Article
Multidisciplinary Sciences
Achyut Raj Pandey, Bikram Adhikari, Bipul Lamichhane, Deepak Joshi, Shophika Regmi, Bibek Kumar Lal, Sagar Dahal, Sushil Chandra Baral
Summary: Although efforts have been made to improve maternal and newborn health and expand services in Nepal, the expected impact has not been achieved to the desired extent. This study analyzed the availability and readiness of Basic Emergency Obstetric and Neonatal Care (BEmONC) services in health facilities in Nepal. Based on data from the Nepal Health Facility Survey (NHFS) 2021, the study found that the availability and readiness of BEmONC services were relatively low in local health facilities and private hospitals. Factors associated with readiness included location, external supervision, and quality assurance activities
Article
Public, Environmental & Occupational Health
Seth Kwaku Afagbedzi, Yakubu Alhassan, Deda Ogum Alangea, Henrietta Taylor
Summary: This study aimed to determine maternal and infant complications that influence preterm deaths in a tertiary health facility in Ghana. The results showed that gestational age, birth weight, presence of complications, and congenital anomalies were significantly associated with preterm deaths.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Obstetrics & Gynecology
Ebenezer Oduro-Mensah, Irene Akua Agyepong, Edith Frimpong, Marjolein Zweekhorst, Linda Amarkai Vanotoo
Summary: This study analyzed the use of a pilot referral and decision-making support call center for mothers and newborns in the Greater Accra region of Ghana. It found that the call center is a potentially useful M-Health intervention, but highlighted challenges such as inadequacy of human resources, unavailability of referral beds, poor health infrastructure, lack of recurrent financing, and emergency transportation that need to be addressed for optimal functioning.
BMC PREGNANCY AND CHILDBIRTH
(2021)
Article
Obstetrics & Gynecology
Harriet Nabulo, Helga Gottfredsdottir, Ngonzi Joseph, Dan K. Kaye
Summary: This study explored the experiences of obstetric emergency referrals in Mbarara Regional Referral Hospital (MRRH) in Uganda, aiming to identify barriers and facilitating factors. The study found that patients faced transportation issues, delays in care, and inhumane treatment from healthcare providers during the referral process. Improving the quality of care through training in respectful maternity care (RMC) and enhancing the functionality of the obstetric referral pathway can lead to better patient experiences.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Article
Obstetrics & Gynecology
Emma R. Lawrence, Anna Stabnick, Johnny Arthur-Komeh, Cheryl A. Moyer, Michael Yeboah
Summary: This study highlights the significant emotional impact on obstetric healthcare providers when managing maternal mortalities, with only a minority receiving training and adequate support. Preparedness to deal with maternal death is significantly enhanced when providers receive sufficient support and training.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2021)
Article
Health Care Sciences & Services
Elom Hillary Otchi, Reuben Kwasi Esena, Emmanuel Srofenyoh, Emmanuel Ogbada Ameh, Kwalcu Asah-Opoku, Titus Beyuo, Sebastian Ken-Amoah, Frederick Oduro, Evans Kofi Agbeno, Kissinger Marfo
Summary: The study found that inadequate leadership and governance, including inadequate use of protocol and adherence, are the main causes of adverse events among obstetric clients. The scale used in the study demonstrated high reliability and validity, but the model fit was marginal. Therefore, there is an urgent need to address the issues of inadequate use of protocol and adherence to reduce the prevalence of adverse events among obstetric clients.
JOURNAL OF PATIENT SAFETY
(2021)
Article
Medicine, General & Internal
Getiye Dejenu Kibret, Daniel Demant, Andrew Hayen
Summary: This study aimed to analyze the physical accessibility of emergency neonatal care (EmNeC) services at the national and subnational levels in Ethiopia. The results showed that in 2016, 21.4%, 35.9%, and 46.4% of live births were within 30, 60, and 120 minutes of travel time to fully accessible EmNeC services, but there was considerable variation across regions.
