O-OBS/GYN-S-080 Using a Needs-based Approach to Identify Predictors of Maternal and Newborn Health Care Needs to Inform Health Human Resources (HHR) Planning

Community participation in decision-making within the health sector is an essential component in advancing efforts toward primary health care (PHC). Since 2006, Enfants du Monde, a Swiss non-governmental organization (NGO), in collaboration with the local NGO Fondation pour le Développement Communautaire/Burkina Faso (FDC/BF), has been supporting the Ministry of Health (MoH) to include communities in decision-making related to maternal and newborn health (MNH) services. Notably, participatory community assessments (PCA) are conducted to provide a platform for community members to discuss MNH needs and be involved in the decision-making within the health sector. During the PCAs, participants identify and prioritize needs and propose solutions to improve MNH, solutions which are then integrated in the annual district health action plan. Integrated interventions include: promotion of birth preparedness and complication readiness; training health care providers in counselling skills; building awareness of men on MNH issues and their capacity to support women; and strengthening community bodies to manage obstetrical and neonatal complications. The inclusion of these interventions has contributed to the advancement of PHC in three regions in Burkina Faso.

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Training health workers to provide person-centred maternal and newborn health care in Burkina Faso

The International Journal of Person Centered Medicine ◽

10.5750/ijpcm.v3i2.405 ◽

2013 ◽

Vol 3 (2) ◽

pp. 154-159

Author(s):

Janet Perkins ◽

Aminata Bargo ◽

Cecilia Capello ◽

Carlo Santarelli

Keyword(s):

Health Care ◽

Burkina Faso ◽

Health Care Providers ◽

Health Workers ◽

Healthcare Providers ◽

Newborn Health ◽

World Health ◽

Maternal And Newborn Health ◽

Care Providers ◽

Maternal And Newborn

Assuring the provision of person-centred care is critical in maternal and newborn health (MNH). As a component of the national strategy to improve MNH, Burkina Faso Ministry of Health, supported by Enfants du Monde, La Fondation pour le Développement Communautaire/Burkina Faso and UNFPA, is implementing the World Health Organization’s (WHO) framework for Working with Individuals, Families and Communities (IFC) to improve MNH. As a first step in district implementation, participatory community assessments were conducted. These assessments consistently revealed that poor interactions with healthcare providers posed one important barrier preventing women from seeking MNH services. In order to address this barrier, healthcare providers were trained to improve their interpersonal skills and in counselling women. During 2011-12 a total of 175 personnel were trained over a 5-day course developed using a WHO manual. The course was met with enthusiasm as providers expressed their need and desire for such training. Immediate post-test results revealed an impressive increase in knowledge and anecdotal evidence suggests that training has influenced provider’s behaviours in their interactions with women. In addition, health care providers are taking concrete action to build the capabilities of women to experience pregnancy and birth safely by engaging directly with communities. While early findings are promising, an evaluation will be necessary to measure how the training has influenced practices, whether this translates into a shift of perceptions at community level and ultimately its contribution toward promoting person-centred care in Burkina Faso.

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A call to action: documenting and sharing solutions and adaptations in sexual, reproductive, maternal and newborn health care provision during the COVID-19 pandemic

Sexual and Reproductive Health Matters ◽

10.1080/26410397.2020.1838054 ◽

2020 ◽

Vol 28 (1) ◽

pp. 1838054

Author(s):

Lenka Benova ◽

Nandini D. P. Sarkar ◽

Luther-King O. Fasehun ◽

Aline Semaan ◽

Clara Affun-Adegbulu ◽

...

Keyword(s):

Health Care ◽

Newborn Health ◽

Maternal And Newborn Health ◽

Health Care Provision ◽

Care Provision ◽

Call To Action ◽

Maternal And Newborn

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Erratum: Cost-effectiveness of strategies to improve the utilization and provision of maternal and newborn health care in low-income and lower-middle-income countries: a systematic review

BMC Pregnancy and Childbirth ◽

10.1186/s12884-015-0476-5 ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 1

Author(s):

Lindsay Mangham-Jefferies ◽

Catherine Pitt ◽

Simon Cousens ◽

Anne Mills ◽

Joanna Schellenberg

Keyword(s):

Systematic Review ◽

Health Care ◽

Cost Effectiveness ◽

Low Income ◽

Newborn Health ◽

Maternal And Newborn Health ◽

Middle Income ◽

Middle Income Countries ◽

Maternal And Newborn

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Effect of Ethiopia's Health Development Army on maternal and newborn health care practices: A multi-level cross-sectional analysis

Annals of Global Health ◽

10.1016/j.aogh.2017.03.051 ◽

2017 ◽

Vol 83 (1) ◽

pp. 24 ◽

Cited By ~ 1

Author(s):

W. Betemariam ◽

Z. Damtew ◽

C. Tesfaye ◽

N. Fesseha ◽

A.M. Karim

Keyword(s):

Health Care ◽

Newborn Health ◽

Maternal And Newborn Health ◽

Health Development ◽

Cross Sectional ◽

Health Care Practices ◽

Multi Level ◽

Care Practices ◽

Sectional Analysis ◽

Maternal And Newborn

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Using a quality improvement model to enhance providers’ performance in maternal and newborn health care: a post-only intervention and comparison design

BMC Pregnancy and Childbirth ◽

10.1186/s12884-017-1303-y ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 2

Author(s):

Firew Ayalew ◽

Gizachew Eyassu ◽

Negash Seyoum ◽

Jos van Roosmalen ◽

Eva Bazant ◽

...

