TY - JOUR
T1 - Readiness of emergency obstetric and newborn care in public health facilities in Afghanistan between 2010 and 2016
AU - Ansari, Nasratullah
AU - Tappis, Hannah
AU - Manalai, Partamin
AU - Anwari, Zelaikha
AU - Kim, Young Mi
AU - van Roosmalen, Jos J.M.
AU - Stekelenburg, Jelle
PY - 2020/3
Y1 - 2020/3
N2 - Objective: To assess changes in readiness to provide emergency obstetric and newborn care (EmONC) in health facilities in Afghanistan between 2010 and 2016. Methods: A secondary analysis was performed of a subset of data from cross-sectional health facility assessments conducted in December 2009 to February 2010 and May 2016 to January 2017. Interviews with health providers, facility inventory, and record review were conducted in both assessments. Descriptive statistics and χ2 tests were used to compare readiness of EmONC at 59 public health facilities expected to provide comprehensive EmONC. Results: The proportion of facilities reporting provision of uterotonic drugs, anticonvulsants, parenteral antibiotics, newborn resuscitation, and cesarean delivery did not change significantly between 2010 and 2016. Provision of assisted vaginal deliveries increased from 78% in 2010 to 98% in 2016 (P<0.001). Fewer health facilities had amoxicillin (61% in 2016 vs 90% in 2010; P<0.001) and gentamicin (74% in 2016 vs 95% in 2010; P<0.002). The number of facilities with at least one midwife on duty 24 hours a day/7 days a week significantly declined (88% in 2016 vs 98% in 2010; P=0.028). Conclusion: Despite a few positive changes, readiness of EmONC services in Afghanistan in 2016 had declined from 2010 levels.
AB - Objective: To assess changes in readiness to provide emergency obstetric and newborn care (EmONC) in health facilities in Afghanistan between 2010 and 2016. Methods: A secondary analysis was performed of a subset of data from cross-sectional health facility assessments conducted in December 2009 to February 2010 and May 2016 to January 2017. Interviews with health providers, facility inventory, and record review were conducted in both assessments. Descriptive statistics and χ2 tests were used to compare readiness of EmONC at 59 public health facilities expected to provide comprehensive EmONC. Results: The proportion of facilities reporting provision of uterotonic drugs, anticonvulsants, parenteral antibiotics, newborn resuscitation, and cesarean delivery did not change significantly between 2010 and 2016. Provision of assisted vaginal deliveries increased from 78% in 2010 to 98% in 2016 (P<0.001). Fewer health facilities had amoxicillin (61% in 2016 vs 90% in 2010; P<0.001) and gentamicin (74% in 2016 vs 95% in 2010; P<0.002). The number of facilities with at least one midwife on duty 24 hours a day/7 days a week significantly declined (88% in 2016 vs 98% in 2010; P=0.028). Conclusion: Despite a few positive changes, readiness of EmONC services in Afghanistan in 2016 had declined from 2010 levels.
KW - Afghanistan
KW - Emergency obstetric and newborn care
KW - Health facility assessment
KW - Health facility readiness
KW - Maternal health
KW - Newborn health
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U2 - 10.1002/ijgo.13076
DO - 10.1002/ijgo.13076
M3 - Article
C2 - 31811740
SN - 0020-7292
VL - 148
SP - 361
EP - 368
JO - International Journal of Gynaecology and Obstetrics
JF - International Journal of Gynaecology and Obstetrics
IS - 3
ER -