scholarly journals Analysis of Obstetric Near Miss Cases of Different Health Facilities of Electoral Constituency Two of Arghakhanchi District

2014 ◽  
Vol 9 (2) ◽  
pp. 38-41
Author(s):  
S R Manandhar ◽  
D S Manandhar ◽  
D Adhikari ◽  
J R Shrestha ◽  
C Rai ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Health Facility ◽  
Post Partum ◽  
Placental Tissue ◽  
Health Facilities ◽  
Near Miss ◽  
Common Complication ◽  
Obstructed Labor ◽  
Health Facility Staff ◽  
Facility Staff

Aims: This study was done to identify and analyze obstetric near miss cases at health facilities of electoral constituency number 2 (EC 2) of Arghakhanchi district, Nepal. Methods: After receiving one day training on identifying obstetric near miss cases, health facility staff of EC 2 of Arghakhanchi district filled up WHO derived obstetric near miss forms for eight months duration. Causes of obstetric near miss cases were identified and analyzed in SPSS 16. Results: There were 31 obstetric near miss cases reported from different health facilities of EC 2 of Arghakhanchi. The commonest cause of obstetric near miss was Post-partum Hemorrhage (85%, n=26) followed by obstructed labor and ante partum hemorrhage (6%, n= 2) each. The leading cause of PPH was retained placenta/placental tissue in 55% cases (14) followed by atonic uterus (27%, n= 7). Two fifth of the mothers (39%, n=12) developed complication during labor. The most common complication developed after labor was hemorrhage. Conclusions: This study highlighted PPH as the most common serious obstetric problem in the health facilities and indicates the need for provision of blood transfusion at the health facility at least at Arghakhanchi. DOI: http://dx.doi.org/10.3126/njog.v9i2.11760

scholarly journals Determinant factors of maternal near miss in selected health facilities of Berak Woreda, Oromia national regional state, Ethiopia

2020 ◽  
Vol 6 (4) ◽  
pp. 131
Author(s):  
Bilal Abdulrazaq ◽  
Mulusew Getahun ◽  
Ahmed Mohammed ◽  
Shemsu Kedir ◽  
Negash Nurahmed ◽  
...  
Keyword(s):  
Sampling Technique ◽  
Simple Random Sampling ◽  
Health Facilities ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Outcome Variable ◽  
Obstructed Labor ◽  
Determinant Factors ◽  
Regional State ◽  
Maternal Health Policy

<p class="abstract"><strong>Background:</strong> Maternal near miss is one of the related concepts to maternal mortality where women survive merely by chance, luck, or by good hospital care. The present study was aimed to fill the prevailing knowledge gap on maternal near miss ratio and events and identify factors associated with near miss in selected health facilities of berak woreda. To determine associated factors of maternal near miss in selected health facilities of Berak woreda, Oromia national regional state, Ethiopia.  </p><p class="abstract"><strong>Methods:</strong> Institutional based case control study was conducted in selected health facilities of barek woreda to asses determinant factors of maternal near miss among delivered women. Data of 1272 (344 cases and 928 controls) women were included in the analysis registered from 11 September 2014 to 30 March 2018. Cases were women due to severe acute maternal morbidity while controls were women for normal labor. Simple random sampling technique was used in the delivery unit. The data were collected using WHO standard tool. Data were entered using epi data version 3.1 and exported to SPSSV.20 for data analysis.  </p><p class="abstract"><strong>Results:</strong> Majority of cases were due to obstructed labor 270 (78.8%) followed by hemorrhage 33 (9.6%), preeclampsia 29 (8.14%), abortion 6 (1.74%), anemia 3 (0.87%), congenital heart disease 2 (0.58%) and gestational infection 1 (0.29%).</p><p><strong>Conclusions:</strong> Independent variables residence, duration of labor, ANC utilization, past obstetrics complication and number of live births were statistically significant with the outcome variable near miss. Maternal health policy needs to be concerned preventing major cause of near miss.</p><strong id="tinymce" class="mceContentBody " dir="ltr"><em></em></strong>

scholarly journals Exploring the Use of Mobile Health to Improve Community-Based Health and Nutrition Service Utilization in the Hills of Nepal: Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Ajay Acharya ◽  
Kenda Cunningham ◽  
Shraddha Manandhar ◽  
Niva Shrestha ◽  
Mario Chen ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Health Facility ◽  
Text Message ◽  
Text Messages ◽  
Decision Makers ◽  
Mhealth Intervention ◽  
Health And Nutrition ◽  
Nutrition Service ◽  
Health Facility Staff ◽  
Facility Staff

