ArticleBulletin of the World Health Organization2017
Quality of routine essential care during childbirth: clinical observations of uncomplicated births in Uttar Pradesh, India.
Article in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Impact of Private Sector Delivery of Quality Care on Maternal, Newborn, and Child Health Outcomes in Low- and Middle-Income Countries: A Systematic Review.Annals of global health · 2025Pooled it
- Private sector quality of care for maternal, new-born, and child health in low-and-middle-income countries: a secondary review.Frontiers in global women's health · 2024Pooled it
- Experiences of private sector quality care amongst mothers, newborns, and children in low- and middle-income countries: a systematic review.BMC health services research · 2021Pooled it
- Perceived effectiveness and recommendations from a childbirth quality assurance and improvement programme in India's private sector: a qualitative evaluation using the RE-AIM framework.BMJ public health · 2025Article
- Implementing a quality improvement initiative for private healthcare facilities to achieve accreditation: experience from India.BMC health services research · 2023Article
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- Does Quality Certification Work? An Assessment of Manyata, a Childbirth Quality Program in India's Private Sector.Global health, science and practice · 2022Article
- Measuring the quality of antenatal care in a context of high utilisation: evidence from Telangana, India.BMC pregnancy and childbirth · 2022Article
- Association between timing and type of postnatal care provided with neonatal mortality: A large scale study from India.PloS one · 2022Article
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- Cesarean delivery in low- and middle-income countries: A review of quality of care metrics and targets for improvement.Seminars in fetal & neonatal medicine · 2021Review
- Article
- Cross-cultural validation and psychometrics' evaluation of women's experience of maternity care scale in French: the ESEM.BMC medical research methodology · 2020Article
- Beyond health system contact: measuring and validating quality of childbirth care indicators in primary level facilities of northern Ethiopia.Reproductive health · 2020Article
- Evidence-based intrapartum practice and its associated factors at a tertiary teaching hospital in the Philippines, a descriptive mixed-methods study.BMC pregnancy and childbirth · 2020Article
- Enabling change in public health services: Insights from the implementation of nurse mentoring interventions to improve quality of obstetric and newborn care in two North Indian states.Gates open research · 2020Article
- Article
- Results of a person-centered maternal health quality improvement intervention in Uttar Pradesh, India.PloS one · 2020Article
- Quality of maternity care provided by private sector healthcare facilities in three states of India: a situational analysis.BMC health services research · 2019Article
- Patient-experience during delivery in public health facilities in Uttar Pradesh, India.Health policy and planning · 2019Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
objectiveTo evaluate the quality of essential care during normal labour and childbirth in maternity facilities in Uttar Pradesh, India.
methodsBetween 26 May and 8 July 2015, we used clinical observations to assess care provision for 275 mother-neonate pairs at 26 hospitals. Data on 42 items of care were collected, summarized into 17 clinical practices and three aggregate scores and then weighted to obtain population-based estimates. We examined unadjusted differences in quality between the public and private facilities. Multilevel linear mixed-effects models were used to adjust for birth attendant, facility and maternal characteristics.
findingsThe quality of care we observed was generally poor in both private and public facilities; the mean percentage of essential clinical care practices completed for each woman was 35.7%. Weighted estimates indicate that unqualified personnel provided care for 73.0% and 27.0% of the mother-neonate pairs in public and private facilities, respectively. Obstetric, neonatal and overall care at birth appeared better in the private facilities than in the public ones. In the adjusted analysis, the score for overall quality of care in private facilities was found to be six percentage points higher than the corresponding score for public facilities.
conclusionIn 2015, the personnel providing labour and childbirth care in maternity facilities were often unqualified and adherence to care protocols was generally poor. Initiatives to measure and improve the quality of care during labour and childbirth need to be developed in the private and public facilities in Uttar Pradesh.
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