scholarly journals Quality of maternal and newborn care in Southeast Asian contexts: using demographic and health surveys to monitor and explore patterns of care

2018 ◽  
Author(s):  
Zoe Dettrick
Keyword(s):  
Health Surveys ◽  
Newborn Care ◽  
Southeast Asian ◽  
Patterns Of Care ◽  
Demographic And Health Surveys ◽  
Maternal And Newborn Care ◽  
Maternal And Newborn

scholarly journals Assessing capacity of health facilities to provide routine maternal and newborn care in low-income settings: what proportions are ready to provide good-quality care, and what proportions of women receive it?

2019 ◽  
Author(s):  
Keith Tomlin ◽  
Della Berhanu ◽  
Meenakshi Gautham ◽  
Nasir Umar ◽  
Joanna Schellenberg ◽  
...  
Keyword(s):  
Low Income ◽  
Quality Care ◽  
Newborn Care ◽  
Uttar Pradesh ◽  
Routine Care ◽  
Health Facilities ◽  
Signal Functions ◽  
Maternal And Newborn Care ◽  
Maternal And Newborn

Abstract Background Good quality maternal and newborn care at primary health facilities is essential for both mothers and infants, but in settings with high maternal and newborn mortality the evidence for the protective effect of facility delivery is inconsistent. We surveyed samples of health facilities in three settings with high maternal mortality, to assess the quality of routine maternal and newborn care and the proportion of women delivering in facilities with a good standard of care. Surveys were conducted in 2012 and 2015 to assess changes in the quality of care over time. Methods Surveys were conducted in Ethiopia, the Indian state of Uttar Pradesh and Gombe State in North-Eastern Nigeria. 166 and 305 primary care facilities were sampled in 2012 and 2015 respectively. In each year we assessed whether each facility could provide four “signal” functions of routine maternal and newborn care. From facility registers we counted the number of deliveries in the previous six months and calculated the proportion of women giving birth in facilities which could offer good quality routine care. Results In Ethiopia the proportion of deliveries in facilities which provided all four signal functions rose from 40% (95% CI 26-57) in 2012 to 43% (95% CI 31-56) in 2015. In Uttar Pradesh in 2012 an estimated 4% (95% CI 1-24) of facility deliveries occurred in facilities which provided all four signal functions, rising to 39% (95% CI 25-55) in 2015. In Nigeria these estimates were 25% (95% CI 6-66) and zero for 2012 and 2015 respectively. Improvements in signal functions in Ethiopia and Uttar Pradesh were led by improved supplies of commodities while Nigeria experienced declines in supplies of commodities and the number of Skilled Birth Attendants employed. Conclusions This study quantifies how health facilities can provide sub-optimal maternal and newborn care, and may help explain inconsistent outcomes of health facility care in some settings. Signal function methodology can provide a rapid and inexpensive measure of the capacity of facilities to provide such care. Incorporating data on facility deliveries and repeating the analyses highlights the adjustments that could have greatest impact upon maternal and newborn care.

scholarly journals Improving the quality of maternal and newborn care in the Pacific region: A scoping review

2020 ◽  
Vol 3 ◽  
pp. 100028
Author(s):  
A.N. Wilson ◽  
N. Spotswood ◽  
G.S. Hayman ◽  
J.P. Vogel ◽  
J. Narasia ◽  
...  
Keyword(s):  
Scoping Review ◽  
Newborn Care ◽  
Pacific Region ◽  
The Pacific ◽  
Maternal And Newborn Care ◽  
Maternal And Newborn

scholarly journals Nurse Mentor Training Program to Improve Quality of Maternal and Newborn Care at Primary Health Centres: Process Evaluation

2016 ◽  
Vol 06 (06) ◽  
pp. 458-469 ◽  
Author(s):  
Maryann Washington ◽  
Krishnamurthy Jayanna ◽  
Swarnarekha Bhat ◽  
Annamma Thomas ◽  
Suman Rao ◽  
...  
Keyword(s):  
Training Program ◽  
Newborn Care ◽  
Improve Quality ◽  
Mentor Training ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres ◽  
Maternal And Newborn Care ◽  
Maternal And Newborn

scholarly journals How COVID-19 challenged care for women and their newborns: a qualitative case study of the experience of Belgian midwives during the first wave of the pandemic

2021 ◽  
Author(s):  
Elise Huysmans ◽  
Constance Audet ◽  
Therese Delvaux ◽  
Anna Galle ◽  
Aline Semaan ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Work Experience ◽  
Newborn Care ◽  
Lessons Learned ◽  
National Guidelines ◽  
Health Authorities ◽  
The Impact ◽  
Maternal And Newborn Care ◽  
Maternal And Newborn

In this article, we describe the results of a rapid qualitative study conducted between May 19 and June 25, 2020 on the work experience of midwives during the first wave of the COVID-19 pandemic in Brussels and Wallonia (Belgium). Using semi-structured interviews conducted with fifteen midwives working in hospitals or practicing privately, we investigated the impact of the first COVID-19 wave on their work experience, the woman-midwife relationship, and midwife-perceived changes in quality of care. Findings include high levels of stress and insecurity related to the lack of resources and personal protective equipment, feelings of distrust from midwives towards the Belgian State and public health authorities, as well as structural and organizational challenges within maternity wards which negatively affected quality of care. Moreover, based on the midwives' experiences, we demonstrate the need to recognise the views of all stakeholders involved in maternal and newborn care provision, and share five essential lessons learned from this study: 1) it is crucial to acknowledge the central role of midwives for maintaining maternal and newborn care amidst the pandemic and beyond; 2) creating unified national guidelines could support ensuring best practice; 3) efforts must be put in place to diminish the climate of mistrust towards health authorities and to repair the relationship between midwives and decision-makers which was damaged during the pandemic; 4) caring for front-line healthcare workers' mental health is critical, and 5) quality of maternal care can be improved, even in the midst of a pandemic, through team effort and creative solutions tailored to the needs and demands of each setting.

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