| چکیده انگلیسی مقاله |
Background: To emphasize the essence of high-quality care in reducing maternal and neonatal mortality and morbidity, the WHO developed standards to support planners. This study described the structures and care processes that were in place to support perinatal care provided to pregnant women at three district hospitals in Bunyoro region, Uganda using WHO standards as a benchmark.
Methods: A cross sectional study was conducted using pre-tested structured questionnaires and an observation checklist among 61 facility managers and healthcare providers working in perinatal units. Data was collected on structures that focused on staffing, basic equipment, essential medicines and supplies, diagnostic capacity and basic amenities. In addition, data was collected on processes: supervision of perinatal care, in-service training for perinatal healthcare providers, transition in care, coordination of care, and continuity of care. Descriptive analysis was used for all the data using STATA version 13.
Results: Only 5 out of 18 doctors found were designated to perinatal units. Each hospital had only one Anaesthetic Officer. Two (2/3) of the hospitals did not have vital equipment in their postnatal units nor have communication equipment in all their perinatal units. No maternity unit had a designated waiting space for women in labour. The highest bed density for delivery and maternity beds was 6.6 per 1000 pregnant women. Refresher training was only offered once in a year. Receiving units were not notified of the referral. Patient care records were paper based using papers/exercise books as alternative documentation tools. Medications and laboratory or diagnostic findings were the least documented.
Conclusion: There is a shortage of critical human resource, equipment, and delivery and maternity beds. There were gaps in communication of referral and documentation of pregnant women’s care. The presence of a robust infrastructure, staffing, equipment, and medicines is critical in the provision of quality care to pregnant women. |
| کلیدواژههای انگلیسی مقاله |
Physical Infrastructure, Staffing, Transition in care, Coordination of care, Continuity of care, Maternal health care |
| نویسندگان مقاله |
| Mercy Muwema
Clinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Uganda.
| Joaniter I. Nankabirwa
Clinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Uganda.
| Dan K. Kaye
Department of Obstetrics and Gynecology, School of Medicine, College of Health Sciences, Makerere University, Uganda.
| Gorrette Nalwadda
Department of Nursing, School of Health Sciences, College of Health Sciences, Makerere University, Uganda.
| Joanita Nangendo
Clinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Uganda.
| Gloria Odei Obeng-Amoako
Department of Nutrition and Food Science, School of Biological Sciences, College of Basic and Applied Sciences, University of Ghana, Legon, Ghana.
| Jean Claude Nkurunziza
Clinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Uganda.
| Wilson Mwanja
Whale Consult Limited, Uganda.
| Elizabeth N. Ekong
Department of Nursing and Midwifery, Faculty of Public Health, Nursing and Midwifery, Uganda Christian University, Uganda.
| Robert Basaza
Department of Public Health, Faculty of Public Health, Nursing and Midwifery, Uganda Christian University, Uganda.
| Joan Kalyango
Clinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Uganda.
| Grace Edwards
School of Nursing and Midwifery, Aga Khan University, Uganda
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