Quality of care during childbirth at public health facilities in Bangladesh: a cross-sectional study using WHO/ UNICEF ‘Every Mother Every Newborn (EMEN)’ standards
Background This manuscript presents findings from a baseline assessment of health facilities in Bangladesh prior to the implementation of the ‘Every Mother Every Newborn Quality Improvement’ initiative. Methodology A cross-sectional survey was conducted between June and August 2016 in 15 govern...
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| Format: | Article |
| Idioma: | anglès |
| Publicat: |
BMJ
2025
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| Accés en línia: | https://repository.auw.edu.bd/handle/123456789/894 |
| _version_ | 1857448965147983872 |
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| author | Chowdhury, Mohiuddin Ahsanul Kabir |
| author_facet | Chowdhury, Mohiuddin Ahsanul Kabir |
| author_sort | Chowdhury, Mohiuddin Ahsanul Kabir |
| collection | institutional Repository |
| description | Background This manuscript presents findings from a
baseline assessment of health facilities in Bangladesh
prior to the implementation of the ‘Every Mother Every
Newborn Quality Improvement’ initiative.
Methodology A cross-sectional survey was conducted
between June and August 2016 in 15 government health
facilities. Structural readiness was assessed by observing
the physical environment, the availability of essential drugs
and equipment, and the functionality of the referral system.
Structured interviews were conducted with care providers
and facility managers on human resource availability and
training in the maternal and newborn care. Observation of
births, reviews of patient records and exit interviews with
women who were discharged from the selected health
facilities were used to assess the provision and experience
of care.
Results Only six (40%) facilities assessed had designated
maternity wards and 11 had newborn care corners. There
were stock-outs of emergency drugs including magnesium
sulfate and oxytocin in nearly all facilities. Two-thirds of
the positions for medical officers was vacant in district
hospitals and half of the positions for nurses was vacant
in subdistrict facilities. Only 60 (45%) healthcare providers
interviewed received training on newborn complication
management. No health facility used partograph for labour
monitoring. Blood pressure was not measured in half
(48%) and urine protein in 99% of pregnant women. Only
27% of babies were placed skin to skin with their mothers.
Most mothers (97%) said that they were satisfied with the
care received, however, only 46% intended on returning to
the same facility for future deliveries.
Conclusions Systematic implementation of quality
standards to mitigate these gaps in service readiness,
provision and experience of care is the next step to
accelerate the country’s progress in reducing the maternal
and neonatal deaths. |
| format | Article |
| id | 123456789-894 |
| institution | Asian University for Women |
| language | English |
| publishDate | 2025 |
| publisher | BMJ |
| record_format | dspace |
| spelling | 123456789-8942026-02-18T06:15:08Z Quality of care during childbirth at public health facilities in Bangladesh: a cross-sectional study using WHO/ UNICEF ‘Every Mother Every Newborn (EMEN)’ standards Chowdhury, Mohiuddin Ahsanul Kabir Background This manuscript presents findings from a baseline assessment of health facilities in Bangladesh prior to the implementation of the ‘Every Mother Every Newborn Quality Improvement’ initiative. Methodology A cross-sectional survey was conducted between June and August 2016 in 15 government health facilities. Structural readiness was assessed by observing the physical environment, the availability of essential drugs and equipment, and the functionality of the referral system. Structured interviews were conducted with care providers and facility managers on human resource availability and training in the maternal and newborn care. Observation of births, reviews of patient records and exit interviews with women who were discharged from the selected health facilities were used to assess the provision and experience of care. Results Only six (40%) facilities assessed had designated maternity wards and 11 had newborn care corners. There were stock-outs of emergency drugs including magnesium sulfate and oxytocin in nearly all facilities. Two-thirds of the positions for medical officers was vacant in district hospitals and half of the positions for nurses was vacant in subdistrict facilities. Only 60 (45%) healthcare providers interviewed received training on newborn complication management. No health facility used partograph for labour monitoring. Blood pressure was not measured in half (48%) and urine protein in 99% of pregnant women. Only 27% of babies were placed skin to skin with their mothers. Most mothers (97%) said that they were satisfied with the care received, however, only 46% intended on returning to the same facility for future deliveries. Conclusions Systematic implementation of quality standards to mitigate these gaps in service readiness, provision and experience of care is the next step to accelerate the country’s progress in reducing the maternal and neonatal deaths. 2025-07-31T07:22:38Z 2025-07-31T07:22:38Z 2019 Article https://repository.auw.edu.bd/handle/123456789/894 en application/pdf BMJ |
| spellingShingle | Chowdhury, Mohiuddin Ahsanul Kabir Quality of care during childbirth at public health facilities in Bangladesh: a cross-sectional study using WHO/ UNICEF ‘Every Mother Every Newborn (EMEN)’ standards |
| title | Quality of care during childbirth at public health facilities in Bangladesh: a cross-sectional study using WHO/ UNICEF ‘Every Mother Every Newborn (EMEN)’ standards |
| title_full | Quality of care during childbirth at public health facilities in Bangladesh: a cross-sectional study using WHO/ UNICEF ‘Every Mother Every Newborn (EMEN)’ standards |
| title_fullStr | Quality of care during childbirth at public health facilities in Bangladesh: a cross-sectional study using WHO/ UNICEF ‘Every Mother Every Newborn (EMEN)’ standards |
| title_full_unstemmed | Quality of care during childbirth at public health facilities in Bangladesh: a cross-sectional study using WHO/ UNICEF ‘Every Mother Every Newborn (EMEN)’ standards |
| title_short | Quality of care during childbirth at public health facilities in Bangladesh: a cross-sectional study using WHO/ UNICEF ‘Every Mother Every Newborn (EMEN)’ standards |
| title_sort | quality of care during childbirth at public health facilities in bangladesh a cross sectional study using who unicef every mother every newborn emen standards |
| url | https://repository.auw.edu.bd/handle/123456789/894 |
| work_keys_str_mv | AT chowdhurymohiuddinahsanulkabir qualityofcareduringchildbirthatpublichealthfacilitiesinbangladeshacrosssectionalstudyusingwhounicefeverymothereverynewbornemenstandards |