Barriers to providing quality emergency obstetric care in Addis Ababa, Ethiopia: Healthcare providers' perspectives on training, referrals and supervision, a mixed methods study

BMC Pregnancy and Childbirth

Volumn 15, Issue 1, 2015, Pages

  Austin, Anne ^a   Gulema, Hanna ^b   Belizan, Maria ^c   Colaci, Daniela S ^c   Kendall, Tamil ^a   Tebeka, Mahlet ^a   Hailemariam, Mengistu ^d   Bekele, Delayehu ^e   Tadesse, Lia ^e   Berhane, Yemane ^c   Langer, Ana ^a  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b ADDIS CONTINENTAL INSTITUTE OF PUBLIC HEALTH   (Ethiopia)

^c INSTITUTE FOR CLINICAL EFFECTIVENESS AND HEALTH POLICY   (Argentina)

^d FEDERAL MINISTRY OF HEALTH   (Ethiopia)

^e ST PAUL S HOSPITAL MILLENNIUM MEDICAL COLLEGE   (Ethiopia)

Author keywords

Ethiopia; Healthcare provider perspectives; Maternal health; Obstetric emergencies; Quality of care; Supportive supervision; Training; Urban referrals

Indexed keywords

ADULT; AMBULANCE TRANSPORTATION; ARTICLE; CLINICAL ARTICLE; CLINICAL SUPERVISION; CROWDING (AREA); EMERGENCY CARE; ETHIOPIA; FEMALE; HEALTH CARE FACILITY; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HUMAN; IN SERVICE TRAINING; INTERPERSONAL COMMUNICATION; JOB SATISFACTION; MATERNITY WARD; MIDWIFE; MULTICENTER STUDY; NEWBORN CARE; NURSE; OBSTETRIC EMERGENCY; OBSTETRIC PROCEDURE; PATIENT REFERRAL; PATIENT TRANSPORT; PHYSICIAN; PRACTICE GUIDELINE; RESIDENT; SEMI STRUCTURED INTERVIEW; EDUCATION; EMERGENCY HEALTH SERVICE; HEALTH PERSONNEL ATTITUDE; MALE; MATERNAL HEALTH SERVICE; OBSTETRICAL NURSING; OBSTETRICS; ORGANIZATION AND MANAGEMENT; PROTOCOL COMPLIANCE; QUALITATIVE RESEARCH; STANDARDS;

ADULT; ATTITUDE OF HEALTH PERSONNEL; EMERGENCY MEDICAL SERVICES; ETHIOPIA; FEMALE; GUIDELINE ADHERENCE; HUMANS; MALE; MATERNAL HEALTH SERVICES; MIDWIFERY; OBSTETRIC NURSING; OBSTETRICS; PRACTICE GUIDELINES AS TOPIC; QUALITATIVE RESEARCH; QUALITY OF HEALTH CARE; REFERRAL AND CONSULTATION;

EID: 84928237677     PISSN: None     EISSN: 14712393     Source Type: Journal    
DOI: 10.1186/s12884-015-0493-4     Document Type: Article

References (29)

