Access to essential technologies for safe childbirth: a survey of health workers in Africa and Asia
The reliable availability of health technologies, defined as equipment, medicines, and consumable supplies, is essential to ensure successful childbirth practices proven to prevent avoidable maternal and newborn mortality. The majority of global maternal and newborn deaths take place in Africa and A...
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| Veröffentlicht in: | BMC Pregnancy and Childbirth 2013-02, Vol.13 (1), p.43-43, Article 43 |
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| creator | Spector, Jonathan M Reisman, Jonathan Lipsitz, Stuart Desai, Priya Gawande, Atul A |
| description | The reliable availability of health technologies, defined as equipment, medicines, and consumable supplies, is essential to ensure successful childbirth practices proven to prevent avoidable maternal and newborn mortality. The majority of global maternal and newborn deaths take place in Africa and Asia, yet few data exist that describe the availability of childbirth-related health technologies in these regions. We conducted a cross-sectional survey of health workers in Africa and Asia in order to profile the availability of health technologies considered to be essential to providing safe childbirth care.
Health workers in Africa and Asia were surveyed using a web-based questionnaire. A list of essential childbirth-related health technologies was drawn from World Health Organization guidelines for preventing and managing complications associated with the major causes of maternal and newborn mortality globally. Demographic data describing each birth center were obtained and health workers reported on the availability of essential childbirth-related health technologies at their centers. Comparison analyses were conducted using Rao-Scott chi-square test statistics.
Health workers from 124 birth centers in 26 African and 15 Asian countries participated. All facilities exhibited gaps in the availability of essential childbirth-related health technologies. Availability was significantly reduced in birth centers that had lower birth volumes and those from lower income countries. On average across all centers, health workers reported the availability of 18 of 23 essential childbirth-related health technologies (79%; 95% CI, 74%, 84%). Low-volume facilities suffered severe shortages; on average, these centers reported reliable availability of 13 of 23 technologies (55%; 95% CI, 39%, 71%).
Substantial gaps exist in the availability of essential childbirth-related health technologies across health sector levels in Africa and Asia. Strategies that facilitate reliable access to vital health technologies in these regions are an urgent priority. |
| doi_str_mv | 10.1186/1471-2393-13-43 |
| format | Article |
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Health workers in Africa and Asia were surveyed using a web-based questionnaire. A list of essential childbirth-related health technologies was drawn from World Health Organization guidelines for preventing and managing complications associated with the major causes of maternal and newborn mortality globally. Demographic data describing each birth center were obtained and health workers reported on the availability of essential childbirth-related health technologies at their centers. Comparison analyses were conducted using Rao-Scott chi-square test statistics.
Health workers from 124 birth centers in 26 African and 15 Asian countries participated. All facilities exhibited gaps in the availability of essential childbirth-related health technologies. Availability was significantly reduced in birth centers that had lower birth volumes and those from lower income countries. On average across all centers, health workers reported the availability of 18 of 23 essential childbirth-related health technologies (79%; 95% CI, 74%, 84%). Low-volume facilities suffered severe shortages; on average, these centers reported reliable availability of 13 of 23 technologies (55%; 95% CI, 39%, 71%).
Substantial gaps exist in the availability of essential childbirth-related health technologies across health sector levels in Africa and Asia. Strategies that facilitate reliable access to vital health technologies in these regions are an urgent priority.</description><identifier>ISSN: 1471-2393</identifier><identifier>EISSN: 1471-2393</identifier><identifier>DOI: 10.1186/1471-2393-13-43</identifier><identifier>PMID: 23421767</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Africa ; Antibiotics ; Asia ; Attitude of Health Personnel ; Chi-Square Distribution ; Child Health Services - supply & distribution ; Childbirth ; Childbirth & labor ; Complications ; Confidence intervals ; Cross-Sectional Studies ; Developing Countries ; Female ; Health aspects ; Health care ; Health facilities ; Health Resources - supply & distribution ; Humans ; Infant, Newborn ; Infants ; Internet ; Internet access ; Maternal Health Services - supply & distribution ; Medical personnel ; Mortality ; Mothers ; Obstetrics - instrumentation ; Parturition ; Patient outcomes ; Pediatrics ; Pregnancy ; Pregnancy Complications - therapy ; Public health ; Response rates ; Studies ; Surveys ; Surveys and Questionnaires ; Womens health ; Workers</subject><ispartof>BMC Pregnancy and Childbirth, 2013-02, Vol.13 (1), p.43-43, Article 43</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Spector et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2013 Spector et al.; licensee BioMed Central Ltd. 2013 Spector et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b679t-4c28827457e97ab7f6f1940d911c5f3b34bf0473d80e0e66e86c8ab63920eac13</citedby><cites>FETCH-LOGICAL-b679t-4c28827457e97ab7f6f1940d911c5f3b34bf0473d80e0e66e86c8ab63920eac13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3637084/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3637084/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23421767$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spector, Jonathan M</creatorcontrib><creatorcontrib>Reisman, Jonathan</creatorcontrib><creatorcontrib>Lipsitz, Stuart</creatorcontrib><creatorcontrib>Desai, Priya</creatorcontrib><creatorcontrib>Gawande, Atul A</creatorcontrib><title>Access to essential technologies for safe childbirth: a survey of health workers in Africa and Asia</title><title>BMC Pregnancy and Childbirth</title><addtitle>BMC Pregnancy Childbirth</addtitle><description>The reliable availability of health technologies, defined as equipment, medicines, and consumable supplies, is essential to ensure successful childbirth practices proven to prevent avoidable maternal and newborn mortality. The majority of global maternal and newborn deaths take place in Africa and Asia, yet few data exist that describe the availability of childbirth-related health technologies in these regions. We conducted a cross-sectional survey of health workers in Africa and Asia in order to profile the availability of health technologies considered to be essential to providing safe childbirth care.