Article
Public, Environmental & Occupational Health
Alexander Manu, Sk Massum Billah, John Williams, Stella Kilima, Francis Yeji, Ziaul Matin, Asia Hussein, Fatima Gohar, Priscilla Wobil, Peter Baffoe, Farhana Karim, Projestine Muganyizi, Deus Mogela, Shams El Arifeen, Maya Vandenent, Kyaw Aung, Mrunal Shetye, Kim Eva Dickson, Nabila Zaka, Luwei Pearson, Tedbabe D. Hailegebriel
Summary: The study found that implementing the UNICEF/WHO Every Mother Every Newborn Quality Improvement (EMEN-QI) standards in Bangladesh, Ghana, and Tanzania can significantly reduce neonatal and perinatal mortality rates, as well as improve maternal mortality rates. By implementing this packaged standard, improvements in mortality rates around childbirth can be promoted within existing healthcare systems.
Article
Multidisciplinary Sciences
Angelo S. Nyamtema, John C. LeBlanc, Godfrey Mtey, Gail Tomblin Murphy, Elias Kweyamba, Janet Bulemela, Allan Shayo, Zabron Abel, Omary Kilume, Heather Scott, Janet Rigby
Summary: This study implemented interventions and leadership and management training in underserved rural areas in Tanzania to improve access and quality of emergency obstetric and newborn care (CEmONC) services. The interventions resulted in increased responsibility and accountability among managers, improved delivery rates, and decreased referral rates to district hospitals. However, the impact on obstetric case fatality rate was not statistically significant.
Article
Public, Environmental & Occupational Health
Aduragbemi Banke-Thomas, Cephas Avoka, Abimbola Olaniran, Mobolanle Balogun, Ololade Wright, Olabode Ekerin, Lenka Benova
Summary: The study examined referral patterns of pregnant women with obstetric emergencies in Lagos, Nigeria, finding a variety of referral sources and patterns. Travel distance and time to facilities increased due to referrals, with majority traveling by private cars/taxis. Prolonged/obstructed labor was the most common reason for referral, with married status, lack of antenatal care registration, nighttime presentation, and fetal distress increasing odds of being referred. Specific interventions to support women during referral and improve antenatal care are essential for effective referral systems.
SOCIAL SCIENCE & MEDICINE
(2021)
Article
Public, Environmental & Occupational Health
Alice Ayawine, Roger A. Atinga
Summary: The study examines the impact of service delivery gaps in emergency obstetric care provision on users and communities in rural Ghana. Findings show that community interference and reliance on unskilled providers are common coping mechanisms, but have serious consequences on the lives of pregnant women. Improving the maternal healthcare system in rural areas and establishing standardized guidelines for healthcare workers are critical for building trust and increasing service uptake.
HEALTH & SOCIAL CARE IN THE COMMUNITY
(2022)
Article
Multidisciplinary Sciences
Henos Kiflom Zewde
Summary: This study evaluates the association between various process and timeliness indicators of comprehensive emergency obstetric care (CEmOC) and adverse maternal outcome in Keren Hospital. The study found that failure to provide necessary medication for postpartum hemorrhage, failure to administer prophylactic antibiotics, and delayed treatment for uterine rupture were significantly associated with adverse maternal outcomes. Delays in referral, triaging, seeing an obstetrician, and receiving definitive treatment were also strongly associated with adverse outcomes. Factors contributing to delay included erroneous diagnosis, inappropriate management, multiple referrals, unavailability of a senior obstetrician, and poor communication during referral. The study concludes that improving the referral system, upgrading the skills of health professionals, ensuring availability of life-saving drugs and equipment, and implementing standard management protocols are vital in reducing adverse maternal outcomes in Keren Hospital.
SCIENTIFIC REPORTS
(2022)
Article
Multidisciplinary Sciences
Peter M. Macharia, Kerry L. M. Wong, Tope Olubodun, Lenka Benova, Charlotte Stanton, Narayanan Sundararajan, Yash Shah, Gautam Prasad, Mansi Kansal, Swapnil Vispute, Tomer Shekel, Uchenna Gwacham-Anisiobi, Olakunmi Ogunyemi, Jia Wang, Ibukun-Oluwa Omolade Abejirinde, Prestige Tatenda Makanga, Bosede B. Afolabi, Aduragbemi Banke-Thomas
Summary: This article describes a database of travel times to comprehensive EmOC facilities in the 15 most populated urban areas of Nigeria. The travel times were derived from Google Maps Platform's internal API, which incorporates traffic considerations, providing more realistic estimates for different traffic scenarios and time thresholds.
