Evaluation of a maternal health program in Uganda and Zambia finds mixed results on quality of care and satisfaction

Health Affairs

Volumn 35, Issue 3, 2016, Pages 510-519

  Kruk, Margaret E ^a   Vail, Daniel ^b   Austin Evelyn, Katherine ^c   Atuyambe, Lynn ^d   Greeson, Dana ^e   Grépin, Karen Ann ^f   Kibira, Simon P S ^d   Macwan'gi, Mubiana ^g   Masvawure, Tsitsi B ^h   Rabkin, Miriam ⁱ   Sacks, Emma ^j,k   Simbaya, Joseph ^g   Galea, Sandro ^l  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c International Women's Health Coalition   (United States)

^d MAKERERE UNIVERSITY   (Uganda)

^e CENTERS FOR DISEASE CONTROL AND PREVENTION   (United States)

^f NEW YORK UNIVERSITY   (United States)

^g UNIVERSITY OF ZAMBIA   (Zambia)

^h Center for Interdisciplinary Studies   (United States)

ⁱ Department of Medicine   (United States)

^j UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT   (United States)

^k ICF INTERNATIONAL   (United States)

^l BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH   (United States)

more..

Author keywords

[No Author keywords available]

Indexed keywords

COMMUNICATION SKILL; DOCTOR PATIENT RELATION; FEMALE; GEOGRAPHY; HEALTH CARE PERSONNEL; HUMAN; INVESTMENT; JOB SATISFACTION; MAJOR CLINICAL STUDY; MATERNAL WELFARE; SCALE UP; UGANDA; ZAMBIA; ADULT; AGE; DEVELOPING COUNTRY; ECONOMICS; EVALUATION STUDY; HEALTH CARE QUALITY; MATERNAL HEALTH SERVICE; MATERNAL MORTALITY; MULTIVARIATE ANALYSIS; ORGANIZATION AND MANAGEMENT; PATIENT SATISFACTION; PREGNANCY; QUESTIONNAIRE; RISK ASSESSMENT; SOCIOECONOMICS; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA; TRENDS; YOUNG ADULT;

ADULT; AGE FACTORS; DEVELOPING COUNTRIES; FEMALE; HUMANS; LOGISTIC MODELS; MATERNAL HEALTH; MATERNAL HEALTH SERVICES; MATERNAL MORTALITY; MULTIVARIATE ANALYSIS; PATIENT SATISFACTION; PREGNANCY; QUALITY OF HEALTH CARE; RISK ASSESSMENT; SOCIOECONOMIC FACTORS; SURVEYS AND QUESTIONNAIRES; UGANDA; YOUNG ADULT; ZAMBIA;

EID: 84960390238     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2015.0902     Document Type: Article

References (40)

