scholarly journals Can the Timed and Targeted Counseling Model Improve the Quality of Maternal and Newborn Health Care? A Process Analysis in the Rural Hoima District in Uganda

2021 ◽  
Vol 18 (9) ◽  
pp. 4410
Author(s):  
Geoffrey Babughirana ◽  
Sanne Gerards ◽  
Alex Mokori ◽  
Isaac Charles Baigereza ◽  
Alex Mukembo ◽  
...  
Keyword(s):  
Health Care ◽  
Newborn Care ◽  
Newborn Health ◽  
Maternal And Newborn Health ◽  
Pregnancy And Childbirth ◽  
Care Practices ◽  
Village Health ◽  
Maternal And Newborn ◽  
Village Health Teams

Each year, more than half a million women die worldwide from causes related to pregnancy and childbirth, and nearly 4 million newborns die within 28 days of birth. In Uganda, 15 women die every single day from pregnancy and childbirth-related causes, 94 babies are stillborn, and 81 newborn babies die. Cost-effective solutions for the continuum of care can be achieved through Village Health Teams to improve home care practices and health care-seeking behavior. This study aims at examining the implementation of the timed and targeted counseling (ttC) model, as well as improving maternal and newborn health care practices. We conducted a quantitative longitudinal study on pregnant mothers who were recruited on suspicion of the pregnancy and followed-up until six weeks post-delivery. The household register was the primary data source, which was collected through a secondary review of the ttC registers. All outcome and process variables were analyzed using descriptive statistics. The study enrolled 616 households from 64 villages across seven sub-counties in Hoima district with a 98.5% successful follow-up rate. Over the course of the implementation period of ttC, there was an increase of 29.6% in timely 1st antenatal care, 28.7% in essential newborn care, 25.5% in exclusive breastfeeding, and 17.5% in quality of antenatal care. All these improvements were statistically significant. The findings from this study show that the application of the ttC model through Village Health Teams has great potential to improve the quality of antenatal and newborn care and the health-seeking practices of pregnant and breastfeeding mothers in rural communities.

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

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.

scholarly journals Maternal and Newborn Health Care Practices in Rural Bangladesh

KYAMC Journal ◽  
2017 ◽  
Vol 5 (1) ◽  
pp. 453-457
Author(s):  
Md Mostaque Hossain Ansari ◽  
Sailendra Nath Biswas ◽  
Rubaiyat Farzana Hussain ◽  
Shariful Hasan Ripon ◽  
M Nazmul Hossain
Keyword(s):  
Health Care ◽  
Birth Weight ◽  
Service Providers ◽  
Newborn Health ◽  
Home Delivery ◽  
Reproductive Age ◽  
Maternal And Newborn Health ◽  
Health Care Practices ◽  
Care Practices ◽  
Maternal And Newborn

Maternal and child health indicators have improved in Bangladesh but still pregnancy and child birth related complications are the leading causes of death of mother and children. Practices associated with these mortality reductions are not followed similarly throughout the country. This descriptive study was carried out to examine the prevalence of maternal and newborn-care practices in the rural area of Bangladesh. Face to face interview was conducted to collect data using closed end questionnaire from the purposively selected 589 women of reproductive age having at least one child. SPSS version 16 software was used for computation and analysis of data. Among the respondents, 58.4% received ANC visits but only 32.3% had completed minimum required visits ( 3). Effective immunization of mothers against tetanus was 93.3%. Home delivery incidence was 72.3 % and 92.2% of all deliveries were attended by trained health professionals. Only 17.0% got PNC visits. Birth weight recording coverage was only 34.5%. Maternal and newborn health care practices could not be eulogized for low coverage of ANC, PNC, birth weight recording and high incidence of home delivery. Recommendations were made to improve the quality of MCH service and service providers and to strengthen the motivational program for community participation.KYAMC Journal Vol. 5, No.-1, Jul 2014, Page 453-457

scholarly journals Quality of maternal and newborn health care in Ethiopia: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abera Biadgo ◽  
Aynalem Legesse ◽  
Abiy Seifu Estifanos ◽  
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.

scholarly journals Approaches to improve the quality of maternal and newborn health care: an overview of the evidence

2014 ◽  
Vol 11 (Suppl 2) ◽  
pp. S1 ◽  
Author(s):  
Anne Austin ◽  
Ana Langer ◽  
Rehana A Salam ◽  
Zohra S Lassi ◽  
Jai K Das ◽  
...  
Keyword(s):  
Health Care ◽  
Newborn Health ◽  
Maternal And Newborn Health ◽  
Maternal And Newborn

scholarly journals Assessment of quality of care in maternal and newborn health services available in public health care facilities in Bangladesh

2009 ◽  
Vol 35 (2) ◽  
pp. 53-56 ◽  
Author(s):  
Sameena Chowdhury ◽  
Syed Akram Hossain ◽  
Abdul Halim
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Providers ◽  
Information Exchange ◽  
Newborn Health ◽  
Health Care Facilities ◽  
Maternal And Newborn Health ◽  
Care Providers ◽  
Maternal And Newborn

The study was conducted using the exit interview with patients (n=120), in depth interview with health care providers (n=87) and focus group discussion (n=16) with stakeholders to assess the perceived level of quality of care in maternal and newborn health at public facilities in Bangladesh.  Both clients and providers expressed dissatisfaction for inadequate quality of care represented by poor cleanliness, long waiting time with less consultation time, poor compassion by providers, inadequate supply of drugs and unnoticed cost for services varied by level of facilities. Inadequacy in human resource and absenteeism and poor laboratory service were reported to worsen the condition especially at lower level of service delivery. Thus this study explored some important factors like poor quality of care, inadequate technical competencies, information exchange and follow-up services. A deficit in supplies and logistics are strong barrier in regards to quality of care at various levels which needs to be addressed immediately.Keywords: Bangladesh; Maternal health; Newborn health; Quality of careOnline: 13 August 2009DOI: 10.3329/bmrcb.v35i2.3044Bangladesh Med Res Counc Bull 2009; 35: 53-56 

scholarly journals Using mHealth to Improve Timeliness and Quality of Maternal and Newborn Health in the Primary Health Care System in Ethiopia

2021 ◽  
Author(s):  
Zeleke Yimechew Nigussie ◽  
Nebreed Fesseha Zemicheal ◽  
Gizachew Tadele Tiruneh ◽  
Yibeltal Tebekaw Bayou ◽  
Getnet Alem Teklu ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care System ◽  
Newborn Health ◽  
Maternal And Newborn Health ◽  
Primary Health Care System ◽  
Primary Health ◽  
Maternal And Newborn ◽  
Care System
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