The Availability of Emergency Obstetric Care in Birthing Centres in Rural Nepal: A Cross‑sectional Survey

Amrit Banstola, Padam Simkhada, Edwin van Teijlingen, Surya Bhatta, Susma Lama, Abisha Adhikari, Ashik Banstola

Research output: Contribution to journalArticle

Abstract

Objective: The purpose of this health system’s study is to assess the availability of Emergency Obstetric Care (EmOC) services in birthing centres in Taplejung District of eastern Nepal. 

Methods: A cross-sectional survey was conducted in 2018 in all 16 public health facilities providing delivery services in the district. Data collection comprised: (1) quantitative data collected from health workers; (2) observation of key items; and (3) record data extracted from the health facility register. Descriptive statistics were used to calculate readiness scores using unweighted averages. 

Results: Although key health personnel were available, EmOC services at the health facilities assessed were below the minimum coverage level recommended by the World Health Organisation. Only the district hospital provided the nine signal functions of Comprehensive EmOC. The other fifteen had only partially functioning Basic EmOC facilities, as they did not provide all of the seven signal functions. The essential equipment for performing certain EmOC functions was either missing or not functional in these health facilities. 

Conclusions for Practice: The Ministry of Health and Population and the federal government need to ensure that the full range of signal functions are available for safe deliveries in partially functioning EmOC health facilities by addressing the issues related to training, equipment, medicine, commodities and policy.

Original languageEnglish
Number of pages11
JournalMaternal and Child Health Journal
Early online date19 Dec 2019
DOIs
Publication statusE-pub ahead of print - 19 Dec 2019

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Birthing Centers
Nepal
Emergency Medical Services
Health Facilities
Obstetrics
Health
Public Facilities
Equipment and Supplies
Federal Government
District Hospitals
Health Personnel
Surveys and Questionnaires
Public Health
Cross-Sectional Studies
Observation
Medicine

Cite this

Banstola, Amrit ; Simkhada, Padam ; van Teijlingen, Edwin ; