Evaluation of maternal and child health services in El-Minia City, Egypt

Awadalla, Hala; Kamel, Emad G.; Mahfouz, Eman; Refaat, Tahany Mahmoud

doi:10.1007/s10389-009-0255-8

Cited by 8 publications

(9 citation statements)

References 24 publications

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“…Expectations of mothers/caregiver may be low and do not always align with the best practice [32]. Consistent with the findings from another study in Bangladesh [33], waiting time was the key reason for dissatisfaction.…”

Section: Discussionsupporting

confidence: 77%

Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh

et al. 2017

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BackgroundIn 2011, the Bangladesh Government introduced the National Nutrition Services (NNS) by leveraging the existing health infrastructure to deliver nutrition services to pregnant woman and children. This study examined the quality of nutrition services provided during antenatal care (ANC) and management of sick children younger than five years.MethodsService delivery quality was assessed across three dimensions; structural readiness, process and outcome. Structural readiness was assessed by observing the presence of equipment, guidelines and register/reporting forms in ANC rooms and consulting areas for sick children at 37 primary healthcare facilities in 12 sub-districts. In addition, the training and knowledge relevant to nutrition service delivery of 95 healthcare providers was determined. The process of nutrition service delivery was assessed by observing 381 ANC visits and 826 sick children consultations. Satisfaction with the service was the outcome and was determined by interviewing 541 mothers/caregivers of sick children.ResultsStructural readiness to provide nutrition services was higher for ANC compared to management of sick children; 73% of ANC rooms had >5 of the 13 essential items while only 13% of the designated areas for management of sick children had >5 of the 13 essential items. One in five (19%) healthcare providers had received nutrition training through the NNS. Delivery of the nutrition services was poor: <30% of women received all four key antenatal nutrition services, 25% of sick children had their weight checked against a growth-chart and <1% had their height measured. Nevertheless, most mothers/caregivers rated their satisfaction of the service above average.ConclusionsStrengthening the provision of equipment and increasing the coverage of training are imperative to improve nutrition services. Inherent barriers to implementing nutrition services in primary health care, especially high caseloads during the management of sick under-five children, should be considered to identify alternative and appropriate service delivery platforms before nationwide scale up.

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Section: Discussionsupporting

confidence: 77%

Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh

et al. 2017

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“…Use of Environmentally induced diseases like malaria, pneumonia diarrhoea Centre 1 2 5 Evaluation of maternal and child health services in El-Minia City, Egypt. Awadalla, H.I., et al [ 32 ] Journal of Public Health, 2009. 17(5): p. 321–329.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 15 articles selected, 9 studies assessed the performance of the centre or the health system [ 31 , 32 , 34 , 36 , 37 , 39 – 44 ]. Satisfaction of patients, community, care providers and other stakeholders were the most common measures utilized for centre/health system performance assessment.…”

Section: Resultsmentioning

confidence: 99%

“…Satisfaction of patients, community, care providers and other stakeholders were the most common measures utilized for centre/health system performance assessment. The performance of the health system was assessed from the provider’s perspective (4 articles) [ 31 , 34 , 37 , 39 ], the consumer’s perspective (4 articles) [ 32 , 40 , 42 , 43 ] and both perspectives (2 article) [ 41 , 44 ] at various levels.…”

Section: Resultsmentioning

confidence: 99%

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Primary health Centres’ performance assessment measures in developing countries: review of the empirical literature

