Assessment of Obstetric and Neonatal Health Services in Developing Country Health Facilities
- Autores
- Manasyan, Albert; Saleem, Sarah; Koso Thomas, Marion; Althabe, Fernando; Pasha, Omrana; Chomba, Elwyn; Goudar, Shivaprasad S.; Patel, Archana; Esamai, Fabian; Garces, Ana; Kodkany, Bhala; Belizan, Jose; McClure, Elizabeth M.; Derman, Richard J.; Hibberd, Patricia; Liechty, Edward A.; Hambidge, K. Michael; Carlo, Waldemar A.; Buekens, Pierre; Moore, janet; Wright, Linda L.; Goldenberg, Robert L.
- Año de publicación
- 2013
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- OBJECTIVE: To describe the staffing and availability of medical equipment and medications and the performance of procedures at health facilities providing maternal and neonatal care at African, Asian, and Latin American sites participating in a multicenter trial to improve emergency obstetric/neonatal care in communities with high maternal and perinatal mortality. STUDY DESIGN: In 2009, prior to intervention, we surveyed 136 hospitals and 228 clinics in 7 sites in Africa, Asia, and Latin America regarding staffing, availability of equipment/medications, and procedures including cesarean section. RESULTS: The coverage of physicians and nurses/midwives was poor in Africa and Latin America. In Africa, only 20% of hospitals had full-time physicians. Only 70% of hospitals in Africa and Asia had performed cesarean sections in the last 6 months. Oxygen was unavailable in 40% of African hospitals and 17% of Asian hospitals. Blood was unavailable in 80% of African and Asian hospitals. CONCLUSIONS: Assuming that adequate facility services are necessary to improve pregnancy outcomes, it is not surprising that maternal and perinatal mortality rates in the areas surveyed are high. The data presented emphasize that to reduce mortality in these areas, resources that result in improved staffing and sufficient equipment, supplies, and medication, along with training, are required.
Fil: Manasyan, Albert. Centre for Infectious Disease Zambia; Zambia. University of Alabama at Birmingahm; Estados Unidos
Fil: Saleem, Sarah. Aga Khan University; Pakistán
Fil: Koso Thomas, Marion. Eunice Kennedy Shriver National Institute of Child Health and Human Development; Estados Unidos
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Política de Salud. Departamento de Investigación en Salud Madre e Infantil. Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Pasha, Omrana. Aga Khan University; Pakistán
Fil: Chomba, Elwyn. Centre for Infectious Disease Zambia; Zambia. University of Alabama at Birmingahm; Estados Unidos. University of Zambia; Zambia
Fil: Goudar, Shivaprasad S.. KLE; India
Fil: Patel, Archana. Indira Gandhi Government Medical College; India
Fil: Esamai, Fabian. Moi University; Kenia
Fil: Garces, Ana. Francisco Marroquin University; Guatemala
Fil: Kodkany, Bhala. KLE; India
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Política de Salud. Departamento de Investigación en Salud Madre e Infantil. Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: McClure, Elizabeth M.. Research Triangle Institute; Estados Unidos
Fil: Derman, Richard J.. Christiana Health Care; Estados Unidos
Fil: Hibberd, Patricia. Indiana University; Estados Unidos
Fil: Liechty, Edward A.. Massachusetts General Hospital for Children; Estados Unidos
Fil: Hambidge, K. Michael. State University of Colorado Boulder; Estados Unidos
Fil: Carlo, Waldemar A.. Centre for Infectious Disease Zambia; Zambia
Fil: Buekens, Pierre. Tulane School of Public Health and Tropical Medicine; Estados Unidos
Fil: Moore, janet. Research Triangle Institute; Estados Unidos
Fil: Wright, Linda L.. Eunice Kennedy Shriver National Institute of Child Health and Human Development; Estados Unidos
Fil: Goldenberg, Robert L.. Columbia University; Estados Unidos - Materia
-
Emergency obstetric and neonatal care
Developing countries
Perinatal mortality - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
- Repositorio
.jpg)
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/28931
Ver los metadatos del registro completo