1. Federal Ministry of Health. National Reproductive Health Strategy: 2006-2015. 2006. http://can-mnch.ca/wp-content/uploads/2013/09/National-Reproductive-Health-Strategy-Ethiopia.pdf.
2. Central Statistical Agency [Ethiopia] and ORC Macro. Ethiopia Demographic and Health Survey 2010 Preliminary Report. 2011.
3. Five Ways of Looking at Maternal Health: The Mothers of Ethiopia. [ http://www.unfpa.org/news/five-ways-looking-maternal-health-mothers-ethiopia ]
4. Federal Ministry of Health, UNICEF, UNFPA, WHO, AMDD. National Baseline Assessment for Emergency Obstetric & Newborn Care. 2008.
5. Admasu K, Haile-Mariam A, Bailey P. Indicators for availability, utilization, and quality of emergency obstetric care in Ethiopia, 2008. Int J Gynaecol Obstet. 2011;115(1):101-5.
6. Gaym A. Maternal mortality studies in Ethiopia-magnitude, causes and trends. Ethiop Med J. 2009;47(2):95-108.
7. Federal Ministry of Health, Addis Ababa Regional Health Bureau. Emergency Obstetric and Newborn Care Services: Standard Operation Manual for Activities of Catchement Teams in Addis Ababa. 2012.
8. Thaddeus S, Maine D. Too far to walk: maternal mortality in context. Soc Sci Med. 1994;38(8):1091-110.
9. Bello DA, Hassan ZI, Afolaranmi TO, Tagurum YO, Chirdan OO, Zoakah AI. Supportive supervision: an effective intervention in achieving high quality malaria case management at primary health care level in Jos, Nigeria. Ann Afr Med. 2013;12(4):243-51.
10. Sipsma H, Thompson J, Maurer L, Bradley E, Curry L. Preferences for home delivery in Ethiopia: provider perspectives. Glob Public Health. 2013;8(9):1014-26.
11. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57.
12. Combs Thorsen V, Sundby J, Malata A. Piecing together the maternal death puzzle through narratives: the three delays model revisited. PLoS One. 2012;7(12):e52090.
13. Ghazi Tabatabaie M, Moudi Z, Vedadhir A. Home birth and barriers to referring women with obstetric complications to hospitals: a mixed-methods study in Zahedan, southeastern Iran. Reprod Health. 2012;9:5.
14. Sorensen BL, Nielsen BB, Rasch V, Elsass P. User and provider perspectives on emergency obstetric care in a Tanzanian rural setting: a qualitative analysis of the three delays model in a field study. Afr J Reprod Health. 2011;15(2):117-30.
15. Larsen JV. Supervision of peripheral obstetric units. Trop Doct. 1987;17(2):77-81.
16. Knight HE, Self A; Kennedy, Stephen H. Why are women dying when they reach hospital on time? A systematic review of the 'Third Delay'. PloS one 2013;8(5). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3660500/.
17. Bradley S, McAuliffe E. Mid-level providers in emergency obstetric and newborn health care: factors affecting their performance and retention within the Malawian health system. Hum Resour Health. 2009;7:14.
18. Yisma E, Dessalegn B, Astatkie A, Fesseha N. Completion of the modified World Health Organization (WHO) partograph during labour in public health institutions of Addis Ababa, Ethiopia. Reprod Health. 2013;10:23.
19. Marquez L, Kean L. Making supervision supportive and sustainable: new approaches to old problems. In: Maximizing Access and Quality Initiative [MAQ]MAQ Paper No 4; USAID Cooperative Agreement No HRN-A-00-00-00014-00; USAID Cooperative Agreement No GPH-A-00-02-00003-00). 2002. 27. https://www.usaidassist.org/sites/assist/files/maqno4final.pdf.
20. Gabrysch SC, Oona MR. Still to far to walk: Literature review of the determinants of derlivery service use. BMC Pregnancy Childbirth. 2009;9(34). http://www.biomedcentral.com/1471-2393/9/34.
21. McNamee P, Ternent L, Hussein J. Barriers in accessing maternal healthcare: evidence from low-and middle-income countries. Expert Rev Pharmacoecon Outcomes Res. 2009;9(1):41-8.
22. MEASURE DHS. STATcompiler: building tables with DHS DATA. In.
23. Pearson L, Gandhi M, Admasu K, Keyes EB. User fees and maternity services in Ethiopia. Int J Gynecol Obstet. 2011;115(3):310-15.
24. Federal Ministry of Health. Implementation manual for health care financing reports. In. Addis Ababa, Ethiopia; 2010.
25. Cavallaro FLM, Marchant TJ. Responsiveness of emergency obstetric care systems in low- and middle-income countries: a critical review of the "third delay". Acta Obstet Gynecol Scand. 2013;92:496-507.
26. Paxton A, Maine D, Freedman L, Fry D, Lobis S. The evidence for emergency obstetric care. Int J Gynaecol Obstet. 2005;88(2):181-93.
27. Ganju SA, Sharma NL, Kanga A. Towards quality improvement: Training and supportive supervision in STI control programme, Himachal Pradesh. Indian Dermatol Online J. 2012;3(3):221-2.
28. Mogasale V, Wi TC, Das A, Kane S, Singh AK, George B, et al. Quality assurance and quality improvement using supportive supervision in a large-scale STI intervention with sex workers, men who have sex with men/transgenders and injecting-drug users in India. Sex Transm Infect. 2010;86 Suppl 1:i83-8.
29. United Nations, Department of Economic and Social Affairs, Population Division (2014). World Urbanization Prospects: The 2014 Revision, CD-ROM Edition. File 12: Population of Urban Agglomerations with 300,000 Inhabitants or More in 2014, by Country, 1950-2030 (thousands). [ http://esa.un.org/unpd/wup/CD-ROM/ ].