The Availability of Emergency Obstetric Care in Birthing Centres in Rural Nepal: A Cross-sectional Survey

The Availability of Emergency Obstetric Care in Birthing Centres in Rural Nepal: A Cross-sectional Survey

Objective The purpose of this health system’s study is to assess the availability of Emergency Obstetric Care (EmOC) services in birthing centres in Taplejung District of eastern Nepal. Methods A cross-sectional survey was conducted in 2018 in all 16 public health facilities providing delivery servi...

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Bibliographic Details
Published in:Maternal and child health journal Vol. 24; no. 6; pp. 806 - 816
Main Authors: Banstola, Amrit, Simkhada, Padam, van Teijlingen, Edwin, Bhatta, Surya, Lama, Susma, Adhikari, Abisha, Banstola, Ashik
Format: Journal Article
Language:English
Published: New York Springer US 01-06-2020
Springer
Springer Nature B.V
Subjects:
Adolescent
Adult
Alternative birthing centers
Birthing Centers - organization & administration
Birthing Centers - statistics & numerical data
Births
Care and treatment
Childbirth & labor
Cross-Sectional Studies
Data collection
Emergency medical services
Emergency Medical Services - statistics & numerical data
Female
Gynecology
Health Care Surveys
Health facilities
Health services
Health Services Accessibility - statistics & numerical data
Hospitals
Hospitals, Rural
Humans
Labor, Complicated
Maternal & child health
Maternal and Child Health
Maternal mortality
Medical personnel
Medicine
Medicine & Public Health
Middle Aged
Nepal
Obstetrics
Obstetrics - organization & administration
Obstetrics - statistics & numerical data
Pediatrics
Population Economics
Pregnancy
Public Health
Questionnaires
Rural Health Services - statistics & numerical data
Services
Sociology
Surveys
Young Adult
Nepal
Signal functions
Birthing centres
Maternal health
Emergency obstetric care
Services utilisation
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Description
Summary:Objective The purpose of this health system’s study is to assess the availability of Emergency Obstetric Care (EmOC) services in birthing centres in Taplejung District of eastern Nepal. Methods A cross-sectional survey was conducted in 2018 in all 16 public health facilities providing delivery services in the district. Data collection comprised: (1) quantitative data collected from health workers; (2) observation of key items; and (3) record data extracted from the health facility register. Descriptive statistics were used to calculate readiness scores using unweighted averages. Results Although key health personnel were available, EmOC services at the health facilities assessed were below the minimum coverage level recommended by the World Health Organisation. Only the district hospital provided the nine signal functions of Comprehensive EmOC. The other fifteen had only partially functioning Basic EmOC facilities, as they did not provide all of the seven signal functions. The essential equipment for performing certain EmOC functions was either missing or not functional in these health facilities. Conclusions for Practice The Ministry of Health and Population and the federal government need to ensure that the full range of signal functions are available for safe deliveries in partially functioning EmOC health facilities by addressing the issues related to training, equipment, medicine, commodities and policy.
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ISSN:1092-7875
1573-6628
DOI:10.1007/s10995-019-02832-2