Assessment of provider competence and quality of maternal/newborn care in selected Latin American and Caribbean countries
OBJECTIVE: To obtain a snapshot of the maternal and newborn care provided by different types of maternal and child health providers in Latin America and the Caribbean (LAC) to 1) better inform advocacy and programmatic strategies and interventions to improve the quality of those services in the regi...
Main Authors: | , , , |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English Spanish Portuguese |
Published: |
Pan American Health Organization
2015
|
Subjects: | |
Online Access: | https://doaj.org/article/6a1e1d69bedc4c6581155c9e7ed8e4e0 |
id |
ftdoajarticles:oai:doaj.org/article:6a1e1d69bedc4c6581155c9e7ed8e4e0 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:6a1e1d69bedc4c6581155c9e7ed8e4e0 2023-05-15T15:14:59+02:00 Assessment of provider competence and quality of maternal/newborn care in selected Latin American and Caribbean countries Joyce E Thompson Sandra Land Alma Virginia Camacho-Hubner Judith T Fullerton 2015-05-01T00:00:00Z https://doaj.org/article/6a1e1d69bedc4c6581155c9e7ed8e4e0 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892015000400023&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/6a1e1d69bedc4c6581155c9e7ed8e4e0 Revista Panamericana de Salud Pública, Vol 37, Iss 4-5, Pp 343-350 (2015) Salud de la mujer garantía de la calidad de atención de salud salud materno- infantil competencia clínica tocología Bolivia Chile Colombia Guatemala Guyana Honduras Panamá Perú América Latina región del Caribe Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2015 ftdoajarticles 2022-12-31T14:46:56Z OBJECTIVE: To obtain a snapshot of the maternal and newborn care provided by different types of maternal and child health providers in Latin America and the Caribbean (LAC) to 1) better inform advocacy and programmatic strategies and interventions to improve the quality of those services in the region, and 2) determine the need for more rigorous study of the issues. METHODS: A rapid assessment of 83 health workers providing antepartum, intrapartum, and immediate postpartum and newborn care (within two hours of birth) in eight LAC countries was conducted in November and December of 2011. Health workers were observed by two-person expert maternal/newborn clinician teams using pretested forms based on international quality-of-care standards. A total of 105 care encounters were observed, primarily in urban, public, referral-level settings. Providers of care included obstetricians, midwives, generalist physicians, medical residents, registered nurses, auxiliary nurses, and students of medicine, midwifery, and nursing. RESULTS: Hand washing, as an indicator of quality of antepartum care, was observed in only 41% of the observed encounters. Labor management often lacked certain elements of respectful maternity care across all provider groups. Several clinical tasks of high importance in the identification and prevention of common complications of antepartum, intrapartum, and immediate postpartum/newborn care were not documented as performed during the observation periods. Providers self-reported limited competence (ability to perform to a defined level of proficiency) in manual removal of the placenta, bimanual compression of the uterus, and newborn resuscitation. CONCLUSIONS: The findings suggest that 1) the quality of maternal and newborn care and 2) the competence of maternal and child health providers in the diverse selection of LAC countries that were studied require substantial attention. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Salud de la mujer garantía de la calidad de atención de salud salud materno- infantil competencia clínica tocología Bolivia Chile Colombia Guatemala Guyana Honduras Panamá Perú América Latina región del Caribe Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Salud de la mujer garantía de la calidad de atención de salud salud materno- infantil competencia clínica tocología Bolivia Chile Colombia Guatemala Guyana Honduras Panamá Perú América Latina región del Caribe Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Joyce E Thompson Sandra Land Alma Virginia Camacho-Hubner Judith T Fullerton Assessment of provider competence and quality of maternal/newborn care in selected Latin American and Caribbean countries |
topic_facet |
Salud de la mujer garantía de la calidad de atención de salud salud materno- infantil competencia clínica tocología Bolivia Chile Colombia Guatemala Guyana Honduras Panamá Perú América Latina región del Caribe Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To obtain a snapshot of the maternal and newborn care provided by different types of maternal and child health providers in Latin America and the Caribbean (LAC) to 1) better inform advocacy and programmatic strategies and interventions to improve the quality of those services in the region, and 2) determine the need for more rigorous study of the issues. METHODS: A rapid assessment of 83 health workers providing antepartum, intrapartum, and immediate postpartum and newborn care (within two hours of birth) in eight LAC countries was conducted in November and December of 2011. Health workers were observed by two-person expert maternal/newborn clinician teams using pretested forms based on international quality-of-care standards. A total of 105 care encounters were observed, primarily in urban, public, referral-level settings. Providers of care included obstetricians, midwives, generalist physicians, medical residents, registered nurses, auxiliary nurses, and students of medicine, midwifery, and nursing. RESULTS: Hand washing, as an indicator of quality of antepartum care, was observed in only 41% of the observed encounters. Labor management often lacked certain elements of respectful maternity care across all provider groups. Several clinical tasks of high importance in the identification and prevention of common complications of antepartum, intrapartum, and immediate postpartum/newborn care were not documented as performed during the observation periods. Providers self-reported limited competence (ability to perform to a defined level of proficiency) in manual removal of the placenta, bimanual compression of the uterus, and newborn resuscitation. CONCLUSIONS: The findings suggest that 1) the quality of maternal and newborn care and 2) the competence of maternal and child health providers in the diverse selection of LAC countries that were studied require substantial attention. |
format |
Article in Journal/Newspaper |
author |
Joyce E Thompson Sandra Land Alma Virginia Camacho-Hubner Judith T Fullerton |
author_facet |
Joyce E Thompson Sandra Land Alma Virginia Camacho-Hubner Judith T Fullerton |
author_sort |
Joyce E Thompson |
title |
Assessment of provider competence and quality of maternal/newborn care in selected Latin American and Caribbean countries |
title_short |
Assessment of provider competence and quality of maternal/newborn care in selected Latin American and Caribbean countries |
title_full |
Assessment of provider competence and quality of maternal/newborn care in selected Latin American and Caribbean countries |
title_fullStr |
Assessment of provider competence and quality of maternal/newborn care in selected Latin American and Caribbean countries |
title_full_unstemmed |
Assessment of provider competence and quality of maternal/newborn care in selected Latin American and Caribbean countries |
title_sort |
assessment of provider competence and quality of maternal/newborn care in selected latin american and caribbean countries |
publisher |
Pan American Health Organization |
publishDate |
2015 |
url |
https://doaj.org/article/6a1e1d69bedc4c6581155c9e7ed8e4e0 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 37, Iss 4-5, Pp 343-350 (2015) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892015000400023&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/6a1e1d69bedc4c6581155c9e7ed8e4e0 |
_version_ |
1766345372571009024 |