

Section: Dovepressmentioning

confidence: 99%

“…However, a similar study in Bangladesh and Nepal showed that more than 80% of the health facilities had essential equipment. 14,16 The absence of such equipment has a clear effect on screening services during childbirth care. This was a common challenge identified by other studies.…”

Section: Dovepressmentioning

confidence: 99%

See 2 more Smart Citations

Essential Newborn Care Service Readiness and Barriers in Northwest Ethiopia: A Descriptive Survey and Qualitative Study

Delele¹,

Biks²,

Abebe³

et al. 2021

JMDH

View full text Add to dashboard Cite

Background: Despite the efforts put forth in improving neonatal survival, there is still a high rate of neonatal morbidity and mortality in northwest Ethiopia. Therefore, this study aimed to determine the essential newborn care service readiness scores and explore the health facility-related barriers in North Gondar Zone, Northwest Ethiopia. Methods: A cross-sectional survey of 16 health facilities (14 health centers and two hospitals) and twelve in-depth interviews were included in the study in three randomly selected districts of North Gondar Zone. A pretested health facility inventory questionnaire customized from the World Health Organization (WHO) service readiness assessment tool was used for a facility audit. Basic emergency and essential obstetric and newborn care (BEmONC), and child immunization service readiness scores were determined using unweighted averages according to the WHO guideline. Descriptive statistics were done for the quantitative data, and thematic content analysis was employed using NVivo 12 software for the qualitative data. Results: All the surveyed health facilities had no specialist medical doctors, and 50% (8/16) of them had no inpatient beds. The overall BEmONC service readiness score was 62.7% (10/ 16) (95% CI: 34.8, 83.8) and only one facility had all the tracer items. Trained staff and guidelines had a 27.5% (4/16) readiness score, followed by 71.9% (12/16) readiness score for equipment, and 88.6% (14/16) readiness score for medicine and commodities. The overall child immunization service readiness score was 90.3% (15/16) (95% CI: 51.4, 94.7) and eleven facilities (68.8%) had all the tracer items. The immunization service readiness score was higher; 84.4% (14/16) for trained staff and guidelines, 92.8% (15/16) for equipment, and 93.8% (15/16) for medicines and commodities. Unavailability of equipment, shortage of supplies, and lack of respectful and compassionate healthcare practices were the key facilityrelated barriers compromising essential newborn care service readiness. Conclusions for Practice: The survey revealed that the essential newborn care service readiness score of the health facilities was low, and it calls for improving BEmONC service readiness in particular. Provision of timely training for newly recruited staff, fulfilling essential equipment, and steady supply is imperative.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Dovepressmentioning

confidence: 99%

See 1 more Smart Citation

Essential Newborn Care Service Readiness and Barriers in Northwest Ethiopia: A Descriptive Survey and Qualitative Study

Delele¹,

Biks²,

Abebe³

et al. 2021

JMDH

View full text Add to dashboard Cite

show abstract

“…Despite increasing policy inputs for quality improvement, the current study identified suboptimal technical quality of health services. Previous studies in Nepal have also revealed poor quality of basic emergency antenatal and perinatal services, especially in physically accessible areas in eastern [ 75 ], and the southern lowland region of Nepal [ 76 ]. Poor technical quality of antenatal and perinatal services is unlikely to result in better antenatal and perinatal outcomes.…”

Section: Discussionmentioning

confidence: 99%

Investigation of technical quality of antenatal and perinatal services in a nationally representative sample of health facilities in Nepal

2022

View full text Add to dashboard Cite

Background Access to routine antenatal and perinatal services is improved in the last two decades in Nepal. However, gaps remain in coverage and quality of care delivered from the health facilities. This study investigated the delivery of technical quality antenatal and perinatal services from health facilities and their associated determinants in Nepal. Methods Data for this study were derived from the Nepal Health Facility Survey 2015. The World Health Organization's Service Availability and Readiness Assessment framework was adopted to assess the technical quality of antenatal and perinatal services of health facilities. Outcome variables included technical quality scores of i) 269 facilities providing antenatal services and ii) 109 facilities providing childbirth and postnatal care services (perinatal care). Technical quality scores of health facilities were estimated adapting recommended antenatal and perinatal interventions. Independent variables included locations and types of health facilities and their management functions (e.g., supervision). We conducted a linear regression analysis to identify the determinants of better technical quality of health services in health facilities. Beta coefficients were exponentiated into odds ratios (ORs) and reported with 95% confidence intervals (CIs). The significance level was set at p-value < 0.05. Results The mean score of the technical quality of health facilities for each outcome variable (antenatal and perinatal services) was 0.55 (out of 1.00). Compared to province one, facilities of Madhesh province had 4% lower odds (adjusted OR = 0.96; 95%CI: 0.92, 0.99) of providing better quality antenatal services, while health facilities of Gandaki province had higher odds of providing better quality antenatal services (aOR = 1.05; 95% CI: 1.01, 1.10). Private facilities had higher odds (aOR = 1.13; 95% CI: 1.03, 1.23) of providing better quality perinatal services compared to public facilities. Conclusions Private facilities provide better quality antenatal and perinatal health services than public facilities, while health facilities of Madhesh province provide poor quality perinatal services. Health system needs to implement tailored strategies, including recruiting health workers, supervision and onsite coaching and access to necessary equipment and medicine in the facilities of Madhesh province. Health system inputs (trained human resources, equipment and supplies) are needed in the public facilities. Extending the safe delivery incentive programme to the privately managed facilities could also improve access to better quality health services in Nepal.

show abstract

“…They focus on health care facilities workers (Banstola et al, 2019), and rural households' perception on climate change (Uprety et al, 2017). In general, thoroughly checking the existing literature about mountain communities (not limited to Nepal), we found the focal point was mainly on their livelihood and productivity improvement.…”

Section: Introductionmentioning

confidence: 91%

A Laugh and a Burst of Kindness: The Impact of Comedy on Altruistic Behavior in Rural Nepal

Lee¹

2020

AEA Randomized Controlled Trials

View full text Add to dashboard Cite

The Availability of Emergency Obstetric Care in Birthing Centres in Rural Nepal: A Cross-sectional Survey

Cited by 9 publications

References 16 publications

Essential Newborn Care Service Readiness and Barriers in Northwest Ethiopia: A Descriptive Survey and Qualitative Study

Essential Newborn Care Service Readiness and Barriers in Northwest Ethiopia: A Descriptive Survey and Qualitative Study

Investigation of technical quality of antenatal and perinatal services in a nationally representative sample of health facilities in Nepal

A Laugh and a Burst of Kindness: The Impact of Comedy on Altruistic Behavior in Rural Nepal

Contact Info

Product

Resources

About