scholarly journals Quality of antenatal and childbirth care in rural health facilities in Burkina Faso, Ghana and Tanzania: an intervention study

2015 ◽  
Vol 21 (1) ◽  
pp. 70-83 ◽  
Author(s):  
Els Duysburgh ◽  
Marleen Temmerman ◽  
Maurice Yé ◽  
Afua Williams ◽  
Siriel Massawe ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Rural Health ◽  
Intervention Study ◽  
Health Facilities ◽  
Childbirth Care

scholarly journals Quality of antenatal and childbirth care in selected rural health facilities in Burkina Faso, Ghana and Tanzania: similar finding

2013 ◽  
Vol 18 (5) ◽  
pp. 534-547 ◽  
Author(s):  
E. Duysburgh ◽  
W-H. Zhang ◽  
M. Ye ◽  
A. Williams ◽  
S. Massawe ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Rural Health ◽  
Health Facilities ◽  
Childbirth Care

scholarly journals Counselling on and women's awareness of pregnancy danger signs in selected rural health facilities in Burkina Faso, Ghana and Tanzania

2013 ◽  
Vol 18 (12) ◽  
pp. 1498-1509 ◽  
Author(s):  
Els Duysburgh ◽  
Maurice Ye ◽  
Afua Williams ◽  
Siriel Massawe ◽  
Ali Sié ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Rural Health ◽  
Health Facilities ◽  
Danger Signs

scholarly journals Expectations and needs of Ugandan women for improved quality of childbirth care in health facilities: A qualitative study

2017 ◽  
Vol 139 ◽  
pp. 38-46 ◽  
Author(s):  
David Kyaddondo ◽  
Kidza Mugerwa ◽  
Josaphat Byamugisha ◽  
Olufemi T. Oladapo ◽  
Meghan A. Bohren
Keyword(s):  
Qualitative Study ◽  
Health Facilities ◽  
Childbirth Care

The Quality of Service Provision to Newborns in the Primary Healthcare, West Gojjam Zone, North-West of Ethiopia: A Cross-sectional Survey

2021 ◽  
Author(s):  
Bizuhan Gelaw Birhanu ◽  
Johanna Mmabojalwa Mathibe-Neke
Keyword(s):  
Rural Health ◽  
Health Workers ◽  
Newborn Care ◽  
Health Facilities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Signal Functions ◽  
Rural Health Centres ◽  
Health Centres

Abstract Background: During 2019, neonatal conditions in Ethiopia accounted for 56% of under-5 deaths, with 33 neonatal deaths occurring for every 1,000 live births. More than 80% of all newborns deaths are caused by preventable and treatable conditions with available interventions. In Ethiopia, mortality rates for newborn babies have remained stubbornly high over the decades. Methods: A cross-sectional survey design was employed. Interviewer-administered questionnaires were administered to 221 health workers and health extension workers in 142 health facilities from April to July 2017. Data was entered in the EpiData 3.1, exported to SPSS and STATA for analysis. Results: Out of the ten quality of newborn care variables, 8.7 [95%CI: 6.03-11.303], the highest mean was achieved by primary hospitals, followed by urban health centres with a 6.4 mean [95%CI:5.168-7.601]. However, nearly half of the rural health centres were providing quality of newborn care at the mean of 5.7 [95%CI: 5.152-6.18], and below half was provided by health posts, 4.5 [95%CI: 3.867-5.116]. From the seven emergency newborn care signal functions, primary hospitals had a higher mean score, 6.3 [95%CI: 6.007-7.325] and rural health centres had a lowest mean score, 2.3 [95%CI: 2.043-2.623]. The availability of essential equipment is also significantly associated with the quality of neonatal care provision in the health facilities (p < 0.05). Overall, the effectiveness of the neonatal healthcare services has a significant association with the health facilitates readiness score [95%CI: 0.134-0.768]. Conclusion: The quality of newborn care was high at the higher-level health facilities and lower in the lower level health facilities such as rural health centres and health posts; where these facilities are designed to provide the newborn care services to the majority of the rural communities. In addition, the provision of emergency newborn care signal functions were critically low in rural health centres where these are a referral receiving health facilities from health posts. Thus, the rural health centres and health posts should be targeted to improve their readiness to provide the quality of services for newborns as per their expected level of care.

