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Availability of comprehensive emergency obstetric and neonatal care in developing regions in Ethiopia: lessons learned from the USAID transform health activity

BACKGROUND: In collaboration with its partners, the Ethiopian government has been implementing standard Emergency Obstetric and Neonatal Care Services (CEmONC) since 2010. However, limited studies documented the lessons learned from such programs on the availability of CEmONC signal functions. This...

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Autores principales: Germossa, Gugsa Nemera, Wondie, Tamiru, Gerbaba, Mulusew, Mohammed, Eyob, Alemayehu, Wondwossen A., Tekeste, Asayehegn, Mdluli, Eden Ahmed, Kenyon, Thomas, Collison, Deborah, Tsegaye, Sentayehu, Abera, Yared, Tadesse, Derebe, Daga, Wakgari Binu, Shaweno, Tamrat, Abrar, Mohammed, Ibrahim, Ahmed, Belete, Mebrie, Esmael, Salah, Tadesse, Daniel, Alemayehu, Yibeltal Kiflie, Medhin, Girmay, Fayssa, Mekdes Daba
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9628556/
https://www.ncbi.nlm.nih.gov/pubmed/36324131
http://dx.doi.org/10.1186/s12913-022-08712-w
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author Germossa, Gugsa Nemera
Wondie, Tamiru
Gerbaba, Mulusew
Mohammed, Eyob
Alemayehu, Wondwossen A.
Tekeste, Asayehegn
Mdluli, Eden Ahmed
Kenyon, Thomas
Collison, Deborah
Tsegaye, Sentayehu
Abera, Yared
Tadesse, Derebe
Daga, Wakgari Binu
Shaweno, Tamrat
Abrar, Mohammed
Ibrahim, Ahmed
Belete, Mebrie
Esmael, Salah
Tadesse, Daniel
Alemayehu, Yibeltal Kiflie
Medhin, Girmay
Fayssa, Mekdes Daba
author_facet Germossa, Gugsa Nemera
Wondie, Tamiru
Gerbaba, Mulusew
Mohammed, Eyob
Alemayehu, Wondwossen A.
Tekeste, Asayehegn
Mdluli, Eden Ahmed
Kenyon, Thomas
Collison, Deborah
Tsegaye, Sentayehu
Abera, Yared
Tadesse, Derebe
Daga, Wakgari Binu
Shaweno, Tamrat
Abrar, Mohammed
Ibrahim, Ahmed
Belete, Mebrie
Esmael, Salah
Tadesse, Daniel
Alemayehu, Yibeltal Kiflie
Medhin, Girmay
Fayssa, Mekdes Daba
author_sort Germossa, Gugsa Nemera
collection PubMed
description BACKGROUND: In collaboration with its partners, the Ethiopian government has been implementing standard Emergency Obstetric and Neonatal Care Services (CEmONC) since 2010. However, limited studies documented the lessons learned from such programs on the availability of CEmONC signal functions. This study investigated the availability of CEmONC signal functions and described lessons learned from Transform Health support in Developing Regional State in Ethiopia. METHOD: At baseline, we conducted a cross-sectional study covering 15 public hospitals in four developing regions of Ethiopia (Somali, Afar, Beneshangul Gumz, and Gambella). Then, clinical mentorship was introduced in ten selected hospitals. This was followed by reviewing the clinical mentorship program report implemented in all regions. We used the tool adapted from an Averting Maternal Death and Disability tools to collect data through face-to-face interviews. We also reviewed maternal and neonatal records. We then descriptively analyzed the data and presented the findings using text, tables, and graphs. RESULT: At baseline, six out of the 15 hospitals performed all the nine CEmONC signal functions, and one-third of the signal functions were performed in all hospitals. Cesarean Section service was available in eleven hospitals, while blood transfusion was available in ten hospitals. The least performed signal functions were blood transfusion, Cesarean Section, manual removal of placenta, removal of retained product of conceptus, and parenteral anticonvulsants. After implementing the clinical mentorship program, all CEmONC signal functions were available in all hospitals selected for the mentorship program except for Abala Hospital; the number of Cesarean Sections increased by 7.25% at the last quarter of 2021compared to the third quarter of 20,219; and the number of women referred for blood transfusions and further management of obstetric complications decreased by 96.67% at the last quarter of 2021 compared to the third quarter of 20,219. However, the number of women with post-cesarean Section surgical site infection, obstetric complications, facility maternal deaths, neonatal deaths, and stillbirths have not been changed. CONCLUSION: The availability of CEmONC signal functions in the supported hospitals did not change the occurrence of maternal death and stillbirth. This indicates the need for investigating underlying and proximal factors that contributed to maternal death and stillbirth in the Developing Regional State of Ethiopia. In addition, there is also the need to assess the quality of the CEmONC services in the supported hospitals, institutionalize reviews, surveillance, and response mechanism for maternal and perinatal or neonatal deaths and near misses. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08712-w.
