Approaches towards improving the quality of maternal and newborn health services in South Asia. Challenges and opportunities for healthcare systems

Mian N uddin, Alvi MA, Malik MZ, Iqbal S, Zakar R, Zakar MZ, Awan SH, Shahid F, Chaudhry MA, Fischer F (2018)
Globalization and Health 14(1): 17.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Mian, Naeem uddin; Alvi, Muhammad Adeel; Malik, Mariam Zahid; Iqbal, Sarosh; Zakar, Rubeena; Zakar, Muhammad Zakria; Awan, Shehzad Hussain; Shahid, Faryal; Chaudhry, Muhammad Ashraf; Fischer, FlorianUniBi
Abstract / Bemerkung
Background South Asia is experiencing a dismal state of maternal and newborn health (MNH) as the region has been falling behind in reducing the levels of maternal and neonatal mortality. Most of the efforts are focused on enhancing coverage of MNH services; however, quality remains a serious concern if the region is to achieve expected outcomes in terms of standardised MNH services within healthcare delivery systems. This research consists of a review of South Asian quality improvement (QI) approaches/interventions, specifically implemented for MNH improvement. Methods A literature review of QI approaches/interventions was conducted using the PRISMA guidelines. Online databases, including PubMed, the Cochrane Library and Google Scholar, were searched. Primary studies published between 1998 and 2013 were considered. Studies were initially screened and selected based upon the selection criteria for data extraction. A thematic synthesis/analysis was performed to organise, group and interpret the key findings according to prominent themes. Results Thirty studies from six South Asian countries were included in the review. Findings from these selected studies were grouped under eight broad, cross-cutting themes, which emerged from a deductive approach, representing the most commonly employed QI approaches for improving MNH services within different geographical settings. These consist of capacity building of healthcare providers on clinical quality, clinical audits and feedback, financial incentives to beneficiaries, pay-for-performance, supportive supervision, community engagement, collaborative efforts and multidimensional interventions. Conclusions Employing and documenting QI approaches is essential in order to measure the potential of an intervention, considering its cost-effectiveness, feasibility and acceptability to communities. This research concluded that QI approaches are very diverse and cross-cutting, because they are subject to the varied requirements of regional health systems. This high level of variability leads to implementation and knowledge-management challenges for MNH programme planners and managers in the countries of the South Asia region.
Stichworte
South Asia; Quality; Quality improvement; Maternal and newborn health
Erscheinungsjahr
2018
Zeitschriftentitel
Globalization and Health
Band
14
Ausgabe
1
Art.-Nr.
17
ISSN
1744-8603
Finanzierungs-Informationen
Open-Access-Publikationskosten wurden durch die Deutsche Forschungsgemeinschaft und die Universität Bielefeld gefördert.
Page URI
https://pub.uni-bielefeld.de/record/2917479

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Mian N uddin, Alvi MA, Malik MZ, et al. Approaches towards improving the quality of maternal and newborn health services in South Asia. Challenges and opportunities for healthcare systems. Globalization and Health. 2018;14(1): 17.
Mian, N. uddin, Alvi, M. A., Malik, M. Z., Iqbal, S., Zakar, R., Zakar, M. Z., Awan, S. H., et al. (2018). Approaches towards improving the quality of maternal and newborn health services in South Asia. Challenges and opportunities for healthcare systems. Globalization and Health, 14(1), 17. doi:10.1186/s12992-018-0338-9
Mian, Naeem uddin, Alvi, Muhammad Adeel, Malik, Mariam Zahid, Iqbal, Sarosh, Zakar, Rubeena, Zakar, Muhammad Zakria, Awan, Shehzad Hussain, Shahid, Faryal, Chaudhry, Muhammad Ashraf, and Fischer, Florian. 2018. “Approaches towards improving the quality of maternal and newborn health services in South Asia. Challenges and opportunities for healthcare systems”. Globalization and Health 14 (1): 17.
Mian, N. uddin, Alvi, M. A., Malik, M. Z., Iqbal, S., Zakar, R., Zakar, M. Z., Awan, S. H., Shahid, F., Chaudhry, M. A., and Fischer, F. (2018). Approaches towards improving the quality of maternal and newborn health services in South Asia. Challenges and opportunities for healthcare systems. Globalization and Health 14:17.
Mian, N. uddin, et al., 2018. Approaches towards improving the quality of maternal and newborn health services in South Asia. Challenges and opportunities for healthcare systems. Globalization and Health, 14(1): 17.
N. uddin Mian, et al., “Approaches towards improving the quality of maternal and newborn health services in South Asia. Challenges and opportunities for healthcare systems”, Globalization and Health, vol. 14, 2018, : 17.
Mian, N. uddin, Alvi, M.A., Malik, M.Z., Iqbal, S., Zakar, R., Zakar, M.Z., Awan, S.H., Shahid, F., Chaudhry, M.A., Fischer, F.: Approaches towards improving the quality of maternal and newborn health services in South Asia. Challenges and opportunities for healthcare systems. Globalization and Health. 14, : 17 (2018).
Mian, Naeem uddin, Alvi, Muhammad Adeel, Malik, Mariam Zahid, Iqbal, Sarosh, Zakar, Rubeena, Zakar, Muhammad Zakria, Awan, Shehzad Hussain, Shahid, Faryal, Chaudhry, Muhammad Ashraf, and Fischer, Florian. “Approaches towards improving the quality of maternal and newborn health services in South Asia. Challenges and opportunities for healthcare systems”. Globalization and Health 14.1 (2018): 17.
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1 Zitation in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

