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Availability of Safe Childbirth Supplies in 284 Facilities in Uttar Pradesh, India

Objectives Vital to implementation of the World Health Organization (WHO) Safe Childbirth Checklist (SCC), designed to improve delivery of 28 essential birth practices (EBPs), is the availability of safe birth supplies: 22 EBPs on the SCC require one or more supplies. Mapping availability of these s...

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Autores principales: Galvin, Grace, Hirschhorn, Lisa R., Shaikh, Maaz, Maji, Pinki, Delaney, Megan Marx, Tuller, Danielle E., Neville, Bridget A., Firestone, Rebecca, Gawande, Atul A., Kodkany, Bhala, Kumar, Vishwajeet, Semrau, Katherine E. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394529/
https://www.ncbi.nlm.nih.gov/pubmed/30430350
http://dx.doi.org/10.1007/s10995-018-2642-7
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author Galvin, Grace
Hirschhorn, Lisa R.
Shaikh, Maaz
Maji, Pinki
Delaney, Megan Marx
Tuller, Danielle E.
Neville, Bridget A.
Firestone, Rebecca
Gawande, Atul A.
Kodkany, Bhala
Kumar, Vishwajeet
Semrau, Katherine E. A.
author_facet Galvin, Grace
Hirschhorn, Lisa R.
Shaikh, Maaz
Maji, Pinki
Delaney, Megan Marx
Tuller, Danielle E.
Neville, Bridget A.
Firestone, Rebecca
Gawande, Atul A.
Kodkany, Bhala
Kumar, Vishwajeet
Semrau, Katherine E. A.
author_sort Galvin, Grace
collection PubMed
description Objectives Vital to implementation of the World Health Organization (WHO) Safe Childbirth Checklist (SCC), designed to improve delivery of 28 essential birth practices (EBPs), is the availability of safe birth supplies: 22 EBPs on the SCC require one or more supplies. Mapping availability of these supplies can determine the scope of shortages and need for supply chain strengthening. Methods A cross-sectional survey on the availability of functional and/or unexpired supplies was assessed in 284 public-sector facilities in 38 districts in Uttar Pradesh, India. The twenty-three supplies were categorized into three non-mutually exclusive groups: maternal (8), newborn (9), and infection control (6). Proportions and mean number of supplies available were calculated; means were compared across facility types using t-tests and across districts using a one-way ANOVA. Log-linear regression was used to evaluate facility characteristics associated with supply availability. Results Across 284 sites, an average of 16.9 (73.5%) of 23 basic childbirth supplies were available: 63.4% of maternal supplies, 79.1% of newborn supplies, and 78.7% of infection control supplies. No facility had all 23 supplies available and only 8.5% had all four medicines assessed. Significant variability was observed by facility type and district. In the linear model, facility type and distance from district hospital were significant predictors of higher supply availability. Conclusions for Practice In Uttar Pradesh, more remote sites, and primary and community health centers, were at higher risk of supply shortages. Supply chain management must be improved for facility-based delivery and quality of care initiatives to reduce maternal and neonatal harm.
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spelling pubmed-63945292019-03-15 Availability of Safe Childbirth Supplies in 284 Facilities in Uttar Pradesh, India Galvin, Grace Hirschhorn, Lisa R. Shaikh, Maaz Maji, Pinki Delaney, Megan Marx Tuller, Danielle E. Neville, Bridget A. Firestone, Rebecca Gawande, Atul A. Kodkany, Bhala Kumar, Vishwajeet Semrau, Katherine E. A. Matern Child Health J Article Objectives Vital to implementation of the World Health Organization (WHO) Safe Childbirth Checklist (SCC), designed to improve delivery of 28 essential birth practices (EBPs), is the availability of safe birth supplies: 22 EBPs on the SCC require one or more supplies. Mapping availability of these supplies can determine the scope of shortages and need for supply chain strengthening. Methods A cross-sectional survey on the availability of functional and/or unexpired supplies was assessed in 284 public-sector facilities in 38 districts in Uttar Pradesh, India. The twenty-three supplies were categorized into three non-mutually exclusive groups: maternal (8), newborn (9), and infection control (6). Proportions and mean number of supplies available were calculated; means were compared across facility types using t-tests and across districts using a one-way ANOVA. Log-linear regression was used to evaluate facility characteristics associated with supply availability. Results Across 284 sites, an average of 16.9 (73.5%) of 23 basic childbirth supplies were available: 63.4% of maternal supplies, 79.1% of newborn supplies, and 78.7% of infection control supplies. No facility had all 23 supplies available and only 8.5% had all four medicines assessed. Significant variability was observed by facility type and district. In the linear model, facility type and distance from district hospital were significant predictors of higher supply availability. Conclusions for Practice In Uttar Pradesh, more remote sites, and primary and community health centers, were at higher risk of supply shortages. Supply chain management must be improved for facility-based delivery and quality of care initiatives to reduce maternal and neonatal harm. Springer US 2018-11-14 2019 /pmc/articles/PMC6394529/ /pubmed/30430350 http://dx.doi.org/10.1007/s10995-018-2642-7 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Article
Galvin, Grace
Hirschhorn, Lisa R.
Shaikh, Maaz
Maji, Pinki
Delaney, Megan Marx
Tuller, Danielle E.
Neville, Bridget A.
Firestone, Rebecca
Gawande, Atul A.
Kodkany, Bhala
Kumar, Vishwajeet
Semrau, Katherine E. A.
Availability of Safe Childbirth Supplies in 284 Facilities in Uttar Pradesh, India
title Availability of Safe Childbirth Supplies in 284 Facilities in Uttar Pradesh, India
title_full Availability of Safe Childbirth Supplies in 284 Facilities in Uttar Pradesh, India
title_fullStr Availability of Safe Childbirth Supplies in 284 Facilities in Uttar Pradesh, India
title_full_unstemmed Availability of Safe Childbirth Supplies in 284 Facilities in Uttar Pradesh, India
title_short Availability of Safe Childbirth Supplies in 284 Facilities in Uttar Pradesh, India
title_sort availability of safe childbirth supplies in 284 facilities in uttar pradesh, india
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394529/
https://www.ncbi.nlm.nih.gov/pubmed/30430350
http://dx.doi.org/10.1007/s10995-018-2642-7
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