1. Saving Mothers, Giving Life [home page on the Internet]. Washington (DC): Saving Mothers, Giving Life; c 2015 [cited 2016 Jan 22]. Available from: http://www.savingmothers givinglife.org
2. Lozano R, Wang H, Foreman KJ, Rajaratnam JK, Naghavi M, Marcus JR, et al. Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: an updated systematic analysis. Lancet. 2011; 378(9797):1139-65.
3. Kruk ME, Galea S, Grépin K, Rabkin M, Masvawure T, Austin-Evelyn K, et al. External evaluation of Saving Mothers, Giving Life: interim report: phase 1. New York (NY): Columbia University Mailman School of Public Health; 2013 Mar.
4. Kruk ME, Rabkin M, Grepin KA, Austin-Evelyn K, Greeson D, Masvawure TB, et al. "Big push" to reduce maternal mortality in Uganda and Zambia enhanced health systems but lacked a sustainability plan. Health Aff (Millwood). 2014; 33(6):1058-66.
5. Harvey SA, Blandón YC, McCaw-Binns A, Sandino I, Urbina L, Rodríguez C, et al. Are skilled birth attendants really skilled? A measurement method, some disturbing results and a potential way forward. Bull World Health Organ. 2007; 85(10):783-90.
6. Olson KR, Caldwell A, Sihombing M, Guarino AJ, Nelson BD, Petersen R. Assessing self-efficacy of frontline providers to perform newborn resuscitation in a low-resource setting. Resuscitation. 2015; 89:58-63.
7. Kim YM, Ansari N, Kols A, Tappis H, Currie S, Zainullah P, et al. Assessing the capacity for newborn resuscitation and factors associated with providers' knowledge and skills: a cross-sectional study in Afghanistan. BMC Pediatr. 2013; 13:140.
8. Groene O. Patient centredness and quality improvement efforts in hospitals: rationale, measurement, implementation. Int J Qual Health Care. 2011; 23(5):531-7.
9. Kruk ME, Hermosilla S, Larson E, Mbaruku GM. Bypassing primary care clinics for childbirth: a crosssectional study in the Pwani region, United Republic of Tanzania. Bull World Health Organ. 2014; 92(4):246-53.
10. Bohren MA, Hunter EC, Munthe-Kaas HM, Souza JP, Vogel JP, Gulmezoglu AM. Facilitators and barriers to facility-based delivery in low-and middle-income countries: a qualitative evidence synthesis. Reprod Health. 2014; 11(1):71.
11. Sun BC, Adams J, Orav EJ, Rucker DW, Brennan TA, Burstin HR. Determinants of patient satisfaction and willingness to return with emergency care. Ann Emerg Med. 2000; 35(5):426-34.
12. Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013; 3(1).
13. Prytherch H, Kakoko DC, Leshabari MT, Sauerborn R, Marx M. Maternal and newborn healthcare providers in rural Tanzania: in-depth interviews exploring influences on motivation, performance and job satisfaction. Rural Remote Health. 2012; 12:2072.
14. Mbaruku GM, Larson E, Kimweri A, Kruk ME. What elements of the work environment are most responsible for health worker dissatisfaction in rural primary care clinics in Tanzania? Hum Resour Health. 2014;12:38.
15. Nankumbi J, Groves S, Leontsini E, Kyegombe N, Coutinho A, Manabe Y. The impact on nurses and nurse managers of introducing PEPFAR clinical services in urban government clinics in Uganda. BMC Int Health Hum Rights. 2011; 11(Suppl 1):S8.
16. Ssengooba F, Rahman SA, Hongoro C, Rutebemberwa E, Mustafa A, Kielmann T, et al. Health sector reforms and human resources for health in Uganda and Bangladesh: mechanisms of effect. Hum Resour Health. 2007; 5:3.
17. Fylkesnes K, Musonda RM, Sichone M, Ndhlovu Z, Tembo F, Monze M. Declining HIV prevalence and risk behaviours in Zambia: evidence from surveillance and populationbased surveys. AIDS. 2001; 15(7):907-16.
18. World Health Organization. Global Health Observatory data repository [Internet]. Geneva: WHO; c 2015 [cited 2016 Jan 25]. Available from: http://apps.who.int/gho/data/
19. Saving Mothers, Giving Life. Making pregnancy and childbirth safer in Uganda and Zambia: annual report 2013 [Internet]. Washington (DC): Saving Mothers, Giving Life; 2013 [cited 2016 Feb 3]. Available from: https://www.savingmothersgiving life.org/docs/SMGL_Annual_ Report_2013.pdf
20. Stoneburner RL, Low-Beer D. Population-level HIV declines and behavioral risk avoidance in Uganda. Science. 2004; 304(5671):714-8.
