Improving the quality of maternity services in Nepal through accelerated implementation of essential interventions by healthcare professional associations.

Autor: Spira C; Department of Healthcare Quality and Patient Safety, Institute for Clinical Effectiveness, Buenos Aires, Argentina., Dhital R; Nepal Society of Obstetricians and Gynecologists, Kathmandu, Nepal.; International Federation of Gynecology and Obstetrics Postpartum Intrauterine Device Initiative, Kathmandu, Nepal., Jacob S; International Confederation of Midwives, London, UK., Dangal G; Nepal Society of Obstetricians and Gynecologists, Kathmandu, Nepal.; Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal., Gurung G; Department of Obstetrics and Gynecology, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal., Prasad Shrestha L; Nepal Paediatric Society, Kathmandu, Nepal.; Department of Pediatrics, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal., Prasad Bista K; Nepal Paediatric Society, Kathmandu, Nepal.; Department of Pediatrics, Kanti Children's Hospital, Kathmandu, Nepal., Bajracharya K; Midwifery Society of Nepal, Kathmandu, Nepal.; Institute of Medicine, Tribhuvan University, Kathmandu, Nepal., Bajrachayra L; Nepal Society of Obstetricians and Gynecologists, Kathmandu, Nepal.; Department of Obstetrics and Gynecology, Paropakar Maternity and Women's Hospital, Kathmandu, Nepal., Baral G; Nepal Society of Obstetricians and Gynecologists, Kathmandu, Nepal.; Department of Obstetrics and Gynecology, Paropakar Maternity and Women's Hospital, Kathmandu, Nepal., Maiya Kaway N; Midwifery Society of Nepal, Kathmandu, Nepal.; Department of Obstetrics and Gynecology, Paropakar Maternity and Women's Hospital, Kathmandu, Nepal., Rushawn H; International Federation of Gynecology and Obstetrics, London, UK., Cooper P; International Pediatric Association, Johannesburg, South Africa.; Department of Pediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Day-Stirk F; International Federation of Gynecology and Obstetrics Postpartum Intrauterine Device Initiative, Kathmandu, Nepal., Berrueta M; Department of Healthcare Quality and Patient Safety, Institute for Clinical Effectiveness, Buenos Aires, Argentina., Gibbons L; Department of Healthcare Quality and Patient Safety, Institute for Clinical Effectiveness, Buenos Aires, Argentina., García-Elorrio E; Department of Healthcare Quality and Patient Safety, Institute for Clinical Effectiveness, Buenos Aires, Argentina., Belizán JM; Department of Healthcare Quality and Patient Safety, Institute for Clinical Effectiveness, Buenos Aires, Argentina.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2018 Dec; Vol. 143 (3), pp. 379-386. Date of Electronic Publication: 2018 Oct 08.
DOI: 10.1002/ijgo.12678
Abstrakt: Objective: To assess whether the implementation of a package of activities through the joint action of three international healthcare professional associations (HCPAs) increased the use of essential interventions (EIs) for delivery and neonatal care.
Methods: A noncontrolled pre-intervention versus post-intervention study was conducted from June 13 to December 13, 2016, among women older than 18 years of age, who had delivered at one of two urban tertiary hospitals in Nepal.
Results: The study included 9252 women. Minimal change was found after the implementation of EIs that were used frequently at baseline (e.g. social support during delivery in the emergency room, and promotion and support for early initiation of breastfeeding). By contrast, an increase was recorded for some EIs that had not been used regularly at baseline. For example, the rate of timely administration of prophylactic antibiotics before cesarean delivery increased from 0.0% (0/496) to 94.0% (409/435) at one hospital. Nonetheless, some EIs with low use at baseline did not show improvement after implementation (e.g. kangaroo mother care).
Conclusion: The present study strengthened previous findings regarding the uptake of EIs following joint promotion by HCPAs in low-income settings.
(© 2018 International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
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