A cross-sectional study to evaluate antenatal care service provision in 3 hospitals in Nepal
| Autor: | Mary Lynch, Nishna Rai, Meena Thapa, Tina Lavender, Michael Larkin, Abi Fraser, Christy Burden, Abi Merriel, Deborah M Caldwell, Gemma L Clayton, Nashna Maharjan, Dharma S Manandhar, Miriam Toolan, Katie Barnard |
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| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Pregnancy Referral business.industry Cross-sectional study Attendance Psychological intervention General Medicine developing countries service evaluation medicine.disease pregnancy care quality improvement accessing care Patient satisfaction Health promotion antenatal care Nepal Family medicine Medicine Childbirth business |
| Zdroj: | Merriel, A, Maharjan, N, Clayton, G L, Toolan, M F G, Lynch, M B, Barnard, K, Lavender, T, Larkin, M, Rai, N, Thapa, M, Caldwell, D M, Burden, C, Manandhar, D S & Fraser, A 2021, ' A cross-sectional study to evaluate antenatal care service provision in 3 hospitals in Nepal ', AJOG Global Reports, vol. 1, no. 3, 100015 . https://doi.org/10.1016/j.xagr.2021.100015 |
| ISSN: | 2666-5778 |
| DOI: | 10.1016/j.xagr.2021.100015 |
| Popis: | BACKGROUND: Globally, many mothers and their babies die during pregnancy and childbirth. A key element of optimizing outcomes is high- quality antenatal care. The Government of Nepal has significantly improved antenatal care and health outcomes through high-level commitment and investment; however, only 69% of patients attend the 4 recommended antenatal appointments.OBJECTIVE: This study aimed to evaluate the quality and perceptions of antenatal care in Nepal to understand compliance with the Nepalese standards.STUDY DESIGN: This cross-sectional study was conducted at a tertiary referral and private hospital in Kathmandu and a secondary hos- pital in Makwanpur, Nepal. The study recruited 538 female inpatients on postnatal wards during the 2-week data collection period from May 2019 to June 2019. A review of case notes and verbal survey of women to understand the pregnancy information they received and their sat- isfaction with antenatal care were performed. We created a summary score of the completeness of antenatal care services received ranging from 0 to 50 (50 indicating complete conformity with standards) and investigated the determinants of attending 4 antenatal care visits and patient satisfaction.RESULTS: The median antenatal care attendance was 4 visits at the secondary and referral hospitals and 8 visits at the private hospital. However, 24% of the patients attended CONCLUSION: Few women achieved full compliance with the Nepali antenatal care standards; however, some services were delivered well. To improve, each antenatal contact needs to meet its clinical aims and be respectful. To achieve this communication and counseling training for staff, investment in health promotion and delivery of core services are needed. It is important that these interventions address key issues, such as attendance in the first trimester of pregnancy, improving privacy and optimizing communication around danger signs. However, they must be designed alongside staff and service users and their efficacy tested before widespread investment or implementation. |
| Databáze: | OpenAIRE |
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