ArticleBMC pregnancy and childbirth2017
Assessing emergency obstetric and newborn care: can performance indicators capture health system weaknesses?
Article in BMC pregnancy and childbirth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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18 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Barriers to access and utilization of emergency obstetric care at health facilities in sub-Saharan Africa: a systematic review of literature.Systematic reviews · 2018Pooled it
- Assessing health systems' capacities to provide post-abortion care: insights from seven low- and middle-income countries.Journal of global health · 2025Article
- A systematic review and meta-analysis protocol on knowledge of obstetric danger signs and associated factors among women in Africa.SAGE open medicine · 2023Article
- Effective Coverage of Emergency Obstetric and Newborn Care Services in Africa: A Scoping Review.Open access emergency medicine : OAEM · 2023Article
- A Sierra Leone 2021 Midwifery Clinical Training Needs Assessment: A Call to Action to Augment Clinical Precepting.Annals of global health · 2023Article
- Barriers and enablers to emergency obstetric and newborn care services use in Wolaita Zone, Southern Ethiopia: a qualitative case study.BMC public health · 2022Article
- Comparison of quality, birth outcomes, and service utilization between health facilities with and without maternity waiting homes in Liberia.Midwifery · 2022Article
- Satisfaction with comprehensive emergency obstetric and newborn care services and associated factors among clients in University of Gondar Specialized Hospital, Northwest Ethiopia: A cross-sectional study.SAGE open medicine · 2022Article
- Feasibility of task-sharing with community health workers for the identification, emergency management and referral of women with pre-eclampsia, in Mozambique.Reproductive health · 2021Article
- Situational Analysis of Management of Childhood Diarrhea and Pneumonia in 13 District Hospitals in India.Indian pediatrics · 2021Article
- Obstetrics Nursing and Medical Health System Based on Blockchain Technology.Journal of healthcare engineering · 2021Article
- Quality of intrapartum care: direct observations in a low-resource tertiary hospital.Reproductive health · 2020Observational
- "We do what we can do to save a woman" health workers' perceptions of health facility readiness for management of postpartum haemorrhage.Global health action · 2020Article
- A health systems strengthening intervention to improve quality of care for sick and small newborn infants: results from an evaluation in district hospitals in KwaZulu-Natal, South Africa.BMC pediatrics · 2019Article
- Barriers to access and utilization of emergency obstetric care at health facilities in sub-Saharan Africa-a systematic review protocol.Systematic reviews · 2018Article
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- Antenatal care and opportunities for quality improvement of service provision in resource limited settings: A mixed methods study.PloS one · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRegular monitoring and assessment of performance indicators for emergency obstetric and newborn care can help to identify priorities to improve health services for women and newborns. The aim of this study was to perform a district wide assessment of emergency obstetric and newborn care performance and identify ways for improvement.
methodsFacility assessment of 13 dispensaries, four health centers and one district hospital in a rural district in Tanzania was performed in two data collection periods in 2014. Assessment included a facility walk-through to observe facility infrastructure and interviews with facility in-charges to assess available services, staff and supplies. In addition facility statistics were collected for the year 2013. Results were discussed with district representatives.
resultsApproximately 65% of expected births took place in health facilities and 22% of women with complications were treated in facilities expected to provide emergency care. None of the facilities was, however, able to perform at the expected level for emergency obstetric and newborn care since not all required signal functions could be provided. Inadequate availability of essential drugs such as uterotonics, antibiotics and anticonvulsants as well as lack of ability to perform vacuum extraction and blood transfusion limited performance.
conclusionsPerformance of emergency obstetric and newborn care in Magu District was not in accordance with expected guidelines and highly influenced by lack of available resources and an insufficiently functioning health care system. Improving assessment approaches, to look beyond the signal functions, can capture weaknesses in the system and will help to understand poor performance and identify locally applicable ways for improvement.
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