Health workers in Africa and Asia were surveyed using a web-based questionnaire. A list of essential childbirth-related health technologies was drawn from World Health Organization guidelines for preventing and managing complications associated with the major causes of maternal and newborn mortality globally. Demographic data describing each birth center were obtained and health workers reported on the availability of essential childbirth-related health technologies at their centers. Comparison analyses were conducted using Rao-Scott chi-square test statistics.
Health workers from 124 birth centers in 26 African and 15 Asian countries participated. All facilities exhibited gaps in the availability of essential childbirth-related health technologies. Availability was significantly reduced in birth centers that had lower birth volumes and those from lower income countries. On average across all centers, health workers reported the availability of 18 of 23 essential childbirth-related health technologies (79%; 95% CI, 74%, 84%). Low-volume facilities suffered severe shortages; on average, these centers reported reliable availability of 13 of 23 technologies (55%; 95% CI, 39%, 71%).
Substantial gaps exist in the availability of essential childbirth-related health technologies across health sector levels in Africa and Asia. Strategies that facilitate reliable access to vital health technologies in these regions are an urgent priority.</description><subject>Africa</subject><subject>Antibiotics</subject><subject>Asia</subject><subject>Attitude of Health Personnel</subject><subject>Chi-Square Distribution</subject><subject>Child Health Services - supply & distribution</subject><subject>Childbirth</subject><subject>Childbirth & labor</subject><subject>Complications</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Developing Countries</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health facilities</subject><subject>Health Resources - supply & distribution</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Internet</subject><subject>Internet access</subject><subject>Maternal Health Services - supply & distribution</subject><subject>Medical personnel</subject><subject>Mortality</subject><subject>Mothers</subject><subject>Obstetrics - instrumentation</subject><subject>Parturition</subject><subject>Patient outcomes</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - therapy</subject><subject>Public health</subject><subject>Response rates</subject><subject>Studies</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Womens health</subject><subject>Workers</subject><issn>1471-2393</issn><issn>1471-2393</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNkktr3TAQhU1oSdK06-6KoJtunOhlPboouKEvCHSTrIUsj66V2lYq2Sn599XlppektBC0GDHzzUFzNFX1muBTQpQ4I1ySmjLNasJqzg6q433m2YP7UfUi52uMiVQNPqyOKOOUSCGPK9c6BzmjJaISYF6CHdECbpjjGDcBMvIxoWw9IDeEse9CWob3yKK8plu4Q9GjAey4DOhXTD8gZRRm1PoUnEV27lGbg31ZPfd2zPDqPp5UV58_XZ5_rS--f_l23l7UnZB6qbmjSlHJGwla2k564YnmuNeEuMazjvHOYy5ZrzBgEAKUcMp2gmmKwTrCTqoPO92btZugd2WaZEdzk8Jk052JNpjHlTkMZhNvDRNMYsWLwMedQBfifwQeV1yczNZkszXZEGY4KyLv7l-R4s8V8mKmkB2Mo50hrrlQWmOumFZPQBuhqaKUPwHlopFSaFHQt3-h13FNc3F-S0khdHG1UKc7amNHMGH2sUzkyulhCi7O4EPJt03RJVQIWRrOdg0uxZwT-L0vBJvtMv7DiTcP_2PP_9k-9hv5Sdke</recordid><startdate>20130220</startdate><enddate>20130220</enddate><creator>Spector, Jonathan M</creator><creator>Reisman, Jonathan</creator><creator>Lipsitz, Stuart</creator><creator>Desai, Priya</creator><creator>Gawande, Atul A</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>5PM</scope></search><sort><creationdate>20130220</creationdate><title>Access to essential technologies for safe childbirth: a survey of health workers in Africa and Asia</title><author>Spector, Jonathan M ; Reisman, Jonathan ; Lipsitz, Stuart ; Desai, Priya ; Gawande, Atul A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b679t-4c28827457e97ab7f6f1940d911c5f3b34bf0473d80e0e66e86c8ab63920eac13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Africa</topic><topic>Antibiotics</topic><topic>Asia</topic><topic>Attitude of Health Personnel</topic><topic>Chi-Square Distribution</topic><topic>Child Health Services - supply & distribution</topic><topic>Childbirth</topic><topic>Childbirth & labor</topic><topic>Complications</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Developing Countries</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health facilities</topic><topic>Health Resources - supply & distribution</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Internet</topic><topic>Internet