Can community health worker home visiting improve care-seeking and maternal and newborn care practices in fragile states such as Afghanistan? A population-based intervention study.
Edmond KM, Yousufi K, Anwari Z, Sadat SM, Staniczai SM, Higgins-Steele A, Bellows AL, Smith ER., BMC Med 16(1), 2018
PMID: 29983113

54 References

Daten bereitgestellt von Europe PubMed Central.


Haté V, Gannon S., 2010

AUTHOR UNKNOWN, 2015

AUTHOR UNKNOWN, 2015
Quality of care in the NHS of England.
Leatherman S, Sutherland K., BMJ 328(7445), 2004
PMID: 15087367
Differences in stakeholder expectations in the outcome of physiotherapy management of acute low back pain.
Grimmer K, Sheppard L, Pitt M, Magarey M, Trott P., Int J Qual Health Care 11(2), 1999
PMID: 10442846

Dawda P, Jenkins R, Varnam R., 2010
Comparison of patient evaluations of health care quality in relation to WHO measures of achievement in 12 European countries.
Kerssens JJ, Groenewegen PP, Sixma HJ, Boerma WG, van der Eijk I., Bull. World Health Organ. 82(2), 2004
PMID: 15042232

Pitroff R, Campbell O., 2000
The quality of care. How can it be assessed?
Donabedian A., JAMA 260(12), 1988
PMID: 3045356
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement
Moher D, Liberati A, Tetzlaff J, Altman DG., 2009
How quality improvement in health care can help to achieve the millennium development goals
AUTHOR UNKNOWN, 2006

AUTHOR UNKNOWN, 0
Worked examples of alternative methods for the synthesis of qualitative and quantitative research in systematic reviews.
Lucas PJ, Baird J, Arai L, Law C, Roberts HM., BMC Med Res Methodol 7(), 2007
PMID: 17224044
Implementing community-based perinatal care: results from a pilot study in rural Pakistan.
Bhutta ZA, Memon ZA, Soofi S, Salat MS, Cousens S, Martines J., Bull. World Health Organ. 86(6), 2008
PMID: 18568274
Training traditional birth attendants in clean delivery does not prevent postpartum infection.
Goodburn EA, Chowdhury M, Gazi R, Marshall T, Graham W., Health Policy Plan 15(4), 2000
PMID: 11124242
Implementing reproductive and child health services in rural Maharashtra, India: a pragmatic approach.
Barua A, Waghmare R, Venkiteswaran S., Reprod Health Matters 11(21), 2003
PMID: 12800711
Effect of training for care providers on practice of essential newborn care in hospitals in Sri Lanka.
Senarath U, Fernando DN, Rodrigo I., J Obstet Gynecol Neonatal Nurs 36(6), 2007
PMID: 17973696
Effect of the Integrated Management of Childhood Illness strategy on childhood mortality and nutrition in a rural area in Bangladesh: a cluster randomised trial.
Arifeen SE, Hoque DM, Akter T, Rahman M, Hoque ME, Begum K, Chowdhury EK, Khan R, Blum LS, Ahmed S, Hossain MA, Siddik A, Begum N, Sadeq-ur Rahman Q, Haque TM, Billah SM, Islam M, Rumi RA, Law E, Al-Helal ZA, Baqui AH, Schellenberg J, Adam T, Moulton LH, Habicht JP, Scherpbier RW, Victora CG, Bryce J, Black RE., Lancet 374(9687), 2009
PMID: 19647607

AUTHOR UNKNOWN, 0
Care at first-level facilities for children with severe pneumonia in Bangladesh: a cohort study.
Chowdhury EK, El Arifeen S, Rahman M, Hoque DE, Hossain MA, Begum K, Siddik A, Begum N, Sadeq-ur Rahman Q, Akter T, Haque TM, Al-Helal ZM, Baqui AH, Bryce J, Black RE., Lancet 372(9641), 2008
PMID: 18715634
The national free delivery policy in Nepal: early evidence of its effects on health facilities.
Witter S, Khadka S, Nath H, Tiwari S., Health Policy Plan 26 Suppl 2(), 2011
PMID: 22027923
Performance-based incentives to improve health status of mothers and newborns: what does the evidence show?
Eichler R, Agarwal K, Askew I, Iriarte E, Morgan L, Watson J., J Health Popul Nutr 31(4 Suppl 2), 2013
PMID: 24992802
A taxonomy and results from a comprehensive review of 28 maternal health voucher programmes.
Bellows BW, Conlon CM, Higgs ES, Townsend JW, Nahed MG, Cavanaugh K, Grainger CG, Okal J, Gorter AC., J Health Popul Nutr 31(4 Suppl 2), 2013
PMID: 24992806
Reproductive health, and child health and nutrition in India: meeting the challenge.
Paul VK, Sachdev HS, Mavalankar D, Ramachandran P, Sankar MJ, Bhandari N, Sreenivas V, Sundararaman T, Govil D, Osrin D, Kirkwood B., Lancet 377(9762), 2011
PMID: 21227494
India's Janani Suraksha Yojana, a conditional cash transfer programme to increase births in health facilities: an impact evaluation.
Lim SS, Dandona L, Hoisington JA, James SL, Hogan MC, Gakidou E., Lancet 375(9730), 2010
PMID: 20569841