Keyword(s):

Health Care ◽

Quality Improvement ◽

Newborn Health ◽

Maternal And Newborn Health ◽

Maternal And Newborn

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Disabled women׳s maternal and newborn health care in rural Nepal: A qualitative study

Midwifery ◽

10.1016/j.midw.2014.03.012 ◽

2014 ◽

Vol 30 (11) ◽

pp. 1132-1139 ◽

Cited By ~ 24

Author(s):

Joanna Morrison ◽

Machhindra Basnet ◽

Bharat Budhathoki ◽

Dhruba Adhikari ◽

Kirti Tumbahangphe ◽

...

Keyword(s):

Health Care ◽

Qualitative Study ◽

Newborn Health ◽

Maternal And Newborn Health ◽

Rural Nepal ◽

Maternal And Newborn

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Quality of Maternal and Newborn Health Care in Ethiopia: A Cross-Sectional Study

10.21203/rs.3.rs-141660/v1 ◽

2021 ◽

Author(s):

Abera Biadgo ◽

Aynalem Legesse ◽

Abiy Seifu ◽

Kavita Singh ◽

Zewdie Mulissa ◽

...

Keyword(s):

Health Care ◽

Quality Of Care ◽

Newborn Health ◽

Health Facilities ◽

Maternal And Newborn Health ◽

Neonatal Health ◽

Input Process ◽

Maternal And Neonatal Health ◽

Maternal And Newborn

Abstract Background: Despite reports of universal access to and modest utilization of maternal and newborn health services in Ethiopia, mothers and newborns continue to die from preventable causes. Studies indicate this could be due to poor quality of care provided in health systems. Evidences show that high quality health care prevents more than half of all maternal deaths. In Ethiopia, there is limited knowledge surrounding the status of the quality of maternal and newborn health care in health facilities. This study aims to assess the quality of maternal and neonatal health care provision at the health facility level in four regions in Ethiopia.Methodology: This study employed a facility-based cross-sectional study design. It included 32 health facilities which were part of the facilities for prototyping maternal and neonatal health quality improvement interventions. Data was collected using a structured questionnaire, key informant interviews and record reviews. Data was entered in Microsoft Excel and exported to STATA for analysis. Descriptive analysis results are presented in texts, tables and graphs. Quality of maternal and neonatal health care was measured by input, process and outputs components. The components were developed by computing scores using standards used to measure the three components of the quality of maternal and neonatal health care.Result: The study was done in a total of 32 health facilities: 5 hospitals and 27 health centers in four regions. The study revealed that the average value of the quality of the maternal and neonatal health care input component among health facilities was 62%, while the quality of the process component was 43%. The quality of the maternal and neonatal health output component was 48%. According to the standard cut-off point for MNH quality of care, only 5 (15.6%), 3 (9.3%) and 3 (10.7%) of health facilities met the expected input, process and output maternal and neonatal health care quality standards, respectively.Conclusion: This study revealed that the majority of health facilities did not meet the national MNH quality of care standards. Focus should be directed towards improving the input, process and output standards of the maternal and neonatal health care quality, with the strongest focus on process improvement.

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Training Needs Assessment of Health Care Professionals in Reproductive, Maternal and Newborn Health in a Low-Income Setting in Tanzania

10.21203/rs.3.rs-115748/v2 ◽

2021 ◽

Author(s):

Columba Mbekenga ◽

Eunice Pallangyo ◽

Tumbwene E. Mwansisya ◽

Kahabi Isangula ◽

Loveluck Mwasha ◽

...

Keyword(s):

Health Care ◽

Needs Assessment ◽

Low Income ◽

Newborn Health ◽

Training Needs ◽

Health Facilities ◽

Maternal And Newborn Health ◽

Training Needs Assessment ◽

Low Income Setting ◽

Maternal And Newborn

Abstract Background: Healthcare delivery globally and particularly in low-income setting is challenged by multiple, complex and dynamic problems. The reproductive, maternal and newborn health (RMNH) care is among the most affected areas resulting into high maternal and neonatal mortality and morbidity across the Sub Saharan region and Tanzania in particular. However, under-investment in adequate training and capacity development among health care workers (HCWs) is reported worldwide and contributes to the critical shortages, and lack of adequate knowledge and skills among HCWs. The aim of this study was to assess the training needs among HCWs of RMNH care in selected health facilities of Mwanza, Tanzania. Methods: A cross-sectional descriptive and analytic survey using a self- administered questionnaire was conducted in 36 out of 80 health care facilities included in Improving Access to Reproductive, Maternal and Newborn Health in Mwanza, Tanzania (IMPACT) project within the 8 councils of Mwanza region in Tanzania. The training needs assessment (TNA) tool adapted from the Hennessy-Hicks’ Training Needs Assessment Questionnaire (TNAQ) was used for data collection. The HCWs rated on the importance of their task and their current performance of the task. The differences in scores were calculated to identify the greatest training needs.Results: Out of 153 HCWs who responded to the TNA questionnaire, majority were registered (n=62) and enrolled (n=43) nurses. Ninety percent (n= 137) were from government-owned health facilities, mostly from hospitals 68 (45%). Training needs were high in 16 areas (out of 49) including cervical cancer screening and care; accessing research resources; basic and comprehensive emergency obstetric and newborn care; and sexual and gender-based violence. The overall perceived importance of the training needs was significantly associated with perceived performance of tasks related to RMNH services (Pearson Correlation (r) = .256; p <001).Conclusions: The study highlights 16 (out of 49) training gaps as perceived by HCWs in RMNH in Tanzania. The utilization of findings from the TNA has great potential to facilitate designing of effective trainings for local RMNH services delivery hence improve the overall quality of care.

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