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Adding Content to Contacts: Measurement of High Quality Contacts for Maternal and Newborn Health in Ethiopia, North East Nigeria, and Uttar Pradesh, India
BACKGROUND: Families in high mortality settings need regular contact with high quality services, but existing population-based measurements of contacts do not reflect quality. To address this, in 2012, we designed linked household and frontline worker surveys for Gombe State, Nigeria, Ethiopia, and...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441429/ https://www.ncbi.nlm.nih.gov/pubmed/26000829 http://dx.doi.org/10.1371/journal.pone.0126840 |
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author | Marchant, Tanya Tilley-Gyado, Ritgak Dimka Tessema, Tsegahun Singh, Kultar Gautham, Meenakshi Umar, Nasir Berhanu, Della Cousens, Simon Armstrong Schellenberg, Joanna RM |
author_facet | Marchant, Tanya Tilley-Gyado, Ritgak Dimka Tessema, Tsegahun Singh, Kultar Gautham, Meenakshi Umar, Nasir Berhanu, Della Cousens, Simon Armstrong Schellenberg, Joanna RM |
author_sort | Marchant, Tanya |
collection | PubMed |
description | BACKGROUND: Families in high mortality settings need regular contact with high quality services, but existing population-based measurements of contacts do not reflect quality. To address this, in 2012, we designed linked household and frontline worker surveys for Gombe State, Nigeria, Ethiopia, and Uttar Pradesh, India. Using reported frequency and content of contacts, we present a method for estimating the population level coverage of high quality contacts. METHODS AND FINDINGS: Linked cluster-based household and frontline health worker surveys were performed. Interviews were conducted in 40, 80 and 80 clusters in Gombe, Ethiopia, and Uttar Pradesh, respectively, including 348, 533, and 604 eligible women and 20, 76, and 55 skilled birth attendants. High quality contacts were defined as contacts during which recommended set of processes for routine health care were met. In Gombe, 61% (95% confidence interval 50-72) of women had at least one antenatal contact, 22% (14-29) delivered with a skilled birth attendant, 7% (4-9) had a post-partum check and 4% (2-8) of newborns had a post-natal check. Coverage of high quality contacts was reduced to 11% (6-16), 8% (5-11), 0%, and 0% respectively. In Ethiopia, 56% (49-63) had at least one antenatal contact, 15% (11-22) delivered with a skilled birth attendant, 3% (2-6) had a post-partum check and 4% (2-6) of newborns had a post-natal check. Coverage of high quality contacts was 4% (2-6), 4% (2-6), 0%, and 0%, respectively. In Uttar Pradesh 74% (69-79) had at least one antenatal contact, 76% (71-80) delivered with a skilled birth attendant, 54% (48-59) had a post-partum check and 19% (15-23) of newborns had a post-natal check. Coverage of high quality contacts was 6% (4-8), 4% (2-6), 0%, and 0% respectively. CONCLUSIONS: Measuring content of care to reflect the quality of contacts can reveal missed opportunities to deliver best possible health care. |
format | Online Article Text |
id | pubmed-4441429 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-44414292015-05-28 Adding Content to Contacts: Measurement of High Quality Contacts for Maternal and Newborn Health in Ethiopia, North East Nigeria, and Uttar Pradesh, India Marchant, Tanya Tilley-Gyado, Ritgak Dimka Tessema, Tsegahun Singh, Kultar Gautham, Meenakshi Umar, Nasir Berhanu, Della Cousens, Simon Armstrong Schellenberg, Joanna RM PLoS One Research Article BACKGROUND: Families in high mortality settings need regular contact with high quality services, but existing population-based measurements of contacts do not reflect quality. To address this, in 2012, we designed linked household and frontline worker surveys for Gombe State, Nigeria, Ethiopia, and Uttar Pradesh, India. Using reported frequency and content of contacts, we present a method for estimating the population level coverage of high quality contacts. METHODS AND FINDINGS: Linked cluster-based household and frontline health worker surveys were performed. Interviews were conducted in 40, 80 and 80 clusters in Gombe, Ethiopia, and Uttar Pradesh, respectively, including 348, 533, and 604 eligible women and 20, 76, and 55 skilled birth attendants. High quality contacts were defined as contacts during which recommended set of processes for routine health care were met. In Gombe, 61% (95% confidence interval 50-72) of women had at least one antenatal contact, 22% (14-29) delivered with a skilled birth attendant, 7% (4-9) had a post-partum check and 4% (2-8) of newborns had a post-natal check. Coverage of high quality contacts was reduced to 11% (6-16), 8% (5-11), 0%, and 0% respectively. In Ethiopia, 56% (49-63) had at least one antenatal contact, 15% (11-22) delivered with a skilled birth attendant, 3% (2-6) had a post-partum check and 4% (2-6) of newborns had a post-natal check. Coverage of high quality contacts was 4% (2-6), 4% (2-6), 0%, and 0%, respectively. In Uttar Pradesh 74% (69-79) had at least one antenatal contact, 76% (71-80) delivered with a skilled birth attendant, 54% (48-59) had a post-partum check and 19% (15-23) of newborns had a post-natal check. Coverage of high quality contacts was 6% (4-8), 4% (2-6), 0%, and 0% respectively. CONCLUSIONS: Measuring content of care to reflect the quality of contacts can reveal missed opportunities to deliver best possible health care. Public Library of Science 2015-05-22 /pmc/articles/PMC4441429/ /pubmed/26000829 http://dx.doi.org/10.1371/journal.pone.0126840 Text en © 2015 Marchant et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Marchant, Tanya Tilley-Gyado, Ritgak Dimka Tessema, Tsegahun Singh, Kultar Gautham, Meenakshi Umar, Nasir Berhanu, Della Cousens, Simon Armstrong Schellenberg, Joanna RM Adding Content to Contacts: Measurement of High Quality Contacts for Maternal and Newborn Health in Ethiopia, North East Nigeria, and Uttar Pradesh, India |
title | Adding Content to Contacts: Measurement of High Quality Contacts for Maternal and Newborn Health in Ethiopia, North East Nigeria, and Uttar Pradesh, India |
title_full | Adding Content to Contacts: Measurement of High Quality Contacts for Maternal and Newborn Health in Ethiopia, North East Nigeria, and Uttar Pradesh, India |
title_fullStr | Adding Content to Contacts: Measurement of High Quality Contacts for Maternal and Newborn Health in Ethiopia, North East Nigeria, and Uttar Pradesh, India |
title_full_unstemmed | Adding Content to Contacts: Measurement of High Quality Contacts for Maternal and Newborn Health in Ethiopia, North East Nigeria, and Uttar Pradesh, India |
title_short | Adding Content to Contacts: Measurement of High Quality Contacts for Maternal and Newborn Health in Ethiopia, North East Nigeria, and Uttar Pradesh, India |
title_sort | adding content to contacts: measurement of high quality contacts for maternal and newborn health in ethiopia, north east nigeria, and uttar pradesh, india |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441429/ https://www.ncbi.nlm.nih.gov/pubmed/26000829 http://dx.doi.org/10.1371/journal.pone.0126840 |
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