Observational studyBMC pregnancy and childbirth2019
Quality of maternal and newborn healthcare services in two public hospitals of Bangladesh: identifying gaps and provisions for improvement.
Observational study in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Article
- Article
- Integration of IPC/WASH critical conditions into quality of care and quality improvement tools and processes: Bangladesh case study.Antimicrobial resistance and infection control · 2024Article
- Critical issue in the identification of Down syndrome and its problems in Central Java, Indonesia: The fact of needing health care and better management.Intractable & rare diseases research · 2024Article
- Quality of maternal and newborn health services and their impact on maternal-neonatal outcome at a primary health center.Journal of family medicine and primary care · 2024Article
- Magnitude, disparity, and predictors of poor-quality antenatal care service: A systematic review and meta-analysis.SAGE open medicine · 2024Review
- Barriers Towards Obstetric Care Service Utilization in Ethiopia: An Explorative Qualitative Study.Ethiopian journal of health sciences · 2023Article
- Pregnant Women's Perceptions of the Quality of Antenatal Care in a Public Hospital in Punjab, Pakistan during COVID-19: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2023Article
- Measures to assess quality of postnatal care: A scoping review.PLOS global public health · 2023Article
- Effects of computerized decision support on maternal and neonatal health-worker performance in the context of combined implementation with performance-based incentivisation in Upper East Region, Ghana: a qualitative study of professional perspectives.BMC health services research · 2022Article
- Baseline assessment of the WHO/UNICEF/UNFPA maternal and newborn quality-of-care standards around childbirth: Results from an intermediate hospital, northeast Namibia.Frontiers in pediatrics · 2022Article
- "Frontiers in health services · 2022Article
- Household Survey Measurement of Newborn Postnatal Care: Coverage, Quality Gaps, and Internal Inconsistencies in Responses.Global health, science and practice · 2021Article
- Article
- Determinants, reasons for choice and willingness to recommend birthing facility among mothers in public and private health facilities in Ebonyi, Nigeria.The Pan African medical journal · 2021Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundHealthcare service delivery systems need to ensure standard quality of care (QoC) for achieving expected health outcomes. Although Bangladesh has a good healthcare service delivery system, there are major concerns about the quality of maternal and newborn health (MNH) care services, which is imperative for achievements in health. The study aimed to measure the QoC for different MNH services in two selected public health facilities of Bangladesh. This study also documented the specific areas of each care which needs intervention.
methodsThe study was conducted in two district-level public health facilities-a district hospital (DH) and a mother and child welfare centre (MCWC). A total of 228 cases of MNH services were observed by using contextualized checklist 'Standards-based Management and Recognition (S-BMR)' for 8 selected MNH care services. For scoring, performed activities were calculated as percentages of the total recommended activities and categorized as high (> 80%), moderate (50 to 80%), and low (< 50%).
resultsOverall QoC scores were moderate for each DH (54.8%), and MCWC (56.1%). In DH, the QoC score was high for blood transfusion (80.3%); moderate for maternal complications management (77.0%), caesarean section (CS) (65.6%), infection prevention (64.3%), sick newborn care (54.1%), and normal vaginal delivery (NVD) (52.6%); and low for antenatal care (ANC) (25.6%) and postnatal care (PNC) (19.0%). In MCWC, the QoC scores were high for infection prevention (83.0%); moderate for CS (76.5%) and NVD (59.8%); and low for ANC (36.9%) and PNC (24.5%).
conclusionsIn the study facilities, the QoC for MNH services is found to be unsatisfactory, particularly for ANC and PNC. Urgent initiative needs to be taken by introducing contextualized quality monitoring tools at health facilities, along with training of the care providers and introducing a quality monitoring system.
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