Sathyananda

Rijk

Manjunath³

et al. 2018

BMC Health Serv Res

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BackgroundIt is universally accepted that primary healthcare is essential for achieving public health and that assessment of its performance is critical for continuous improvement. The World Health Organization’s (WHO’s) framework for performance assessment is a comprehensive global standard, but difficult to apply in developing countries because of financial and data constraints. This study aims to review the empirical literature on measures for Primary Health Centre (PHC) performance assessment in developing countries, and compare them for comprehensiveness with the aspects described by the WHO Framework.MethodsResearch articles published in English scientific journals between January 1979 and October 2016 were reviewed systematically. The reporting quality of the article and the quality of the measures were assessed with instruments adapted for the purpose of this study. Data was categorized and described.ResultsFifteen articles were included in the study out of 4359 articles reviewed. Nine articles used quantitative methods, one article used qualitative methods exclusively and five used mixed methods. Fourteen articles had a good description of the measurement properties. None of the articles presented validity tests of the measures but eleven articles presented measures that were well established. Mostly studies included components of personnel competencies (skilled/ non-skilled) and centre performance (patient satisfaction/cost /efficiency).ConclusionsIn comparison to the WHO framework, the measures in the articles were limited in scope as they did not represent all service components of PHCs. Hence, PHC performance assessment should include system components along with relevant measures of personnel performance beyond knowledge of protocols. Existing measures for PHC performance assessment in developing countries need to be validated and concise measures for neglected aspects need to be developed.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3423-0) contains supplementary material, which is available to authorized users.

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“…Author Why excluded (Awadalla, Kamel, Mahfouz, & Refaat, 2009) Not specific to satisfaction about childbirth care (Benage, Greenough, Vinck, Omeira, & Pham, 2015) Not specific to satisfaction about childbirth care (Bougmiza et al, 2011) Not specific to satisfaction about childbirth care (Ghobashi & Khandekar, 2008) Not specific to satisfaction about childbirth care (Kamil & Khorshid, 2013) Not specific to satisfaction about childbirth care (Kempe, Noor-Aldin Alwazer, & Theorell, 2010) Women authority not satisfaction (R. Khresheh, 2010) No survey used (Reham Khresheh, Almalik, Owies, & Barclay, 2018) No survey used (Langer et al, 2002) Not specific to satisfaction about childbirth care (Maqsood, Oweis, & Hasna, 2012) Not specific to childbirth. All specialities were included (Monazea & Al-Attar, 2015) Full text was not accessible (Nassar et al, 2007) Focus on labour pain not overall experience (Ravi & Filani, 2002) A letter to the editor (D. E. E. Rizk, El-Zubeir, Al-Dhaheri, Al-Mansouri, & Al-Jenaibi, 2005) Not specific to satisfaction about childbirth care (Nazar P. Shabila, Ahmed, & Yasin, 2014) No survey used (N. P. Shabila, Ahmed, & Yasin, 2015) No survey used…”

Section: Competing Interests Statementmentioning

confidence: 99%

Arabic Language Surveys Measuring Mothers’ Satisfaction During Childbirth: A Review

Nadabi¹,

Mohammed²

2019

GJHS

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PURPOSE: To review Arabic surveys used to measure maternal satisfaction. METHODOLOGY: Peer-reviewed studies published in English and Arabic since 2000 were reviewed across eight databases. Surveys were assessed by: survey construction, reliability, and validity. FINDINGS: The seven studies that met the inclusion criteria were in English and included seven different Arabic surveys. Survey items ranged from eight to 32 and were translated from English (3/7) or were originally written in Arabic (4/7). Six surveys were pilot tested. Dimensions covered by the surveys varied but all measured satisfaction about providers’ interpersonal care. Internal reliability was reported for four surveys and none reported the test-re-test results. Three studies reported content validity, one reported face validity, one reported construct validity, and none reported criterion validity. Participants’ inclusion criteria varied but all studies excluded women with still births or obstetric complications. When surveyed within hospital (3/7), participants were approached within 72 hours after delivery while those surveyed outside the hospital were approached two weeks, seven weeks, or two months after discharge. Overall, the eight-item survey was found short, well tested with good psychometric properties. CONCLUSIONS: The psychometric properties of Arabic surveys were determined in limited settings, were not well reported, and varied. The eight-item survey is a well-tested survey with good psychometric properties. Furthermore, rigorous evaluation of Arabic surveys in different contexts with wider inclusion criteria is required. Our findings will promote further research in this area and will help enhance maternal experience with childbearing.

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Evaluation of maternal and child health services in El-Minia City, Egypt

Cited by 8 publications

References 24 publications

Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh

Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh

Primary health Centres’ performance assessment measures in developing countries: review of the empirical literature

Arabic Language Surveys Measuring Mothers’ Satisfaction During Childbirth: A Review

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