Evidence map›Paper›PMID 37161461›Full record

ArticleBMC health services research2023

Quality of obstetric and newborn care in health centers of Addis Ababa City: using the WHO quality framework.

Amaha Haile Abebe, Rose Mmusi-Phetoe

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
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

6 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
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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

2 authors at 2 institutions in 2 countries.

Amaha Haile AbebeYeroam Consultancy, Addis Ababa, Ethiopia. yeroam.consultancy@gmail.com.ORCID http://orcid.org/0000-0002-1858-090X
Rose Mmusi-PhetoeUniversity of South Africa, Pretoria, South Africa.ORCID http://orcid.org/0000-0001-5268-1942
École Nationale d'Administration et de Magistrature · CMUniversity of South Africa · ZA

Funding

University of South Africa 0000
6 · The paper itself

Abstract

objectiveThe study aims to assess the quality of obstetric and newborn care using the WHO quality framework.

designThe study used explanatory sequential mixed methods design.

settingThis study was conducted in 50 health centers in Addis Ababa city administration from January 25 to December 31, 2021.

methodsA total of 50 health centers were surveyed using a structured questionnaire and 500 women in the postpartum period were interviewed using a structured questionnaire. Delivery records of the 500 women were reviewed using a structured checklist. A total of 338 midwives were interviewed using a structured questionnaire. The quantitative data was analyzed using Statistical Package for Social Sciences (SPSS).

resultsThe study revealed that only a third of the 50 health centers were providing good quality care (a quality score ≥ 75%). All the health centers had the physical resources (100%) to deliver obstetric and newborn care. The majority of the health centers had a system for actionable information (92%), functional referral (80%), and providing dignified care (80%). On the other hand, only a few of the health centers met the quality threshold for effective communication (24%), evidence-based practice of routine obstetric and newborn care (36%), and availability of mechanisms to support and motivate skilled birth attendants (24%). None of the health centers met the quality threshold for emotional support during labour and delivery. Obstetric caregivers' high workload and job dissatisfaction were barriers to quality care.

conclusionEnsuring quality obstetric and newborn care needs effective quality improvement interventions that aim to ensure women had effective communication, emotional support, and dignity during labour and delivery. Reducing the workload and increasing motivation of birth attendants play a critical role in improving the quality of care.

Indexed as

Fitness CentersLabor, ObstetricChecklistEthiopiaFemaleHumansInfant, NewbornPregnancyWorld Health OrganizationActionable informationDignityEffective communicationEffective referral. emotional supportEvidence-based routine careQuality obstetric and newborn care

Identifiers

PMID37161461
PMCPMC10169211
OpenAlexW4376132195

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.