Evidence map›Paper›PMID 31842926›Full record

ArticleBMC health services research2019

Quality of maternity care provided by private sector healthcare facilities in three states of India: a situational analysis.

Sanjay Tripathi, Ashish Srivastava, Parvez Memon, Tapas Sadasivan Nair, Parag Bhamare, Dinesh Singh, Vineet Srivastava

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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  12. Nationwide study of in-hospital maternal mortality in Ecuador, 2015-2022.Revista panamericana de salud publica = Pan American journal of public health · 2024
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  13. Review
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  20. Respectful Maternity Care Initiative: A Qualitative Study.Journal of obstetrics and gynaecology of India · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sanjay TripathiJhpiego an affiliate of Johns Hopkins University, Lucknow, Uttar Pradesh, India.
Ashish SrivastavaJhpiego - an affiliate of Johns Hopkins University, Jhpiego, 29, Okhla Phase 3, New Delhi, India. asheishsrivastava@gmail.com.ORCID http://orcid.org/0000-0003-3100-3581
Parvez MemonJhpiego an affiliate of Johns Hopkins University, Lucknow, Uttar Pradesh, India.
Tapas Sadasivan NairJhpiego - an affiliate of Johns Hopkins University, Jhpiego, 29, Okhla Phase 3, New Delhi, India.
Parag BhamareJhpiego - an affiliate of Johns Hopkins University, Mumbai, Maharashtra, India.
Dinesh SinghJhpiego - an affiliate of Johns Hopkins University, Ranchi, Jharkhand, India.
Vineet SrivastavaJhpiego - an affiliate of Johns Hopkins University, Jhpiego, 29, Okhla Phase 3, New Delhi, India.

Funding

Merck Sharp and Dohme MFM-150929-014691 TO1
6 · The paper itself

Abstract

backgroundBetter quality of care around the time of childbirth can significantly improve maternal and newborn survival. In countries like India, where the private sector contributes to a considerable proportion of institutional deliveries, it is important to assess the quality of maternity care offered by private sector healthcare facilities. This study seeks to fill that information gap by analysing baseline assessments conducted for the Manyata program, which aims to improve the quality of maternity care at private facilities.

methodsAn observation checklist based on 16 clinical standards endorsed by the Federation of Obstetric and Gynaecological Societies of India (FOGSI) was used to assess 201 private sector healthcare facilities in Maharashtra, Jharkhand, and Uttar Pradesh. Data on facility characteristics came from profiles completed when facilities enrolled in Manyata. Differences in the mean number of standards met were analysed by facility characteristics and the availability of essential supplies.

resultsAround half (47.1%) of all nursing staff engaged in maternity care services at these private healthcare facilities were under qualified. The mean number of clinical standards met by facilities was 3.2 (SD 2.4). Facilities with a monthly delivery load between 20 and 50 met a significantly higher number of standards, as did facilities that had more than 70% of essential supplies available. Both these factors were also significant in a multiple linear regression analysis.

conclusionsThe overall quality of maternity care in private healthcare facilities is poor in all three states, especially for clinical standards related to management of complications.

Indexed as

Quality of Health CareChecklistFemaleHealth Care SurveysHealth FacilitiesHumansIndiaInfant CareInfant, NewbornMaternal Health ServicesObstetricsPregnancyPrivate SectorFacility preparednessIntrapartum careMaternal healthPostpartum carePrivate sectorQuality improvementQuality of care

Identifiers

PMID31842926
PMCPMC6915998

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.