Quality of basic emergency obstetric and newborn care (BEmONC) services from patients’ perspective in Adigrat town, Eastern zone of Tigray, Ethiopia. 2017: a cross sectional study

Berhane, Betell; Gebrehiwot, Haftom; Weldemariam, Solomon; Fisseha, Berhane; Kahsay, Samson; Gebremariam, Abebe

doi:10.1186/s12884-019-2307-6

Cited by 19 publications

(41 citation statements)

References 10 publications

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“…Furthermore, this study nds key elements of inputs that are very necessary in the prevention of maternal and newborn deaths and enhancing the life of mothers and newborns were poorly available (15,24). These are issues that need to be addressed and there must be serious consideration on how to address these shortages as it can compromise the quality of maternal and newborn health care and may lead to maternal and newborn morbidity and mortality.…”

Section: Discussionmentioning

confidence: 90%

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

Biadgo¹,

Legesse

Seifu

et al. 2021

Preprint

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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.

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Section: Discussionmentioning

confidence: 90%

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

Biadgo¹,

Legesse

Seifu

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Furthermore, this study finds key elements of inputs that are very necessary in the prevention of maternal and newborn deaths and enhancing the life of mothers and newborns were poorly available [ 14 , 24 ]. These are issues that need to be addressed and there must be serious consideration on how to address these shortages as it can compromise the quality of maternal and newborn health care and may lead to maternal and newborn morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

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

Biadgo¹,

Legesse

Estifanos

et al. 2021

BMC Health Serv Res

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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.

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“…In many texts, home delivery is cited to be a risk factor for numerous bad obstetric outcomes including vertical MTCT of HIV [ 19 , 23 , 41 , 42 ]. A similar finding is observed in the current study.…”

Section: Discussionmentioning

confidence: 99%

“…In this regard, evidences showcase that noticeable vertical transmission is undertaken through malpractice in breastfeeding [ 15 , 16 ]. Therefore, MIF practice in the first six child's age is a very serious issue and totally unacceptable due to its great part in MTCT of HIV and other adverse health outcomes [ 6 – 10 , 17 – 19 ].…”

Section: Introductionmentioning

confidence: 99%

Mixed Infant Feeding Practice and Associated Factors among HIV-Positive Women under Care in Gondar City’s Public Health Facilities within Two Years Postpartum: A Cross-Sectional Study

Mihret

Asaye

Mengistu

et al. 2020

International Journal of Pediatrics

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Background. Mixed infant feeding practice remains a major setback for effective prevention of mother to child transmission of HIV program and updated evidences on this issue is essential for better interventions. Therefore, this study was aimed at assessing the proportion and associated factors of mixed infant feeding practice among HIV-positive women under care in public health institutions in Gondar city within two years postpartum, Ethiopia, 2017. Methods. A cross-sectional study was conducted on 485 HIV-positive women under care in Gondar City’s health facilities from May 1 to June 30/2017. Data were collected via interviewer administered questionnaire supplemented with chart review, entered into Epinfo version 7.0 and then exported to SPSS version 20.0. Both bivariable and multivariable analyses were done, and the statistical significance of each variable was claimed based on the adjusted odds ratio (AOR) with 95% confidence interval (CI) and its P value ≤0.05. Result. The proportion of HIV-positive women practicing mixed infant feeding was 21.6%. Whereas, about 73.8% and 4.5% of the mothers demonstrated exclusive breastfeeding and exclusive replacement feeding, respectively. Mixed infant feeding practice was independently predicted by lack of antenatal care (AOR=6.9; 95% CI: 3.4, 14.1) and home delivery (AOR=2.8; 95% CI: 1.4, 5.4). Conclusion. The magnitude of mixed infant feeding practice was higher than the reports of many other studies, and its predictors were connected to poor adherence to maternal health care service utilization. Hence, stakeholders need to work more on ANC and facility delivery service coverage.

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Quality of basic emergency obstetric and newborn care (BEmONC) services from patients’ perspective in Adigrat town, Eastern zone of Tigray, Ethiopia. 2017: a cross sectional study

Cited by 19 publications

References 10 publications

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

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

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

Mixed Infant Feeding Practice and Associated Factors among HIV-Positive Women under Care in Gondar City’s Public Health Facilities within Two Years Postpartum: A Cross-Sectional Study

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