BACKGROUND With mobile phone coverage and ownership expanding globally, mobile health (mHealth) interventions are increasingly being used to improve coverage and quality of health and nutrition services. However, evidence on mHealth intervention feasibility and factors to consider during program design is limited in low- and middle-income countries like Nepal. OBJECTIVE This study aimed to examine the potential of using text messages to improve health and nutrition services by exploring mobile phone ownership and sharing; mobile phone use and skills; and interest, preferences, and limitations regarding mHealth interventions. METHODS We conducted 35 in-depth interviews with 1000-day women (the period from conception to a child’s second birthday), health facility staff, and female community health volunteers (FCHVs), as well as eight focus group discussions with health facility staff, FCHVs, and 1000-day household decision-makers (ie, husbands, mothers-in-law, and fathers-in-law). We also conducted a mobile phone skills test. We employed thematic analysis using framework matrices and analytical memos. RESULTS The study included 70 study participants, of whom 68 (97%) had a mobile phone, and phone sharing was uncommon. Use of text messages was most commonly reported by 1000-day women and health facility staff than household decision-makers and FCHVs. More than 8 in 10 participants (54/64, 84%) could dial numbers, and the majority (28/34, 82%) of 1000-day women, health facility staff, and male decision-makers could also read and write text messages. We found that 1000-day women preferred educational and reminder messages, whereas health facility staff and FCHVs desired educational and motivational messages. Participants suggested different types of texts for 1000-day women, families, FCHVs, and health facility staff, and reported less value for texts received from unknown phone numbers. CONCLUSIONS A text message–based mHealth intervention is acceptable in the hills of Nepal and has the potential to improve community health and nutrition service utilization, particularly by sending meeting reminders and by providing information. Our findings contribute to text message–based mHealth intervention design in under-resourced settings.

scholarly journals HIV Stigma Reduction for Health Facility Staff: Development of a Blended- Learning Intervention

2018 ◽  
Vol 6 ◽  
Author(s):  
Laura Nyblade ◽  
Krishnamachari Srinivasan ◽  
Amanda Mazur ◽  
Tony Raj ◽  
Divya S. Patil ◽  
...  
Keyword(s):  
Staff Development ◽  
Blended Learning ◽  
Health Facility ◽  
Hiv Stigma ◽  
Stigma Reduction ◽  
Learning Intervention ◽  
Health Facility Staff ◽  
Facility Staff

scholarly journals Acceptability of community-based adherence clubs among health facility staff in South Africa: a qualitative study

2017 ◽  
Vol Volume 11 ◽  
pp. 1523-1531 ◽  
Author(s):  
Ndumiso Tshuma ◽  
Ofentse Mosikare ◽  
Jessica A Yun ◽  
Olufunke A Alaba ◽  
Meera S Maheedhariah ◽  
...  
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Health Facility ◽  
Community Based ◽  
Health Facility Staff ◽  
Facility Staff

scholarly journals Study of Severe Acute Maternal Morbidity (SAMM) in A Tertiary Care Hospital

2018 ◽  
Vol 8 (2) ◽  
pp. 58-62 ◽  
Author(s):  
Raunak Jahan ◽  
Md Shahadat Hossain ◽  
Sultana Afroj Shila ◽  
Lutfa Begum Lipi ◽  
Zobaida Sultana Susan ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Maternal Morbidity ◽  
Tertiary Care Hospital ◽  
Post Partum ◽  
Tertiary Care ◽  
Near Miss ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Severe Acute Maternal Morbidity

Background : Severe maternal morbidity also known as ‘near miss’ may be a good indicator of the quality and effectiveness of obstetric care, as it may identify priorities in maternal care more rapidly than mortality alone.Objective : The objectives of this study was to observe the pattern of severe acute maternal morbidity (SAMM) and its associated factors in a tertiary care hospital.Study design and setting : This descriptive cross-sectional study was done from August 2011 to February 2012 at Dhaka Medical College Hospital (DMCH), which is a tertiary care hospital in Dhaka city.Methods : A total 100 consecutive cases of SAMM were taken from Obstetrics and Gynaecology department of DMCH. Five factor scoring system was used to identify the SAMM cases from all the severe obstetric morbidity. For each case of SAMM, data was collected on a) Nature of obstetric complication(s) b) Units of blood transfusion c) Presence of organ-system dysfunction/ failure d) ICU admission e) Length of hospital stay.Results : In this study severe acute maternal morbidities occur in a prevalence of 2.68% and ratio of maternal death was 6.43 per 1000 deliveries. The most frequent primary obstetric factors of severe morbidity detected in this sample were post partum hemorrhage (29%), eclampsia (24%) and sepsis (16%). Other causes were ectopic pregnancy (8%), obstructed labour (7%), ante-partum hemorrhage (5%), abortion (4%), ruptured uterus (3%), anesthetic complication (2%) and miss matched blood transfusion (2%).Conclusion : This study suggests that the treatment of SAMM cases may be improved by developing evidence-based protocols for the management of hemorrhage, eclampsia and infection.J Shaheed Suhrawardy Med Coll, December 2016, Vol.8(2); 58-62

scholarly journals Exploring the Use of Mobile Health to Improve Community-Based Health and Nutrition Service Utilization in the Hills of Nepal: Qualitative Study