access</topic><topic>Maternal Health Services - supply & distribution</topic><topic>Medical personnel</topic><topic>Mortality</topic><topic>Mothers</topic><topic>Obstetrics - instrumentation</topic><topic>Parturition</topic><topic>Patient outcomes</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - therapy</topic><topic>Public health</topic><topic>Response rates</topic><topic>Studies</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Womens health</topic><topic>Workers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spector, Jonathan M</creatorcontrib><creatorcontrib>Reisman, Jonathan</creatorcontrib><creatorcontrib>Lipsitz, Stuart</creatorcontrib><creatorcontrib>Desai, Priya</creatorcontrib><creatorcontrib>Gawande, Atul A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC Pregnancy and Childbirth</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spector, Jonathan M</au><au>Reisman, Jonathan</au><au>Lipsitz, Stuart</au><au>Desai, Priya</au><au>Gawande, Atul A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Access to essential technologies for safe childbirth: a survey of health workers in Africa and Asia</atitle><jtitle>BMC Pregnancy and Childbirth</jtitle><addtitle>BMC Pregnancy Childbirth</addtitle><date>2013-02-20</date><risdate>2013</risdate><volume>13</volume><issue>1</issue><spage>43</spage><epage>43</epage><pages>43-43</pages><artnum>43</artnum><issn>1471-2393</issn><eissn>1471-2393</eissn><abstract>The reliable availability of health technologies, defined as equipment, medicines, and consumable supplies, is essential to ensure successful childbirth practices proven to prevent avoidable maternal and newborn mortality. The majority of global maternal and newborn deaths take place in Africa and Asia, yet few data exist that describe the availability of childbirth-related health technologies in these regions. We conducted a cross-sectional survey of health workers in Africa and Asia in order to profile the availability of health technologies considered to be essential to providing safe childbirth care.
Health workers in Africa and Asia were surveyed using a web-based questionnaire. A list of essential childbirth-related health technologies was drawn from World Health Organization guidelines for preventing and managing complications associated with the major causes of maternal and newborn mortality globally. Demographic data describing each birth center were obtained and health workers reported on the availability of essential childbirth-related health technologies at their centers. Comparison analyses were conducted using Rao-Scott chi-square test statistics.
Health workers from 124 birth centers in 26 African and 15 Asian countries participated. All facilities exhibited gaps in the availability of essential childbirth-related health technologies. Availability was significantly reduced in birth centers that had lower birth volumes and those from lower income countries. On average across all centers, health workers reported the availability of 18 of 23 essential childbirth-related health technologies (79%; 95% CI, 74%, 84%). Low-volume facilities suffered severe shortages; on average, these centers reported reliable availability of 13 of 23 technologies (55%; 95% CI, 39%, 71%).
Substantial gaps exist in the availability of essential childbirth-related health technologies across health sector levels in Africa and Asia. Strategies that facilitate reliable access to vital health technologies in these regions are an urgent priority.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>23421767</pmid><doi>10.1186/1471-2393-13-43</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Africa Antibiotics Asia Attitude of Health Personnel Chi-Square Distribution Child Health Services - supply & distribution Childbirth Childbirth & labor Complications Confidence intervals Cross-Sectional Studies Developing Countries Female Health aspects Health care Health facilities Health Resources - supply & distribution Humans Infant, Newborn Infants Internet Internet access Maternal Health Services - supply & distribution Medical personnel Mortality Mothers Obstetrics - instrumentation Parturition Patient outcomes Pediatrics Pregnancy Pregnancy Complications - therapy Public health Response rates Studies Surveys Surveys and Questionnaires Womens health Workers |
| title | Access to essential technologies for safe childbirth: a survey of health workers in Africa and Asia |
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