Publication

Quality of Midwife-provided Intrapartum Care in Amhara Regional State, Ethiopia

Yigzaw, T., Abebe, F., Belay, L., Assaye, Y., Misganaw, E., Kidane, A., Ademie, D., van Roosmalen, J., Stekelenburg, J. & Kim, Y-M. 16-Aug-2017 In : BMC Pregnancy and Childbirth. 17, 1, 12 p., 261

Research output: Scientific - peer-reviewArticle

APA

Yigzaw, T., Abebe, F., Belay, L., Assaye, Y., Misganaw, E., Kidane, A., ... Kim, Y-M. (2017). Quality of Midwife-provided Intrapartum Care in Amhara Regional State, Ethiopia. BMC Pregnancy and Childbirth, 17(1), [261]. DOI: 10.1186/s12884-017-1441-2

Author

Yigzaw, Tegbar; Abebe, Fantu; Belay, Lalem; Assaye, Yewulsew; Misganaw, Equlinet; Kidane, Ashebir; Ademie, Desalegn; van Roosmalen, Jos; Stekelenburg, Jelle; Kim, Young-Mi / Quality of Midwife-provided Intrapartum Care in Amhara Regional State, Ethiopia.

In: BMC Pregnancy and Childbirth, Vol. 17, No. 1, 261, 16.08.2017.

Research output: Scientific - peer-reviewArticle

Harvard

Yigzaw, T, Abebe, F, Belay, L, Assaye, Y, Misganaw, E, Kidane, A, Ademie, D, van Roosmalen, J, Stekelenburg, J & Kim, Y-M 2017, 'Quality of Midwife-provided Intrapartum Care in Amhara Regional State, Ethiopia' BMC Pregnancy and Childbirth, vol 17, no. 1, 261. DOI: 10.1186/s12884-017-1441-2

Standard

Quality of Midwife-provided Intrapartum Care in Amhara Regional State, Ethiopia. / Yigzaw, Tegbar; Abebe, Fantu; Belay, Lalem; Assaye, Yewulsew; Misganaw, Equlinet; Kidane, Ashebir; Ademie, Desalegn; van Roosmalen, Jos; Stekelenburg, Jelle; Kim, Young-Mi.

In: BMC Pregnancy and Childbirth, Vol. 17, No. 1, 261, 16.08.2017.

Research output: Scientific - peer-reviewArticle

Vancouver

Yigzaw T, Abebe F, Belay L, Assaye Y, Misganaw E, Kidane A et al. Quality of Midwife-provided Intrapartum Care in Amhara Regional State, Ethiopia. BMC Pregnancy and Childbirth. 2017 Aug 16;17(1). 261. Available from, DOI: 10.1186/s12884-017-1441-2


BibTeX

@article{970179f7aec346ad926d9a4bd8482186,
title = "Quality of Midwife-provided Intrapartum Care in Amhara Regional State, Ethiopia",
abstract = "BACKGROUND: Despite much progress recently, Ethiopia remains one of the largest contributors to the global burden of maternal and newborn deaths and stillbirths. Ethiopia's plan to meet the sustainable development goals for maternal and child health includes unprecedented emphasis on improving quality of care. The purpose of this study was to assess the quality of midwifery care during labor, delivery and immediate postpartum period.METHODS: A cross-sectional study using multiple data collection methods and a 2-stage cluster sampling technique was conducted from January 25 to February 14, 2015 in government health facilities of the Amhara National Regional State of Ethiopia. Direct observation of performance was used to determine competence of midwives in providing care during labor, delivery, and the first 6 h after childbirth. Inventory of drugs, medical equipment, supplies, and infrastructure was conducted to identify availability of resources in health facilities. Structured interview was done to assess availability of resources and performance improvement opportunities. Data analysis involved calculating percentages, means and chi-square tests.RESULTS: A total of 150 midwives and 56 health facilities were included in the study. The performance assessment showed 16.5% of midwives were incompetent, 72.4% were competent, and 11.1% were outstanding in providing routine intrapartum care. Forty five midwives were observed while managing 54 obstetric and newborn complications and 41 (91%) of them were rated competent. Inventory of resources found that the proportion of facilities with more than 75% of the items in each category was 32.6% for drugs, 73.1% for equipment, 65.4% for supplies, 47.9% for infection prevention materials, and 43.6% for records and forms. Opportunities for performance improvement were inadequate, with 31.3% reporting emergency obstetric and newborn care training, and 44.7% quarterly or more frequent supportive supervision. Health centers fared worse in provider competence, physical resources, and quality improvement practices except for supportive supervision visits and in-service training.CONCLUSIONS: Although our findings indicate most midwives are competent in giving routine and emergency intrapartum care, the major gaps in the enabling environment and the significant proportion of midwives with unsatisfactory performance suggest that the conditions for providing quality intrapartum care are not optimal.",
keywords = "Labor, childbirth and immediate postpartum care, Competence, Enabling environment, Physical resources, Performance and quality improvement, HEALTH, IMPROVEMENT, EDUCATION, SYSTEMS, CALL",
author = "Tegbar Yigzaw and Fantu Abebe and Lalem Belay and Yewulsew Assaye and Equlinet Misganaw and Ashebir Kidane and Desalegn Ademie and {van Roosmalen}, Jos and Jelle Stekelenburg and Young-Mi Kim",
year = "2017",
month = "8",
doi = "10.1186/s12884-017-1441-2",
volume = "17",
journal = "BMC Pregnancy and Childbirth",
issn = "1471-2393",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - Quality of Midwife-provided Intrapartum Care in Amhara Regional State, Ethiopia