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Assessment of Obstetric and Neonatal Health Services in Developing Country Health FacilitiesManasyan, AlbertSaleem, SarahKoso Thomas, MarionAlthabe, FernandoPasha, OmranaChomba, ElwynGoudar, Shivaprasad S.Patel, ArchanaEsamai, FabianGarces, AnaKodkany, BhalaBelizan, JoseMcClure, Elizabeth M.Derman, Richard J.Hibberd, PatriciaLiechty, Edward A.Hambidge, K. MichaelCarlo, Waldemar A.Buekens, PierreMoore, janetWright, Linda L.Goldenberg, Robert L.Emergency obstetric and neonatal careDeveloping countriesPerinatal mortalityhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3OBJECTIVE: To describe the staffing and availability of medical equipment and medications and the performance of procedures at health facilities providing maternal and neonatal care at African, Asian, and Latin American sites participating in a multicenter trial to improve emergency obstetric/neonatal care in communities with high maternal and perinatal mortality. STUDY DESIGN: In 2009, prior to intervention, we surveyed 136 hospitals and 228 clinics in 7 sites in Africa, Asia, and Latin America regarding staffing, availability of equipment/medications, and procedures including cesarean section. RESULTS: The coverage of physicians and nurses/midwives was poor in Africa and Latin America. In Africa, only 20% of hospitals had full-time physicians. Only 70% of hospitals in Africa and Asia had performed cesarean sections in the last 6 months. Oxygen was unavailable in 40% of African hospitals and 17% of Asian hospitals. Blood was unavailable in 80% of African and Asian hospitals. CONCLUSIONS: Assuming that adequate facility services are necessary to improve pregnancy outcomes, it is not surprising that maternal and perinatal mortality rates in the areas surveyed are high. The data presented emphasize that to reduce mortality in these areas, resources that result in improved staffing and sufficient equipment, supplies, and medication, along with training, are required.Fil: Manasyan, Albert. Centre for Infectious Disease Zambia; Zambia. University of Alabama at Birmingahm; Estados UnidosFil: Saleem, Sarah. Aga Khan University; PakistánFil: Koso Thomas, Marion. Eunice Kennedy Shriver National Institute of Child Health and Human Development; Estados UnidosFil: Althabe, Fernando. Instituto de Efectividad Clínica y Política de Salud. Departamento de Investigación en Salud Madre e Infantil. Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Pasha, Omrana. Aga Khan University; PakistánFil: Chomba, Elwyn. Centre for Infectious Disease Zambia; Zambia. University of Alabama at Birmingahm; Estados Unidos. University of Zambia; ZambiaFil: Goudar, Shivaprasad S.. KLE; IndiaFil: Patel, Archana. Indira Gandhi Government Medical College; IndiaFil: Esamai, Fabian. Moi University; KeniaFil: Garces, Ana. Francisco Marroquin University; GuatemalaFil: Kodkany, Bhala. KLE; IndiaFil: Belizan, Jose. Instituto de Efectividad Clínica y Política de Salud. Departamento de Investigación en Salud Madre e Infantil. Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: McClure, Elizabeth M.. Research Triangle Institute; Estados UnidosFil: Derman, Richard J.. Christiana Health Care; Estados UnidosFil: Hibberd, Patricia. Indiana University; Estados UnidosFil: Liechty, Edward A.. Massachusetts General Hospital for Children; Estados UnidosFil: Hambidge, K. Michael. State University of Colorado Boulder; Estados UnidosFil: Carlo, Waldemar A.. Centre for Infectious Disease Zambia; ZambiaFil: Buekens, Pierre. Tulane School of Public Health and Tropical Medicine; Estados UnidosFil: Moore, janet. Research Triangle Institute; Estados UnidosFil: Wright, Linda L.. Eunice Kennedy Shriver National Institute of Child Health and Human Development; Estados UnidosFil: Goldenberg, Robert L.. Columbia University; Estados UnidosGeorg Thieme Verlag Kg2013-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttp://hdl.handle.net/11336/28931Manasyan, Albert; Saleem, Sarah; Koso Thomas, Marion; Althabe, Fernando; Pasha, Omrana; et al.; Assessment of Obstetric and Neonatal Health Services in Developing Country Health Facilities; Georg Thieme Verlag Kg; American Journal of Perinatology; 30; 9; 10-2013; 787-7940735-1631CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1055/s-0032-1333409info:eu-repo/semantics/altIdentifier/url/https://www.thieme-connect.de/DOI/DOI?10.1055/s-0032-1333409info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3664648/info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:53:05Zoai:ri.conicet.gov.ar:11336/28931instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:53:06.204CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
| dc.title.none.fl_str_mv |
Assessment of Obstetric and Neonatal Health Services in Developing Country Health Facilities |
| title |
Assessment of Obstetric and Neonatal Health Services in Developing Country Health Facilities |
| spellingShingle |