Article
Multidisciplinary Sciences
Frederika Rambu Ngana, A. A. I. N. Eka Karyawati
Summary: The study aimed to develop a scenario modelling tool to improve access to emergency obstetric care (EMOC) in eastern Indonesia. Using cost-benefit analysis and a geographic information system tool, the model allows users to compare alternative infrastructure planning scenarios, identify poor infrastructure, and simulate travel processes.
Article
Multidisciplinary Sciences
Jewel Gausman, Veronica Pingray, Richard Adanu, Delia A. B. Bandoh, Mabel Berrueta, Jeff Blossom, Suchandrima Chakraborty, Winfred Dotse-Gborgbortsi, Ernest Kenu, Nizamuddin Khan, Ana Langer, Carolina Nigri, Magdalene A. Odikro, Sowmya Ramesh, Niranjan Saggurti, Paula Vazquez, Caitlin R. Williams, R. Rima Jolivet
Summary: Availability of emergency obstetric and newborn care (EmONC) is crucial for reducing maternal mortality and achieving universal health coverage. This study validates the indicator of EmONC availability by considering facility functionality and geographic accessibility.
Article
Medicine, General & Internal
Alfred E. Yawson, Aaron A. Abuosi, Delali M. Badasu, Deborah Atobra, Francis A. Adzei, John K. Anarfi
AFRICAN HEALTH SCIENCES
(2016)
Article
Public, Environmental & Occupational Health
Delali M. Badasu, Aaron A. Abuosi, Francis A. Adzei, John K. Anarfi, Alfred E. Yawson, Deborah A. Atobrah
Article
Health Care Sciences & Services
Edward Nketiah-Amponsah, Robert Kaba Alhassan, Samuel Ampaw, Aaron Abuosi
BMC HEALTH SERVICES RESEARCH
(2019)
Article
Multidisciplinary Sciences
Alexander Akologo, Aaron Asibi Abuosi, Emmanuel Anongeba Anaba
Article
Public, Environmental & Occupational Health
Emmanuel Anongeba Anaba, Emilia Asuquo Udofia, Adom Manu, Anita Anima Daniels, Richmond Aryeetey
Summary: This study examined factors associated with the use of reusable menstrual management materials among women in Ghana. The results showed that age, wealth status, and exposure to television influenced the use of reusable materials. Policies and programs should focus on less privileged women and utilize mass media for communicating menstrual hygiene.
Article
Urology & Nephrology
Juliana Gyasi Necku, Emmanuel Anongeba Anaba, Aaron Asibi Abuosi
AFRICAN JOURNAL OF UROLOGY
(2019)
Article
Health Care Sciences & Services
Aaron Asibi Abuosi, Emmanuel Anongeba Anaba
JOURNAL OF HEALTH RESEARCH
(2019)
Article
Health Policy & Services
Aaron Asibi Abuosi, Mahama Braimah
INTERNATIONAL JOURNAL OF PHARMACEUTICAL AND HEALTHCARE MARKETING
(2019)
Article
Tropical Medicine
Robert Kaba Alhassan, Bilson Halilu, Saeed Mohammed Benin, Bentor Francis Donyor, Abubakar Yussuf Kuwaru, Dudu Yipaalanaa, Edward Nketiah-Amponsah, Martin Amogre Ayanore, Aaron Asibi Abuosi, Agani Afaya, Solomon Mohammed Salia, Japiong Milipaak
TROPICAL MEDICINE AND HEALTH
(2019)
Article
Health Policy & Services
Emmanuel Anongeba Anaba, Aaron Asibi Abuosi
INTERNATIONAL JOURNAL OF HEALTH GOVERNANCE
(2018)
Article
Critical Care Medicine
Aaron Asibi Abuosi, Delali Margaret Badasu, Alfred Edwin Yawson, Francis Anderson Adzei, Deborah Atobrah, John Kwasi Anarfi
JOURNAL OF ACUTE DISEASE
(2016)
Article
Public, Environmental & Occupational Health
Aaron A. Abuosi, Kwame Ameyaw Domfeh, Joshua Yindenaba Abor, Edward Nketiah-Amponsah
INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
(2016)