AU - Yigzaw,Tegbar

AU - Abebe,Fantu

AU - Belay,Lalem

AU - Assaye,Yewulsew

AU - Misganaw,Equlinet

AU - Kidane,Ashebir

AU - Ademie,Desalegn

AU - van Roosmalen,Jos

AU - Stekelenburg,Jelle

AU - Kim,Young-Mi

PY - 2017/8/16

Y1 - 2017/8/16

N2 - BACKGROUND: Despite much progress recently, Ethiopia remains one of the largest contributors to the global burden of maternal and newborn deaths and stillbirths. Ethiopia's plan to meet the sustainable development goals for maternal and child health includes unprecedented emphasis on improving quality of care. The purpose of this study was to assess the quality of midwifery care during labor, delivery and immediate postpartum period.METHODS: A cross-sectional study using multiple data collection methods and a 2-stage cluster sampling technique was conducted from January 25 to February 14, 2015 in government health facilities of the Amhara National Regional State of Ethiopia. Direct observation of performance was used to determine competence of midwives in providing care during labor, delivery, and the first 6 h after childbirth. Inventory of drugs, medical equipment, supplies, and infrastructure was conducted to identify availability of resources in health facilities. Structured interview was done to assess availability of resources and performance improvement opportunities. Data analysis involved calculating percentages, means and chi-square tests.RESULTS: A total of 150 midwives and 56 health facilities were included in the study. The performance assessment showed 16.5% of midwives were incompetent, 72.4% were competent, and 11.1% were outstanding in providing routine intrapartum care. Forty five midwives were observed while managing 54 obstetric and newborn complications and 41 (91%) of them were rated competent. Inventory of resources found that the proportion of facilities with more than 75% of the items in each category was 32.6% for drugs, 73.1% for equipment, 65.4% for supplies, 47.9% for infection prevention materials, and 43.6% for records and forms. Opportunities for performance improvement were inadequate, with 31.3% reporting emergency obstetric and newborn care training, and 44.7% quarterly or more frequent supportive supervision. Health centers fared worse in provider competence, physical resources, and quality improvement practices except for supportive supervision visits and in-service training.CONCLUSIONS: Although our findings indicate most midwives are competent in giving routine and emergency intrapartum care, the major gaps in the enabling environment and the significant proportion of midwives with unsatisfactory performance suggest that the conditions for providing quality intrapartum care are not optimal.

AB - BACKGROUND: Despite much progress recently, Ethiopia remains one of the largest contributors to the global burden of maternal and newborn deaths and stillbirths. Ethiopia's plan to meet the sustainable development goals for maternal and child health includes unprecedented emphasis on improving quality of care. The purpose of this study was to assess the quality of midwifery care during labor, delivery and immediate postpartum period.METHODS: A cross-sectional study using multiple data collection methods and a 2-stage cluster sampling technique was conducted from January 25 to February 14, 2015 in government health facilities of the Amhara National Regional State of Ethiopia. Direct observation of performance was used to determine competence of midwives in providing care during labor, delivery, and the first 6 h after childbirth. Inventory of drugs, medical equipment, supplies, and infrastructure was conducted to identify availability of resources in health facilities. Structured interview was done to assess availability of resources and performance improvement opportunities. Data analysis involved calculating percentages, means and chi-square tests.RESULTS: A total of 150 midwives and 56 health facilities were included in the study. The performance assessment showed 16.5% of midwives were incompetent, 72.4% were competent, and 11.1% were outstanding in providing routine intrapartum care. Forty five midwives were observed while managing 54 obstetric and newborn complications and 41 (91%) of them were rated competent. Inventory of resources found that the proportion of facilities with more than 75% of the items in each category was 32.6% for drugs, 73.1% for equipment, 65.4% for supplies, 47.9% for infection prevention materials, and 43.6% for records and forms. Opportunities for performance improvement were inadequate, with 31.3% reporting emergency obstetric and newborn care training, and 44.7% quarterly or more frequent supportive supervision. Health centers fared worse in provider competence, physical resources, and quality improvement practices except for supportive supervision visits and in-service training.CONCLUSIONS: Although our findings indicate most midwives are competent in giving routine and emergency intrapartum care, the major gaps in the enabling environment and the significant proportion of midwives with unsatisfactory performance suggest that the conditions for providing quality intrapartum care are not optimal.

KW - Labor

KW - childbirth and immediate postpartum care

KW - Competence

KW - Enabling environment

KW - Physical resources

KW - Performance and quality improvement

KW - HEALTH

KW - IMPROVEMENT

KW - EDUCATION

KW - SYSTEMS

KW - CALL

U2 - 10.1186/s12884-017-1441-2

DO - 10.1186/s12884-017-1441-2

M3 - Article

VL - 17

JO - BMC Pregnancy and Childbirth

T2 - BMC Pregnancy and Childbirth

JF - BMC Pregnancy and Childbirth

SN - 1471-2393

IS - 1

M1 - 261

ER -

ID: 46978852