Assessment of Obstetric and Neonatal Health Services in Developing Country Health Facilities Manasyan, Albert Emergency obstetric and neonatal care Developing countries Perinatal mortality |
| title_short |
Assessment of Obstetric and Neonatal Health Services in Developing Country Health Facilities |
| title_full |
Assessment of Obstetric and Neonatal Health Services in Developing Country Health Facilities |
| title_fullStr |
Assessment of Obstetric and Neonatal Health Services in Developing Country Health Facilities |
| title_full_unstemmed |
Assessment of Obstetric and Neonatal Health Services in Developing Country Health Facilities |
| title_sort |
Assessment of Obstetric and Neonatal Health Services in Developing Country Health Facilities |
| dc.creator.none.fl_str_mv |
Manasyan, Albert Saleem, Sarah Koso Thomas, Marion Althabe, Fernando Pasha, Omrana Chomba, Elwyn Goudar, Shivaprasad S. Patel, Archana Esamai, Fabian Garces, Ana Kodkany, Bhala Belizan, Jose McClure, Elizabeth M. Derman, Richard J. Hibberd, Patricia Liechty, Edward A. Hambidge, K. Michael Carlo, Waldemar A. Buekens, Pierre Moore, janet Wright, Linda L. Goldenberg, Robert L. |
| author |
Manasyan, Albert |
| author_facet |
Manasyan, Albert Saleem, Sarah Koso Thomas, Marion Althabe, Fernando Pasha, Omrana Chomba, Elwyn Goudar, Shivaprasad S. Patel, Archana Esamai, Fabian Garces, Ana Kodkany, Bhala Belizan, Jose McClure, Elizabeth M. Derman, Richard J. Hibberd, Patricia Liechty, Edward A. Hambidge, K. Michael Carlo, Waldemar A. Buekens, Pierre Moore, janet Wright, Linda L. Goldenberg, Robert L. |
| author_role |
author |
| author2 |
Saleem, Sarah Koso Thomas, Marion Althabe, Fernando Pasha, Omrana Chomba, Elwyn Goudar, Shivaprasad S. Patel, Archana Esamai, Fabian Garces, Ana Kodkany, Bhala Belizan, Jose McClure, Elizabeth M. Derman, Richard J. Hibberd, Patricia Liechty, Edward A. Hambidge, K. Michael Carlo, Waldemar A. Buekens, Pierre Moore, janet Wright, Linda L. Goldenberg, Robert L. |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Emergency obstetric and neonatal care Developing countries Perinatal mortality |
| topic |
Emergency obstetric and neonatal care Developing countries Perinatal mortality |
| purl_subject.fl_str_mv |
https://purl.org/becyt/ford/3.2 https://purl.org/becyt/ford/3 |
| dc.description.none.fl_txt_mv |
OBJECTIVE: To describe the staffing and availability of medical equipment and medications and the performance of procedures at health facilities providing maternal and neonatal care at African, Asian, and Latin American sites participating in a multicenter trial to improve emergency obstetric/neonatal care in communities with high maternal and perinatal mortality. STUDY DESIGN: In 2009, prior to intervention, we surveyed 136 hospitals and 228 clinics in 7 sites in Africa, Asia, and Latin America regarding staffing, availability of equipment/medications, and procedures including cesarean section. RESULTS: The coverage of physicians and nurses/midwives was poor in Africa and Latin America. In Africa, only 20% of hospitals had full-time physicians. Only 70% of hospitals in Africa and Asia had performed cesarean sections in the last 6 months. Oxygen was unavailable in 40% of African hospitals and 17% of Asian hospitals. Blood was unavailable in 80% of African and Asian hospitals. CONCLUSIONS: Assuming that adequate facility services are necessary to improve pregnancy outcomes, it is not surprising that maternal and perinatal mortality rates in the areas surveyed are high. The data presented emphasize that to reduce mortality in these areas, resources that result in improved staffing and sufficient equipment, supplies, and medication, along with training, are required. Fil: Manasyan, Albert. Centre for Infectious Disease Zambia; Zambia. University of Alabama at Birmingahm; Estados Unidos Fil: Saleem, Sarah. Aga Khan University; Pakistán Fil: Koso Thomas, Marion. Eunice Kennedy Shriver National Institute of Child Health and Human Development; Estados Unidos Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Política de Salud. Departamento de Investigación en Salud Madre e Infantil. Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina Fil: Pasha, Omrana. Aga Khan University; Pakistán Fil: Chomba, Elwyn. Centre for Infectious Disease Zambia; Zambia. University of Alabama at Birmingahm; Estados Unidos. University of Zambia; Zambia Fil: Goudar, Shivaprasad S.. KLE; India Fil: Patel, Archana. Indira Gandhi Government Medical College; India Fil: Esamai, Fabian. Moi University; Kenia Fil: Garces, Ana. Francisco Marroquin University; Guatemala Fil: Kodkany, Bhala. KLE; India Fil: Belizan, Jose. Instituto de Efectividad Clínica y Política de Salud. Departamento de Investigación en Salud Madre e Infantil. Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina Fil: McClure, Elizabeth M.. Research Triangle Institute; Estados Unidos Fil: Derman, Richard J.. Christiana Health Care; Estados Unidos Fil: Hibberd, Patricia. Indiana University; Estados Unidos Fil: Liechty, Edward A.. Massachusetts General Hospital for Children; Estados Unidos Fil: Hambidge, K. Michael. State University of Colorado Boulder; Estados Unidos Fil: Carlo, Waldemar A.. Centre for Infectious Disease Zambia; Zambia Fil: Buekens, Pierre. Tulane School of Public Health and Tropical Medicine; Estados Unidos Fil: Moore, janet. Research Triangle Institute; Estados Unidos Fil: Wright, Linda L.. Eunice Kennedy Shriver National Institute of Child Health and Human Development; Estados Unidos Fil: Goldenberg, Robert L.. Columbia University; Estados Unidos |
| description |
OBJECTIVE: To describe the staffing and availability of medical equipment and medications and the performance of procedures at health facilities providing maternal and neonatal care at African, Asian, and Latin American sites participating in a multicenter trial to improve emergency obstetric/neonatal care in communities with high maternal and perinatal mortality. STUDY DESIGN: In 2009, prior to intervention, we surveyed 136 hospitals and 228 clinics in 7 sites in Africa, Asia, and Latin America regarding staffing, availability of equipment/medications, and procedures including cesarean section. RESULTS: The coverage of physicians and nurses/midwives was poor in Africa and Latin America. In Africa, only 20% of hospitals had full-time physicians. Only 70% of hospitals in Africa and Asia had performed cesarean sections in the last 6 months. Oxygen was unavailable in 40% of African hospitals and 17% of Asian hospitals. Blood was unavailable in 80% of African and Asian hospitals. CONCLUSIONS: Assuming that adequate facility services are necessary to improve pregnancy outcomes, it is not surprising that maternal and perinatal mortality rates in the areas surveyed are high. The data presented emphasize that to reduce mortality in these areas, resources that result in improved staffing and sufficient equipment, supplies, and medication, along with training, are required. |
| publishDate |
2013 |
| dc.date.none.fl_str_mv |
2013-10 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://purl.org/coar/resource_type/c_6501 info:ar-repo/semantics/articulo |
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article |
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publishedVersion |
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http://hdl.handle.net/11336/28931 Manasyan, Albert; Saleem, Sarah; Koso Thomas, Marion; Althabe, Fernando; Pasha, Omrana; et al.; Assessment of Obstetric and Neonatal Health Services in Developing Country Health Facilities; Georg Thieme Verlag Kg; American Journal of Perinatology; 30; 9; 10-2013; 787-794 0735-1631 CONICET Digital CONICET |
| url |
http://hdl.handle.net/11336/28931 |
| identifier_str_mv |
Manasyan, Albert; Saleem, Sarah; Koso Thomas, Marion; Althabe, Fernando; Pasha, Omrana; et al.; Assessment of Obstetric and Neonatal Health Services in Developing Country Health Facilities; Georg Thieme Verlag Kg; American Journal of Perinatology; 30; 9; 10-2013; 787-794 0735-1631 CONICET Digital CONICET |
| dc.language.none.fl_str_mv |
eng |
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eng |
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info:eu-repo/semantics/altIdentifier/doi/10.1055/s-0032-1333409 info:eu-repo/semantics/altIdentifier/url/https://www.thieme-connect.de/DOI/DOI?10.1055/s-0032-1333409 info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3664648/ |
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openAccess |
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Georg Thieme Verlag Kg |
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Georg Thieme Verlag Kg |
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reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas |
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Consejo Nacional de Investigaciones Científicas y Técnicas |
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CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
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dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
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