Maternal and Newborn Health Care Providers’ Preparedness for Provisions of Emergency Obstetric and Newborn Care
International Journal of Clinical Dermatology
Volume 1, Issue 1, June 2018, Pages: 9-14
Received: May 19, 2018;
Accepted: Jun. 1, 2018;
Published: Jul. 3, 2018
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Girma Alemu Wami, Department of Advanced Adult Health Nursing, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia
Olayemi Oladapo, Department of Obstetrics and Gynecology, University College Hospital, University of Ibadan, Ibadan, Nigeria
Emergency Obstetric and Newborn Care (EmONC) is a life-saving approach for mother and newborn experiencing complications during pregnancy, childbirth and or postpartum period. Like other developing countries, Ethiopia has high maternal and neonatal mortality (353/100,000 live births and 28/1000 live births respectively by 2015) where majority of them are due to lack of timely, effective, and accessible EmONC services. Even though Addis Ababa, Harar and Dire Dawa have met the WHO minimum requirements of EmONC service in terms of Availability and Accessibility unlike other regions, the report shows that the quality of care provided was highly compromised and mainly associated with poor providers’ competence. A cross-sectional study design was employed in purposively selected health care facilities in Dire Dawa city to assess providers’ level of knowledge, skills and confidence for provision of quality EmONC. The study used self-administered standardized questionnaire. Information letters, consent forms and questionnaires was handled to potential participants by research assistants. Data was coded, cleaned and entered using Epi Info 7 (184.108.40.206) and analyzed using SPSS version 20 for descriptive and inferential statistics. The finding of this study reveals that, out of 52 maternal and newborn health care providers filling questionnaires, majority (67.35%) of providers were untrained, where large numbers (38.5%) were reported from Health centers. Forty-five (86.04%) were reported of having sufficient knowledge of EmONC; while 31 (59.4%) and 46 (88.45%) reported of having adequate skills and confidence of performing major EmONC procedures, respectively. In conclusion, Even though there is a significant variation based on clinicians’ place of work and year of work experience, providers’ knowledge, skills and confidence were adequate. But, gaps in trained and specialized MNCPs were highly contributing to lack of improvements in quality of EmONC in Dire Dawa. Thus, the findings bear considerable implications for policy and local priorities.
Girma Alemu Wami,
Maternal and Newborn Health Care Providers’ Preparedness for Provisions of Emergency Obstetric and Newborn Care, International Journal of Clinical Dermatology.
Vol. 1, No. 1,
2018, pp. 9-14.
WHO. Maternal mortality 2014on september 5th, 2015].
WHO, U., UNFPA, The World Bank, and the United Nations Population Division, " Trends in Maternal Mortality": 1990 to 2015 Geneva, Switzerland: World Health Organization. Available at http://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/. 2015.
WHO. “Global Health Observatory: Infant Mortality Situation and Trends”.2013on September 6th, 2015].
WHO, Global trends report on maternal and neonatal morbidity and mortality. 2014: Geneva, Australia.
International, S. t. c. Ending new born death: ensuring everybody survives.2014retrieved on sep 03, 2015].
Essendi H, M. S. a. F. J. C., Barriers to formal emergency obstetric care services' utilization. Journal of Urban Health, 2011. 88(Suppl 2): p. S356-69.
UN. The Millennium Development Goals Report 2014.2015on April 01, 2016].
CSA, E. Mini Ethiopia Demographic and Health Survey 2014 2014on April 02, 2016].
Alemnesh H Mirkuzie, M. M. S., Alemnesh Tekelebirhan Reta and Mulu Muleta Bedane, Current evidence on basic emergency obstetric and newborn care services in Addis Ababa, Ethiopia: A cross sectional study. BMC pregnancy and childbirth, 2014. 14(354).
FDREMOH, Health Sector Development Program IV 2010/11 – 2014/15 Final Draft. Oct 2010, Available at https://www.google.com.et/search?hl=am&ie=UTF&q=Ethiopian+health+sector+development+program+IVaccessed on 5th Dec, 2015. p. 48.
EFMOH, U., UNICEF, WHO, Averting Maternal Death and Disablity (AMDD): National Baseline Assessment for Emergency Obstetric & Newborn Care 2008. 22 Aug 2011, Available at https://www.researchgate.net/publication/51590642_Ethiopia's_assessment_of_emergency_obstetric_and_newborn_care_setting_the_gold_
WHO, "Trends in maternal mortality": 1990 to 2010WHO, UNICEF, UNFPA and The World Bank estimate. Available at: http://www.who.int/about/licensing/copyright_form/en/index.html. Accessed on sep 5th, 2015. 2012.
Suen LJ, H. H., Lee HH, A comparison of convenience sampling and purposive sampling. Hu Li ZaZhi, 2014. 61(3): p. 105-11.
Bayley O, C. T., Nambiar B, Costello A, Kachale F, Meguid T, Mwansambo C, Knowledge and perceptions of quality of obstetric and newborn care of local health providers: a cross-sectional study in three districts in Malawi. M med jour obs & newborn care 105, 2013. 22(4): p. 105-8.
Penny s, M. S. F., Training initiatives for essential obstetric care in developing countries: a ‘ State of the art’ review. BMC Health Policy Planning, 2000. 15: p. 386-93.
Omrana Pasha, R. L. G. e. a., Communities birth attendants and health facilities: a continuum of emergency maternal and newborn care (the global network’s EmONC trail). BMC pregnancy and childbirth, 2010. 10(82): p. pp.2.
Traore M, A. C., Schoemaker-Marcotte C, Coulibaly A, Huchon C, Dumont A, Fournier P, Obstetric competence among primary healthcare workers in Mali. Int J Gynaecol Obstet, 2014. 126(1): p. 50-5.
Dilys Walker, S. C., Jimena Fritz, Marisela Olvera, Hector Lamadrid-Figueroa, Jessica Greenberg Cowan, Dolores Gonzalez Hernandez, Julia C Dettinger and Jenifer O Fahey, Team training in obstetric and neonatal emergencies using highly realistic simulation in Mexico: impact on process indicators. BMC pregnancy and Childbirth, 2014. 14: p. 367.
Dilys M. Walker, F. H., Sarah T. Zelek, Marisela Olvera-Garcia, Airain Montoya-Rodriguez, Jimena Fritz, Jenifer Fahey, Hector Lamadrid-Figueroa, Susanna Cohen and Edgar Kestler, A process evaluation of PRONTO simulation training for obstetric and neonatal emergency response teams in Guatemala. BMC Medical Education, 2015. 15: p. 117.
Alemnesh H. Mirkuzie, M. M. S. a. M. M. B., Standard Basic Emergency Obstetric and Neonatal Care training in Addis Ababa; trainees reaction and Knowledge Acquisition.. BMC recruitment medical education, 2014. 14: p. 201.