AUTHOR UNKNOWN, 2013

Marquez L, Kean L., 2002
Taking healthcare where the community is: the story of the Shasthya Sebikas of BRAC in Bangladesh
Ahmed SM., 2008

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0
Are birth-preparedness programmes effective? Results from a field trial in Siraha district, Nepal.
McPherson RA, Khadka N, Moore JM, Sharma M., J Health Popul Nutr 24(4), 2006
PMID: 17591345
The effect of increased coverage of participatory women's groups on neonatal mortality in Bangladesh: A cluster randomized trial.
Fottrell E, Azad K, Kuddus A, Younes L, Shaha S, Nahar T, Aumon BH, Hossen M, Beard J, Hossain T, Pulkki-Brannstrom AM, Skordis-Worrall J, Prost A, Costello A, Houweling TA., JAMA Pediatr 167(9), 2013
PMID: 23689475
Evaluation of a cluster-randomized controlled trial of a package of community-based maternal and newborn interventions in Mirzapur, Bangladesh.
Darmstadt GL, Choi Y, Arifeen SE, Bari S, Rahman SM, Mannan I, Seraji HR, Winch PJ, Saha SK, Ahmed AS, Ahmed S, Begum N, Lee AC, Black RE, Santosham M, Crook D, Baqui AH; Bangladesh Projahnmo-2 Mirzapur Study Group., PLoS ONE 5(3), 2010
PMID: 20352087
Effect of scaling up women's groups on birth outcomes in three rural districts in Bangladesh: a cluster-randomised controlled trial.
Azad K, Barnett S, Banerjee B, Shaha S, Khan K, Rego AR, Barua S, Flatman D, Pagel C, Prost A, Ellis M, Costello A., Lancet 375(9721), 2010
PMID: 20207412
Change in trend of contraceptive uptake--effect of educational leaflets and counseling.
Saeed GA, Fakhar S, Rahim F, Tabassum S., Contraception 77(5), 2008
PMID: 18402856
Increasing postpartum contraception in rural India: evaluation of a community-based behavior change communication intervention.
Sebastian MP, Khan ME, Kumari K, Idnani R., Int Perspect Sex Reprod Health 38(2), 2012
PMID: 22832147

AUTHOR UNKNOWN, 2006

Midhet F., 1998

AUTHOR UNKNOWN, 2009
Afghanistan's basic package of health services: its development and effects on rebuilding the health system.
Newbrander W, Ickx P, Feroz F, Stanekzai H., Glob Public Health 9 Suppl 1(), 2014
PMID: 24865404
Strengthening emergency obstetric care in Nepal: The Women's Right to Life and Health Project (WRLHP).
Rana TG, Chataut BD, Shakya G, Nanda G, Pratt A, Sakai S., Int J Gynaecol Obstet 98(3), 2007
PMID: 17604032
Effect of community-based behaviour change management on neonatal mortality in Shivgarh, Uttar Pradesh, India: a cluster-randomised controlled trial.
Kumar V, Mohanty S, Kumar A, Misra RP, Santosham M, Awasthi S, Baqui AH, Singh P, Singh V, Ahuja RC, Singh JV, Malik GK, Ahmed S, Black RE, Bhandari M, Darmstadt GL; Saksham Study Group, Ahuja RC, Awasthi S, Baqui AH, Bhandari M, Bharti N, Black RE, Darmstadt GL, Gupta A, Gupta S, Kumar A, Kumar V, Malik GK, Mehrotra H, Misra RP, Mohanty S, Mitra MK, Santosham M, Singh JV, Singh K, Singh P, Singh R, Singh S, Singh V, Winch PJ, Yadav R., Lancet 372(9644), 2008
PMID: 18926277

AUTHOR UNKNOWN, 0
Reasons for Preference of Home Delivery with Traditional Birth Attendants (TBAs) in Rural Bangladesh: A Qualitative Exploration.
Sarker BK, Rahman M, Rahman T, Hossain J, Reichenbach L, Mitra DK., PLoS ONE 11(1), 2016
PMID: 26731276
Home deliveries: reasons and adverse outcomes in women presenting to a tertiary care hospital.
Shah N, Rohra DK, Shams H, Khan NH., J Pak Med Assoc 60(7), 2010
PMID: 20578606

AUTHOR UNKNOWN, 0
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