Emergency obstetric and newborn care signal functions in public and private facilities in Bangladesh
Publication Date
November 01, 2017
Authors
Lumbini Roy, Taposh Kumar Biswas & Mahbub Elahi Chowdhury
Volume
12
Issue
11
Pages
e0187238
DOI
https://dx.plos.org/10.1371/journal.pone.0187238
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0187238
Scopus
85032924812
Mendeley
http://www.mendeley.com/research/emergency-obstetric-newborn-care-signal-functions-public-private-facilities-bangladesh
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Mendeley | Further Information

{"title"=>"Emergency obstetric and newborn care signal functions in public and private facilities in Bangladesh", "type"=>"journal", "authors"=>[{"first_name"=>"Lumbini", "last_name"=>"Roy", "scopus_author_id"=>"56715028100"}, {"first_name"=>"Taposh Kumar", "last_name"=>"Biswas", "scopus_author_id"=>"56715174300"}, {"first_name"=>"Mahbub Elahi", "last_name"=>"Chowdhury", "scopus_author_id"=>"8227116600"}], "year"=>2017, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-85032924812", "pui"=>"619033909", "doi"=>"10.1371/journal.pone.0187238", "isbn"=>"1111111111", "sgr"=>"85032924812", "pmid"=>"29091965"}, "id"=>"7446f99c-62f2-357c-81c2-e1fe6ceb80d9", "abstract"=>"Background Signal functions for emergency obstetric and newborn care (EmONC) are the major interventions for averting maternal and neonatal mortalities. Readiness of the facilities is essential to provide all the basic and comprehensive signal functions for EmONC to ensure emergency services from the designated facilities. The study assessed population coverage and availability of EmONC services in public and private facilities in Bangladesh. Methods An assessment was conducted in all the public and private facilities providing obstetric care in to in-patients 24 districts. Data were collected on the performance of signal functions for EmONC from the study facilities in the last three months prior to the date of assessment. Trained data-collectors interviewed the facility managers and key service providers, along with review of records, using contextualized tools. Population coverage of signal functions was assessed by estimating the number of facilities providing the signal functions for EmONC compared to the United Nations requirements. Availability was assessed in terms of the proportion of facilities providing the services by type of facilities and by district. Results Caesarean section (CS) delivery and blood transfusion (BT) services (the two major components of comprehensive EmONC) were respectively available in 6.4 (0.9 public and 5.5 private) and 5.6 (1.3 public and 4.3 private) facilities per 500,000 population. The signal functions for basic EmONC, except two (parental anticonvulsants and assisted vaginal delivery), were available in a minimum of 5 facilities (public and private sectors combined) per 500,000 population. A major inter-district variation in the availability of signal functions was observed in each public- and private-sector facility. Among the various types of facilities, only the public medical college hospitals had all the signal functions. The situation was poor in other public facilities at the district and sub-district levels as well as in private facilities. Conclusions In the public sector, CS delivery and BT services were available in the minimum required number of facilities. However, to ensure basic EmONC services, participation of the private sector is necessary. Public-private partnership should be promoted for nationwide coverage of signal functions for EmONC in Bangladesh.", "link"=>"http://www.mendeley.com/research/emergency-obstetric-newborn-care-signal-functions-public-private-facilities-bangladesh", "reader_count"=>8, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Researcher"=>4, "Student > Postgraduate"=>1, "Student > Master"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Researcher"=>4, "Student > Postgraduate"=>1, "Student > Master"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Medicine and Dentistry"=>4, "Agricultural and Biological Sciences"=>1, "Social Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>4}, "Social Sciences"=>{"Social Sciences"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Unspecified"=>{"Unspecified"=>2}}, "group_count"=>0}

Scopus | Further Information

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