scholarly journals Title Determinants of the Quality of Childbirth Care Along the Continuum in Limited Resource Settings: A Structural Equation Modeling Analysis of Cross-sectional Data from Burkina Faso and Côte d’Ivoire

2021 ◽  
Author(s):  
Tieba Millogo ◽  
Raïssa Kadidiatou Kourouma ◽  
Bertrand Ivlabéhiré Méda ◽  
Marie Laurette Agbre-Yace ◽  
Abdul Dosso ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Cote D'ivoire ◽  
Structural Equation ◽  
Côte D’Ivoire ◽  
Equation Modeling ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Childbirth Care ◽  
The Continuum

Abstract Introduction: Despite important increase in in-facility births, perinatal mortality rates have remained high and slow to decrease in many developing countries. This situation is attributed to the poor quality of childbirth care. The reason why women delivering in health facilities do not always receive standards of care are unclear. We assessed the determinants of the quality of childbirth care along the continuum of care using different approaches.Methods: A health facility-based cross-sectional study with a direct observation of health care workers’ practices while caring for mother-newborn pairs was carried out in Burkina Faso and Côte d’Ivoire. The performance of a set of Essential Best Practices (EBPs) was assessed in each birth event at admission, pre-pushing and immediate post-partum stages. A quality score, in the form of the additive sum of EBPs effectively delivered was computed for each stage. We used negative binomial regression models and a structural equation modeling analysis to respectively assess the determinants of the quality of care at each stage and the relationships between the quality delivered at the different stages.Results: a total of 532 and 627 mother-newborn pairs were included respectively in Burkina Faso and Côte d’Ivoire. In both countries, the quality of delivery care varies significantly at all stages between health districts. The quality of predelivery care was consistently higher in referral hospitals as compared to primary health care facilities (IRR = 1.02; p < 0.05 and IRR = 1.10; p < 0.05 respectively for Burkina Faso and Côte d’Ivoire). The quality at admission was poorer in nurses as compared to midwives in Burkina Faso (IRR = 0.81; p < 0.001). The quality at admission and pre-delivery stages were positively correlated with the immediate post-partum quality (β = 0.48;p < 0.001 and β = 0.29;p < 0.001 respectively).Conclusion: Quality improvement strategies must target both providers and health facilities and different inputs are needed depending on the stage in the continuum of care.

scholarly journals Systemic factors affecting the technical quality of healthcare in results-based financing in Burkina Faso.

2020 ◽  
Author(s):  
Zambeando Zigani ◽  
Abel BICABA ◽  
Adama Sanon ◽  
Siméon Sawadogo
Keyword(s):  
Regression Model ◽  
Burkina Faso ◽  
Health Professionals ◽  
Quality Of Healthcare ◽  
Multiple Regression Model ◽  
Quality Score ◽  
Health Facilities ◽  
Technical Quality ◽  
Results Based Financing

Abstract Background:In the implementation of the results-based financing (PBF) strategy in Burkina Faso, there is heterogeneity in the performance of technical quality of healthcare in basic healthcare facilities. This study aims to identify the factors that may explain this heterogeneity. Methods:We carried out a quantitative study in 30 basic public health facilities, thirteen of which have a quality score greater than or equal to 50% and 17 of which have a quality score less than 50%. Data from their profiles were collected using a direct observation grid. A total of 94 health professionals answered a series of semi-structured questions. A bivariate analysis using the Chi-square test and a multivariate analysis using the multiple regression model were used. Results:The difference is statistically significant in favour of health facilities with good performance in technical quality in terms of health infrastructure (p=0.020), health equipment (p=0.004) and compliance with norms and standards in terms of health personnel (p=0.004). The variables used in the multiple regression model are ongoing training (p=0.000), internal communication (p=0.000) and financial motivation (p=0.003) of health professionals.Conclusion:These results suggest that the effectiveness of the technical quality of healthcare in implementing the PBF depends on certain basic conditions in the health facilities, such as the presence of infrastructures, equipment and human resources that meet established norms and standards and the managerial dynamics of healthcare workers.

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