Mother–Baby Friendly Birthing Facilities Initiative

Lalonde, André B.; Miller, Suellen

doi:10.1016/j.ijgo.2014.11.002

Cited by 14 publications

(15 citation statements)

References 4 publications

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“…There are also existing global initiatives, such as the ENAP ,3 the Global Strategy for Women's, Children's and Adolescents' Health 40 and the Mother-Baby Friendly Birthing Facilities Initiative ,41 as well as new initiatives to encourage government accountability; these are not limited to increasing supply and demand for care but also focus on ensuring equitable care, an often neglected yet a critical objective of accountability 42. These initiatives provide frameworks for countries to assess gaps in their maternal, newborn and child health policies; service guidelines; and implementation plans, and to examine how they help health workers acquire, maintain and use their competencies.…”

Section: Discussionmentioning

confidence: 99%

Cross-sectional observational assessment of quality of newborn care immediately after birth in health facilities across six sub-Saharan African countries

et al. 2017

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ObjectiveTo present information on the quality of newborn care services and health facility readiness to provide newborn care in 6 African countries, and to advocate for the improvement of providers' essential newborn care knowledge and skills.DesignCross-sectional observational health facility assessment.SettingEthiopia, Kenya, Madagascar, Mozambique, Rwanda and Tanzania.ParticipantsHealth workers in 643 facilities. 1016 health workers were interviewed, and 2377 babies were observed in the facilities surveyed.Main outcome measuresIndicators of quality of newborn care included (1) provision of immediate essential newborn care: thermal care, hygienic cord care, and early and exclusive initiation of breast feeding; (2) actual and simulated resuscitation of asphyxiated newborn infants; and (3) knowledge of health workers on essential newborn care, including resuscitation.ResultsSterile or clean cord cutting instruments, suction devices, and tables or firm surfaces for resuscitation were commonly available. 80% of newborns were immediately dried after birth and received clean cord care in most of the studied facilities. In all countries assessed, major deficiencies exist for essential newborn care supplies and equipment, as well as for health worker knowledge and performance of key routine newborn care practices, particularly for immediate skin-to-skin contact and breastfeeding initiation. Of newborns who did not cry at birth, 89% either recovered on their own or through active steps taken by the provider through resuscitation with initial stimulation and/or ventilation. 11% of newborns died. Assessment of simulated resuscitation using a NeoNatalie anatomic model showed that less than a third of providers were able to demonstrate ventilation skills correctly.ConclusionsThe findings shared in this paper call attention to the critical need to improve health facility readiness to provide quality newborn care services and to ensure that service providers have the necessary equipment, supplies, knowledge and skills that are critical to save newborn lives.

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Section: Discussionmentioning

confidence: 99%

Cross-sectional observational assessment of quality of newborn care immediately after birth in health facilities across six sub-Saharan African countries

et al. 2017

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“…Maternity units should be supervised and certified when giving the appropriate standards of care, as has been proposed in the 2015 FIGO Guidelines for Mother-baby friendly birthing facilities. 54 At the educational level, the principles of human rights in childbirth and the discussion on obstetric violence and its impact on professionals, mothers, babies, and their families should be included in the curriculum in all relevant educational institutions (legal, medical, midwifery, nursing, and others), stressing its gender-related dimensions. 29 This is a necessary step because many aspects of obstetric violence are not questioned, they are taken for granted and naturalised.…”

Section: Recommendations For Actionmentioning

confidence: 99%

Moving beyond disrespect and abuse: addressing the structural dimensions of obstetric violence

Sadler¹,

Santos

Ruiz‐Berdún

et al. 2016

Reproductive Health Matters

357

232

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During recent decades, a growing and preoccupying excess of medical interventions during childbirth, even in physiological and uncomplicated births, together with a concerning spread of abusive and disrespectful practices towards women during childbirth across the world, have been reported. Despite research and policy-making to address these problems, changing childbirth practices has proved to be difficult. We argue that the excessive rates of medical interventions and disrespect towards women during childbirth should be analysed as a consequence of structural violence, and that the concept of obstetric violence, as it is being used in Latin American childbirth activism and legal documents, might prove to be a useful tool for addressing structural violence in maternity care such as high intervention rates, non-consented care, disrespect and other abusive practices.

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“…Many professional societies, international organisations and civil society groups have recently highlighted the need to address this problem, and promote respectful care practices at birth 4, 6, 7. The White Ribbon Alliance leads a global campaign to promote respectful maternity care 4.…”

mentioning

confidence: 99%

“…The White Ribbon Alliance leads a global campaign to promote respectful maternity care 4. The International Federation of Gynaecology and Obstetrics, the International Confederation of Midwives, White Ribbon Alliance, the International Paediatrics Association and the WHO have also recently launched the Mother–Baby Friendly Birthing Facilities Initiative, to provide facilities and health systems with actionable steps to improve respectful care at birth 6. In September 2014, WHO issued a statement on the prevention and elimination of disrespect and abuse during facility‐based childbirth,8 emphasising the rights of every woman to dignified, respectful care during childbirth, and the need for greater action, dialogue, research and advocacy by all health stakeholders on this issue.…”

mentioning

confidence: 99%