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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...

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Autores principales: Marchant, Tanya, Tilley-Gyado, Ritgak Dimka, Tessema, Tsegahun, Singh, Kultar, Gautham, Meenakshi, Umar, Nasir, Berhanu, Della, Cousens, Simon, Armstrong Schellenberg, Joanna RM
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
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.
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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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