New Signal Functions to Measure the Ability of Health Facilities to Provide Routine and Emergency Newborn Care

Gabrysch, Sabine; Civitelli, Giulia; Edmond, Karen; Mathai, Matthews; Ali, Moazzam; Bhutta, Zulfiqar Ahmed; Campbell, Oona M. R.

doi:10.1371/journal.pmed.1001340

Cited by 113 publications

(159 citation statements)

References 6 publications

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“…65 This is one of the first studies to assess the availability of EmNC signal functions in Bangladesh. Studies on signal functions for EmNC are relatively new, 23,24,68 and not as well established as studies on signal functions for EmOC. 61,63,[68][69][70][71] In addition, previous studies on signal functions were not based on national-level data.…”

Section: Discussionmentioning

confidence: 99%

“…We evaluated signal functions for EmOC and EmNC based on existing literature [22][23][24] and defined availability of signal functions based on the definition used by WHO and Averting Maternal Death and Disability Program 22 : a health facility was considered to have provided a signal function if the procedure for the signal function had been performed at the facility within 3 months before survey.…”

Section: Methodsmentioning

confidence: 99%

“…Information about more advanced signal functions (EmOC: surgery including caesarean section with anesthesia, blood transfusion; EmNC: intravenous fluids, safe administration of oxygen) representing comprehensive EmONC, was not collected in this study. 23,24 We categorized the health facilities by quality level based on composite criteria used in recent studies conducted in low-income settings. 23,24 The quality categories serve to indicate the ability to provide care for common obstetric and newborn emergencies and make referrals if needed.…”

Section: Methodsmentioning

confidence: 99%

“…23,24 We categorized the health facilities by quality level based on composite criteria used in recent studies conducted in low-income settings. 23,24 The quality categories serve to indicate the ability to provide care for common obstetric and newborn emergencies and make referrals if needed. The criteria for quality levels included the number of signal functions provided in the 3 months before the survey, staffing, and availability of ambulance and phone-the basic necessities for referring patients to more advanced health facilities (Table 1).…”

Section: Methodsmentioning

confidence: 99%

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Availability and Quality of Emergency Obstetric and Newborn Care in Bangladesh

Wichaidit

Alam

Halder

et al. 2016

The American Society of Tropical Medicine and Hygiene

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Abstract. Bangladesh's maternal mortality and neonatal mortality remain unacceptably high. We assessed the availability and quality of emergency obstetric care (EmOC) and emergency newborn care (EmNC) services at health facilities in Bangladesh. We randomly sampled 50 rural villages and 50 urban neighborhoods throughout Bangladesh and interviewed the director of eight and nine health facilities nearest to each sampled area. We categorized health facilities into different quality levels (high, moderate, low, and substandard) based on staffing, availability of a phone or ambulance, and signal functions (six categories for EmOC and four categories for EmNC). We interviewed the directors of 875 health facilities. Approximately 28% of health facilities did not have a skilled birth attendant on call 24 hours per day. The least commonly performed EmOC signal function was administration of anticonvulsants (67%). The quality of EmOC services was high in 33% and moderate in 52% of the health facilities. The least common EmNC signal function was kangaroo mother care (7%). The quality of EmNC was high in 2% and moderate in 33% of the health facilities. Approximately one-third of health facilities lack 24-hour availability of skilled birth attendants, increasing the risk of peripartum complications. Most health facilities offered moderate to high quality services for EmOC and low to substandard quality for EmNC.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Availability and Quality of Emergency Obstetric and Newborn Care in Bangladesh

Wichaidit

Alam

Halder

et al. 2016

The American Society of Tropical Medicine and Hygiene

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“…These are needed to determine population level access to health care, however respondents often cannot report on quality measures, especially for clinical care [17]. Data on quality of care are also drawn from health facility readiness assessments [18]. These can provide estimates of readiness to provide good quality clinical care, but do not provide a population level denominator.…”

mentioning

confidence: 99%

Linking data sources for measurement of effective coverage in maternal and newborn health: what do we learn from individual- vs ecological-linking methods?

Willey¹,

Waiswa²,

Kajjo³

et al. 2018

Journal of Global Health

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Building financial management capacity for community ownership of development initiatives in rural Zambia

Sakanga

Chastain

McGlasson

et al. 2019

Health Planning & Management

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Summary Background Building financial management capacity is increasingly important in low‐ and middle‐income countries to help communities take ownership of development activities. Yet, many community members lack financial knowledge and skills. Methods We designed and conducted financial management trainings for 83 members from 10 community groups in rural Zambia. We conducted pre‐training and post‐training tests and elicited participant feedback. We conducted 28 in‐depth interviews over 18 months and reviewed financial records to assess practical application of skills. Results The training significantly improved knowledge of financial concepts, especially among participants with secondary education. Participants appreciated exercises to contextualize financial concepts within daily life and liked opportunities to learn from peers in small groups. Language barriers were a particular challenge. After trainings, sites successfully adhered to the principles of financial management, discussing the benefits they experienced from practicing accountability, transparency, and accurate recordkeeping. Conclusion Financial management trainings need to be tailored to the background and education level of participants. Trainings should relate financial concepts to more tangible applications and provide time for active learning. On‐site mentorship should be considered for a considerable time. This training approach could be used in similar settings to improve community oversight of resources intended to strengthen developmental initiatives.

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New Signal Functions to Measure the Ability of Health Facilities to Provide Routine and Emergency Newborn Care

Abstract: Based upon an expert survey and consensus method, Sabine Gabrysch and colleagues recommend new signal functions to monitor and track facilities' provision of routine and emergency newborn care.

Cited by 113 publications

References 6 publications

Availability and Quality of Emergency Obstetric and Newborn Care in Bangladesh

Availability and Quality of Emergency Obstetric and Newborn Care in Bangladesh

Linking data sources for measurement of effective coverage in maternal and newborn health: what do we learn from individual- vs ecological-linking methods?

Building financial management capacity for community ownership of development initiatives in rural Zambia

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