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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...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer US
2018
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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. |
format | Online Article Text |
id | pubmed-6394529 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
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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