Health workers' perspectives on the quality of maternal and newborn health care around the time of childbirth: Results of the Improving MAternal Newborn carE in the EURO Region (IMAgiNE EURO) project in 12 countries of the World Health Organization European Region.

Autor:	Valente EP; World Health Organization Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy., Mariani I; World Health Organization Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy., Bomben A; World Health Organization Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy., Morano S; Medical School and Midwifery School, Genoa University, Genoa, Italy., Gemperle M; Institute of Midwifery and Reproductive Health, School of Health Professions, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland., Otelea MR; University of Medicine and Pharmacy Carol Davila, Bucharest, Romania.; SAMAS Association, Bucharest, Romania., Miani C; Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany., Elden H; Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Department of Obstetrics and Gynaecology, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden., Sarantaki A; Department of Midwifery, Faculty of Health and Care Sciences, University of West Attica, Athens, Greece., Costa R; EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional, Porto, Portugal.; Lusófona University, HEI-Lab: Digital Human-Environment Interaction Labs, Lisboa, Portugal., Baranowska B; Department of Midwifery, Centre of Postgraduate Medical Education, Warsaw, Poland., König-Bachmann M; Health University of Applied Sciences Tyrol, Innsbruck, Austria., Kongslien S; Department of Health and Care Sciences, UiT The Arctic University of Norway, Norway., Drandić D; International Confederation of Midwives (ICM), Hague, Netherlands.; Roda - Parents in Action, Zagreb, Croatia., Rozée V; Sexual and Reproductive Health and Rights Research Unit, Institut National d'Études Démographiques, Paris, France., Nespoli A; School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.; Department of Obstetrics, Foundation IRCCS San Gerardo dei Tintori Monza, Italy., Abderhalden-Zellweger A; School of Health Sciences (HESAV), HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland., Nanu I; Social Obstetrics and Paediatric Research Unit, National Institute for Mother and Child Health Alessandrescu Rusescu, Bucharest, Romania., Batram-Zantvoort S; Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany., Linden K; Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Metallinou D; Department of Midwifery, Faculty of Health and Care Sciences, University of West Attica, Athens, Greece., Dias H; Regional Health Administration of the Algarve, IP (ARS - Algarve), Portugal., Tataj-Puzyna U; Department of Midwifery, Centre of Postgraduate Medical Education, Warsaw, Poland., D'Costa E; Medical University of Innsbruck, Innsbruck, Austria., Nedberg IH; Department of Health and Care Sciences, UiT The Arctic University of Norway, Norway., Kurbanović M; Faculty of Health Studies, University of Rijeka, Rijeka, Croatia., de La Rochebrochard E; Sexual and Reproductive Health and Rights Research Unit, Institut National d'Études Démographiques, Paris, France., Fumagalli S; School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.; Department of Obstetrics, Foundation IRCCS San Gerardo dei Tintori Monza, Italy., Grylka-Baeschlin S; Institute of Midwifery and Reproductive Health, School of Health Professions, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland., Handra CM; University of Medicine and Pharmacy Carol Davila, Bucharest, Romania., Zaigham M; Obstetrics and Gynaecology, Department of Obstetrics and Gynaecology, Institution of Clinical Sciences Lund, Lund University, Lund and Skane University Hospital, Malmö, Sweden., Orovou E; Department of Midwifery, School of Health Sciences, University of Western Macedonia, Ptolemaida, Greece., Barata C; Instituto de Ciências Sociais, Universidade de Lisboa, Lisboa, Portugal.; Associação Portuguesa Pelos Direitos da Mulher na Gravidez e Parto, Lisbon, Portugal., Szlendak B; Department of Midwifery, Centre of Postgraduate Medical Education, Warsaw, Poland., Zenzmaier C; Health University of Applied Sciences Tyrol, Innsbruck, Austria., Vik ES; Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Norway., Liepinaitienė A; Faculty of Natural Sciences, Department of Environmental Sciences, Vytautas Magnus University, Kaunas, Lithuania.; Faculty of Medicine, Kauno Kolegija Higher Education Institution, Kaunas, Lithuania.; Republican Siauliai County Hospital, Siauliai, Lithuania., Drglin Z; National Institute of Public Health, Ljubljana, Slovenia., Arendt M; Professional association of the Lactation Consultants in Luxembourg, Luxembourg, Luxembourg., Sacks E; Department of International Health, Johns Hopkins University, Baltimore, Maryland, USA., Lazzerini M; World Health Organization Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.; London School of Hygiene and Tropical Medicine, London, UK.
Jazyk:	angličtina
Zdroj:	Journal of global health [J Glob Health] 2024 Sep 06; Vol. 14, pp. 04164. Date of Electronic Publication: 2024 Sep 06.
DOI:	10.7189/jogh.14.04164
Abstrakt:	Background: Health workers' (HWs') perspectives on the quality of maternal and newborn care (QMNC) are not routinely collected. In this cross-sectional study, we aimed to document HWs' perspectives on QMNC around childbirth in 12 World Health Organization (WHO) European countries. Methods: HWs involved in maternal/neonatal care for at least one year between March 2020 and March 2023 answered an online validated WHO standards-based questionnaire collecting 40 quality measures for improving QMNC. A QMNC index (score 0-400) was calculated as a synthetic measure. Results: Data from 4143 respondents were analysed. For 39 out of 40 quality measures, at least 20% of HWs reported a 'need for improvement', with large variations across countries. Effective training on healthy women/newborns management (n = 2748, 66.3%), availability of informed consent job aids (n = 2770, 66.9%), and effective training on women/newborns rights (n = 2714, 65.5%) presented the highest proportion of HWs stating 'need for improvement'. Overall, 64.8% (n = 2684) of respondents declared that HWs' numbers were insufficient for appropriate care (66.3% in Portugal and 86.6% in Poland), and 22.4% described staff censorship (16.3% in Germany and 56.7% in Poland). The reported QMNC index was low in all countries (Poland median (MD) = 210.60, interquartile range (IQR) = 155.71, 273.57; Norway MD = 277.86; IQR = 244.32, 308.30). The 'experience of care' domain presented in eight countries had significantly lower scores than the other domains (P < 0.001). Over time, there was a significant monthly linear decrease in the QMNC index (P < 0.001), lacking correlation with the coronavirus disease 2019 (COVID-19) pandemic trends (P > 0.05). Multivariate analyses confirmed large QMNC variation by country. HWs with <10 years of experience, HWs from public facilities, and midwives rated QMNC with significantly lower scores (P < 0.001). Conclusions: HWs from 12 European countries reported significant gaps in QMNC, lacking association with COVID-19 pandemic trends. Routine monitoring of QMNC and tailored actions are needed to improve health services for the benefit of both users and providers. Registration: ClinicalTrials.gov NCT04847336. Competing Interests: Disclosure of interests: The authors completed the ICMJE Disclosure of Interest Form (available upon request from the corresponding author) and disclose no relevant interests. (Copyright © 2024 by the Journal of Global Health. All rights reserved.)
Databáze:	MEDLINE
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