10.2196/17659 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e17659
Author(s):  
Ajay Acharya ◽  
Kenda Cunningham ◽  
Shraddha Manandhar ◽  
Niva Shrestha ◽  
Mario Chen ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Health Facility ◽  
Text Message ◽  
Text Messages ◽  
Decision Makers ◽  
Mhealth Intervention ◽  
Health And Nutrition ◽  
Nutrition Service ◽  
Health Facility Staff ◽  
Facility Staff

Background With mobile phone coverage and ownership expanding globally, mobile health (mHealth) interventions are increasingly being used to improve coverage and quality of health and nutrition services. However, evidence on mHealth intervention feasibility and factors to consider during program design is limited in low- and middle-income countries like Nepal. Objective This study aimed to examine the potential of using text messages to improve health and nutrition services by exploring mobile phone ownership and sharing; mobile phone use and skills; and interest, preferences, and limitations regarding mHealth interventions. Methods We conducted 35 in-depth interviews with 1000-day women (the period from conception to a child’s second birthday), health facility staff, and female community health volunteers (FCHVs), as well as eight focus group discussions with health facility staff, FCHVs, and 1000-day household decision-makers (ie, husbands, mothers-in-law, and fathers-in-law). We also conducted a mobile phone skills test. We employed thematic analysis using framework matrices and analytical memos. Results The study included 70 study participants, of whom 68 (97%) had a mobile phone, and phone sharing was uncommon. Use of text messages was most commonly reported by 1000-day women and health facility staff than household decision-makers and FCHVs. More than 8 in 10 participants (54/64, 84%) could dial numbers, and the majority (28/34, 82%) of 1000-day women, health facility staff, and male decision-makers could also read and write text messages. We found that 1000-day women preferred educational and reminder messages, whereas health facility staff and FCHVs desired educational and motivational messages. Participants suggested different types of texts for 1000-day women, families, FCHVs, and health facility staff, and reported less value for texts received from unknown phone numbers. Conclusions A text message–based mHealth intervention is acceptable in the hills of Nepal and has the potential to improve community health and nutrition service utilization, particularly by sending meeting reminders and by providing information. Our findings contribute to text message–based mHealth intervention design in under-resourced settings.

Health Facility Staff Training for Improving Breastfeeding Outcome: A Systematic Review for Step 2 of the Baby-Friendly Hospital Initiative

2017 ◽  
Vol 12 (9) ◽  
pp. 537-546 ◽  
Author(s):  
Olukunmi O. Balogun ◽  
Amarjargal Dagvadorj ◽  
Jennifer Yourkavitch ◽  
Katharina da Silva Lopes ◽  
Maiko Suto ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Facility ◽  
Staff Training ◽  
Baby Friendly Hospital Initiative ◽  
Health Facility Staff ◽  
Facility Staff

scholarly journals Neonatal Near Miss Cases of Different Health Facilities

2014 ◽  
Vol 34 (2) ◽  
pp. 115-118 ◽  
Author(s):  
Sunil Raja Manandhar ◽  
Dharma S Manandhar ◽  
Dhruba Adhikari ◽  
Jyoti Raj Shrestha ◽  
Chandra Rai ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Health Facility ◽  
Very Low Birth Weight ◽  
Birth Asphyxia ◽  
Newborn Care ◽  
Health Facilities ◽  
Near Miss ◽  
Research Activities ◽  
Neonatal Near Miss

Introduction: The near miss concept and the criterion-based clinical audit are proposed as useful approaches for obtaining such information in newborn health care. There is currently no Standard definition and criteria for neonatal near miss especially for the community level intervention. Thus, lifesaving interventions could be an entry point to initiate the development of the neonatal near-miss definition. Mother and Infants Research Activities and Health Right International (HRI) developed a new tool for assessing neonatal near miss cases based on the Community based newborn care package programme. This is a part of operational research programme on strengthening the health facilities of Electoral constituency No; 2 of Arghakhanchi district of Nepal. The objective of this study was to identify and analyze neonatal near miss cases at different health facilities of Electoral constituency No; 2 of Arghakhanchi district, Nepal.Materials and Methods: One day of training on identifying neonatal near miss cases was given by an expert at Arghakhanchi district hospital to the health facilities staff in two groups. Health facility staffs were trained on identifying neonatal near miss cases and completing the modified neonatal near miss case forms. Neonatal near miss cases were documented for nine months period.Results: There were a total of 28 cases of neonatal near miss reported from different health facilities. Among them, 90% babies were delivered at health facility and 72% babies were of normal birth weight. Low birth weight incidence is 21% among near miss cases. Neonatal near miss contributed possible severe bacterial infection/ severe infection 47%, birth asphyxia in 43% cases and very low birth weight 7%.Conclusions: Birth asphyxia and PSBI were the two most common causes of neonatal near miss in the health facilities of Arghakhanchi district. There is a need to improve the quality of neonatal care in health facilities to properly manage these neonatal near miss cases which were referred to higher centre.DOI: http://dx.doi.org/10.3126/jnps.v34i2.9880J Nepal Paediatr Soc 2014;34(2):115-118  

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