Quality of Facility-Based Maternal and Newborn Care During the Covid-19 Pandemic: A Multicountry Cross-Sectional Study in the Who European Region Investigating Service Users’ Perspectives

IntroductionAccess to maternal and newborn healthcare has improved in Myanmar. However, regular contact with skilled care providers does not necessarily result in quality care. We assessed adequate contact made by women and newborns with skilled care providers, reception of high-quality care and quality-adjusted contacts during antenatal care (ANC), peripartum care (PPC) and postnatal care (PNC) in Myanmar.MethodsThis cross-sectional study was conducted in a predominantly urban township of Yangon and a predominantly rural township of Ayeyawady in March 2016. We collected data from 1500 women. We measured quality-adjusted contact, which refers to adequate contact with high-quality care, as follows: ≥4 ANC contacts and receiving 11–14 of 14 intervention items; facility-based delivery assisted by skilled care providers, receiving 7 of 7 PPC intervention items; and receiving the first PNC contact ≤24 hours postpartum and ≥2 additional contacts, and receiving 16–17 of 17 intervention items. Using multilevel logistic regression analysis with a random intercept at cluster level, we identified factors associated with adequate contact and high-quality ANC, PPC and PNC.ResultsThe percentage of crude adequate contact was 60.9% for ANC, 61.3% for PPC and 11.5% for PNC. However, the percentage of quality-adjusted contact was 14.6% for ANC, 15.2% for PPC and 3.6% for PNC. Adequate contact was associated with receiving high-quality care at ANC, PPC and PNC. Being a teenager, low educational level, multiparity and low level in the household wealth index were negatively associated with adequate contact with healthcare providers for ANC and PPC. Receiving a maternal and child health handbook was positively associated with adequate contact for ANC and PPC, and with receiving high-quality ANC, PPC and PNC.ConclusionWomen and newborns do not receive quality care during contact with skilled care providers in Myanmar. Continuity and quality of maternal and newborn care programmes must be improved.

Download Full-text

Evaluation of home based postnatal care provided by accredited social health activist worker in a rural community of Haryana: a cross-sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20195456 ◽

2019 ◽

Vol 6 (12) ◽

pp. 5123

Author(s):

Kashish Grover ◽

Pardeep Khanna ◽

Vinod Chayal ◽

Ramesh Verma ◽

Roopam Kapoor ◽

...

Keyword(s):

Postnatal Care ◽

Newborn Care ◽

Cross Sectional Study ◽

Social Health ◽

Sectional Study ◽

Cross Sectional ◽

Home Based ◽

Accredited Social Health Activist ◽

Postnatal Mothers

Background: The post-natal period is the most critical time for the mother and the newborn. Most of the maternal deaths occur in first month of life. Based on these facts Government of India took an initiative, home based postnatal care (HBPNC), to follow up postnatal mothers and newborns for first six weeks. The present study assessed the quality of HBPNC provided by accredited social health activist (ASHA) workers and various factors associated with it.Methods: This cross-sectional study was conducted under Community Health Center, Dubaldhan in block Beri of Haryana. A total of 60 ASHA workers were visited and all the postnatal mothers under the supervision of each ASHA worker were included in the study. In this way 264 postnatal mothers were contacted. A scoring system was used to assess the quality of HBPNC given by ASHA worker.Results: Majority of ASHA workers were not able to record temperature and weight of the baby correctly. Regarding care of cord and danger signs in newborn only half (50%) of the mothers were counselled, whereas, only 48% mothers were counseled regarding care of eyes. Statistically significant association of quality of newborn care with education and training attended by ASHA workers was seen.Conclusions: Our study confirmed that most of the new born babies were not getting good quality of home based newborn care. Recent training attended by ASHA worker is highly associated with providing good quality newborn care to babies by ASHA workers.

Download Full-text