ArticleBMC health services research2020
Assessment of facility and health worker readiness to provide quality antenatal, intrapartum and postpartum care in rural Southern Nepal.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 32 papers.
What it found
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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.
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.
Postnatal Care and Services Utilization in Nepal: Use of mHealth Intervention in Improving Utilization of Postpartum Care
Evaluation of Maternal & Newborn Health Simulation Lab Centers of Excellence in Seven Referral Hospitals of Nepal
Effectiveness of Simulation-based Training Delivered to Special Newborn Care Providers on Resuscitation Management and Kangaroo Mother Care (STAR-Baby Trial)
Who cites it
32 citing papers in PubMed.
- Article
- A qualitative study of healthcare workers' living and working conditions in rural and urban areas of Senegal in the context of Universal Health Coverage: the ANRS-12399 Soignants Senegal study.Human resources for health · 2026Article
- Factors influencing decision-making for facility-based childbirth in rural Nepal: a qualitative study.BMJ public health · 2026Article
- Assessing urban-rural inequality in the primary healthcare system readiness to provide postpartum care for mothers and newborns in Burkina Faso: a Gini index decomposition analysis.International journal for equity in health · 2025Article
- Implementation status of the free newborn care program in Gandaki Province, Nepal.BMC health services research · 2025Article
- Article
- Quality Care Assessment of Maternal and Child Health Services Among Women in Sagar City: A Cross-Sectional Study.Cureus · 2025Article
- Assessment of healthcare facilities' readiness to provide antenatal care in Ethiopia: facility based study using service provision assessment data.Archives of public health = Archives belges de sante publique · 2025Article
- Article
- Primary Health Care Systems and Their Contribution to Universal Health Coverage and Improved Health Status in Seven Countries: An Explanatory Mixed-Methods Review.International journal of environmental research and public health · 2024Review
- Factors influencing the implementation of integrated screening for HIV, syphilis, and hepatitis B for pregnant women in Nepal: A qualitative study.PLOS global public health · 2024Article
- Factors affecting antenatal screening for HIV in Nepal: results from Nepal Demographic and Health Surveys 2016 and 2022.BMJ open · 2023Article
- Women's utilisation of quality antenatal care, intrapartum care and postnatal care services in Ethiopia: a population-based study using the demographic and health survey data.BMC public health · 2023Article
- Does Combining Antenatal Care Visits at Health Posts and Health Centers Improve Antenatal Care Quality in Rural Ethiopia?Ethiopian journal of health sciences · 2023Article
- Readiness of rural health facilities to provide immediate postpartum care in Uganda.BMC health services research · 2023Article
- Article
- Health worker perspectives on access to antenatal care in rural plains Nepal during the COVID-19 pandemic.PloS one · 2023Article
- Service readiness and availability of perinatal care in public hospitals - a multi-centric baseline study in Nepal.BMC pregnancy and childbirth · 2022Article
- Investigating health service availability and readiness for antenatal testing and treatment for HIV and syphilis in Papua New Guinea.BMC pregnancy and childbirth · 2022Article
- Best and worst performing health facilities: A positive deviance analysis of perceived drivers of primary care performance in Nepal.Social science & medicine (1982) · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundIncreased coverage of antenatal care and facility births might not improve maternal and newborn health outcomes if quality of care is sub-optimal. Our study aimed to assess the facility readiness and health worker knowledge required to provide quality maternal and newborn care.
methodsUsing an audit tool and interviews, respectively, facility readiness and health providers' knowledge of maternal and immediate newborn care were assessed at all 23 birthing centers (BCs) and the District hospital in the rural southern Nepal district of Sarlahi. Facility readiness to perform specific functions was assessed through descriptive analysis and comparisons by facility type (health post (HP), primary health care center (PHCC), private and District hospital). Knowledge was compared by facility type and by additional skilled birth attendant (SBA) training.
resultsInfection prevention items were lacking in more than one quarter of facilities, and widespread shortages of iron/folic acid tablets, injectable ampicillin/gentamicin, and magnesium sulfate were a major barrier to facility readiness. While parenteral oxytocin was commonly provided, only the District hospital was prepared to perform all seven basic emergency obstetric and newborn care signal functions. The required number of medical doctors, nurses and midwives were present in only 1 of 5 PHCCs. Private sector SBAs had significantly lower knowledge of active management of third stage of labor and correct diagnosis of severe pre-eclampsia. While half of the health workers had received the mandated additional two-month SBA training, comparison with the non-trained group showed no significant difference in knowledge indicators.
conclusionsFacility readiness to provide quality maternal and newborn care is low in this rural area of Nepal. Addressing the gaps by facility type through regular monitoring, improving staffing and supply chains, supervision and refresher trainings is important to improve quality.
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Registered trials
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.