21. Montagu D, Yamey G, Visconti A, Harding A, Yoong J. Where do poor women in developing countries give birth? A multi-country analysis of demographic and health survey data. PLoS One. 2011;6(2):e17155.
22. To access the Appendix, click on the Appendix link in the box to the right of the article online.
23. Nelissen E, Ersdal H, Ostergaard D, Mduma E, Broerse J, Evjen-Olsen B, et al. Helping mothers survive bleeding after birth: an evaluation of simulation-based training in a lowresource setting. Acta Obstet Gynecol Scand. 2014; 93(3):287-95.
24. JHPIEGO. Guidelines for assessment of skilled providers after training in maternal and newborn healthcare [Internet]. Baltimore (MD): JHPIEGO; c 2004 [cited 2016 Jan 26]. Available from: http://www.jhpiego.org/files/GdlnsSkill ProvEN.pdf
25. Pirkle CM, Dumont A, Traoré M, Zunzunegui M-V. Effect of a facilitybased multifaceted intervention on the quality of obstetrical care: a cluster randomized controlled trial in Mali and Senegal. BMC Pregnancy Childbirth. 2013; 13:24.
26. Bayley O, Colbourn T, Nambiar B, Costello A, Kachale F, Meguid T, et al. Knowledge and perceptions of quality of obstetric and newborn care of local health providers: a cross-sectional study in three districts in Malawi. Malawi Med J. 2013; 25(4):105-8.
27. Rowe AK (Centers for Disease Control and Prevention, Atlanta, GA). Health care provider performance review: presentation for World Bank workshop, September 5, 2004 [Internet]. Washington (DC): World Bank; [last updated 2014 Sep 3; cited 2016 Jan 26]. Available from: http://www.worldbank.org/content/dam/Worldbank/Event/SIEF/20140905-quality-of-health-care-servicesproducts/01-Health-care-providerperformance-review-Alexander-Rowe.pdf
28. DeStephano CC, Chou B, Patel S, Slattery R, Hueppchen N. A randomized controlled trial of birth simulation for medical students. Am J Obstet Gynecol. 2015; 213(1):91.e1-7.
29. Cancedda C, Farmer PE, Kerry V, Nuthulaganti T, Scott KW, Goosby E, et al. Maximizing the impact of training initiatives for health professionals in low-income countries: frameworks, challenges, and best practices. PLoS Med. 2015; 12(6): e1001840.
30. Das J, Gertler PJ. Variations in practice quality in five low-income countries: a conceptual overview. Health Aff (Millwood). 2007; 26(3): w296-309. DOI:10.1377/hlthaff .26.3.w296.
31. Samb B, Evans T, Dybul M, Atun R, Moatti JP, Nishtar S, et al. An assessment of interactions between global health initiatives and country health systems. Lancet. 2009; 373(9681):2137-69.
32. Ferrinho P, Siziya S, Goma F, Dussault G. The human resource for health situation in Zambia: deficit and maldistribution. Hum Resour Health. 2011; 9:30.
33. Mubyazi GM, Bloch P, Byskov J, Magnussen P, Bygbjerg IC, Hansen KS. Supply-related drivers of staff motivation for providing intermittent preventive treatment of malaria during pregnancy in Tanzania: evidence from two rural districts. Malar J. 2012; 11:48.
34. Allanson ER, Muller M, Pattinson RC. Causes of perinatal mortality and associated maternal complications in a South African province: challenges in predicting poor outcomes. BMC Pregnancy Childbirth. 2015; 15:37.
35. Thaddeus S, Maine D. Too far to walk: maternal mortality in context. Soc Sci Med. 1994; 38(8):1091-110.
36. Kruk ME, Kujawski S, Mbaruku G, Ramsey K, Moyo W, Freedman LP. Disrespectful and abusive treatment during facility delivery in Tanzania: a facility and community survey. Health Policy Plan. 2014. DOI:10.1093/heapol/czu079
37. Sando D, Kendall T, Lyatuu G, Ratcliffe H, McDonald K, Mwanyika-Sando M, et al. Disrespect and abuse during childbirth in Tanzania: are women living with HIV more vulnerable? J Acquir Immune Defic Syndr. 2014;67(Suppl 4):S228-34.
38. Freedman LP, Kruk ME. Disrespect and abuse of women in childbirth: challenging the global quality and accountability agendas. Lancet. 2014; 384(9948):e42-4.
39. Sacks E, Kinney MV. Respectful maternal and newborn care: building a common agenda. Reprod Health. 2015; 12:46.
40. Srivastava A, Avan BI, Rajbangshi P, Bhattacharyya S. Determinants of women's satisfaction with maternal health care: a review of literature from developing countries. BMC Pregnancy Childbirth. 2015; 15:97.