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spelling pubmed-96285562022-11-02 Availability of comprehensive emergency obstetric and neonatal care in developing regions in Ethiopia: lessons learned from the USAID transform health activity Germossa, Gugsa Nemera Wondie, Tamiru Gerbaba, Mulusew Mohammed, Eyob Alemayehu, Wondwossen A. Tekeste, Asayehegn Mdluli, Eden Ahmed Kenyon, Thomas Collison, Deborah Tsegaye, Sentayehu Abera, Yared Tadesse, Derebe Daga, Wakgari Binu Shaweno, Tamrat Abrar, Mohammed Ibrahim, Ahmed Belete, Mebrie Esmael, Salah Tadesse, Daniel Alemayehu, Yibeltal Kiflie Medhin, Girmay Fayssa, Mekdes Daba BMC Health Serv Res Research BACKGROUND: In collaboration with its partners, the Ethiopian government has been implementing standard Emergency Obstetric and Neonatal Care Services (CEmONC) since 2010. However, limited studies documented the lessons learned from such programs on the availability of CEmONC signal functions. This study investigated the availability of CEmONC signal functions and described lessons learned from Transform Health support in Developing Regional State in Ethiopia. METHOD: At baseline, we conducted a cross-sectional study covering 15 public hospitals in four developing regions of Ethiopia (Somali, Afar, Beneshangul Gumz, and Gambella). Then, clinical mentorship was introduced in ten selected hospitals. This was followed by reviewing the clinical mentorship program report implemented in all regions. We used the tool adapted from an Averting Maternal Death and Disability tools to collect data through face-to-face interviews. We also reviewed maternal and neonatal records. We then descriptively analyzed the data and presented the findings using text, tables, and graphs. RESULT: At baseline, six out of the 15 hospitals performed all the nine CEmONC signal functions, and one-third of the signal functions were performed in all hospitals. Cesarean Section service was available in eleven hospitals, while blood transfusion was available in ten hospitals. The least performed signal functions were blood transfusion, Cesarean Section, manual removal of placenta, removal of retained product of conceptus, and parenteral anticonvulsants. After implementing the clinical mentorship program, all CEmONC signal functions were available in all hospitals selected for the mentorship program except for Abala Hospital; the number of Cesarean Sections increased by 7.25% at the last quarter of 2021compared to the third quarter of 20,219; and the number of women referred for blood transfusions and further management of obstetric complications decreased by 96.67% at the last quarter of 2021 compared to the third quarter of 20,219. However, the number of women with post-cesarean Section surgical site infection, obstetric complications, facility maternal deaths, neonatal deaths, and stillbirths have not been changed. CONCLUSION: The availability of CEmONC signal functions in the supported hospitals did not change the occurrence of maternal death and stillbirth. This indicates the need for investigating underlying and proximal factors that contributed to maternal death and stillbirth in the Developing Regional State of Ethiopia. In addition, there is also the need to assess the quality of the CEmONC services in the supported hospitals, institutionalize reviews, surveillance, and response mechanism for maternal and perinatal or neonatal deaths and near misses. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08712-w. BioMed Central 2022-11-02 /pmc/articles/PMC9628556/ /pubmed/36324131 http://dx.doi.org/10.1186/s12913-022-08712-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Germossa, Gugsa Nemera
Wondie, Tamiru
Gerbaba, Mulusew
Mohammed, Eyob
Alemayehu, Wondwossen A.
Tekeste, Asayehegn
Mdluli, Eden Ahmed
Kenyon, Thomas
Collison, Deborah
Tsegaye, Sentayehu
Abera, Yared
Tadesse, Derebe
Daga, Wakgari Binu
Shaweno, Tamrat
Abrar, Mohammed
Ibrahim, Ahmed
Belete, Mebrie
Esmael, Salah
Tadesse, Daniel
Alemayehu, Yibeltal Kiflie
Medhin, Girmay
Fayssa, Mekdes Daba
Availability of comprehensive emergency obstetric and neonatal care in developing regions in Ethiopia: lessons learned from the USAID transform health activity
title Availability of comprehensive emergency obstetric and neonatal care in developing regions in Ethiopia: lessons learned from the USAID transform health activity
title_full Availability of comprehensive emergency obstetric and neonatal care in developing regions in Ethiopia: lessons learned from the USAID transform health activity
title_fullStr Availability of comprehensive emergency obstetric and neonatal care in developing regions in Ethiopia: lessons learned from the USAID transform health activity
title_full_unstemmed Availability of comprehensive emergency obstetric and neonatal care in developing regions in Ethiopia: lessons learned from the USAID transform health activity
title_short Availability of comprehensive emergency obstetric and neonatal care in developing regions in Ethiopia: lessons learned from the USAID transform health activity
title_sort availability of comprehensive emergency obstetric and neonatal care in developing regions in ethiopia: lessons learned from the usaid transform health activity
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9628556/
https://www.ncbi.nlm.nih.gov/pubmed/36324131
http://dx.doi.org/10.1186/s12913-022-08712-w
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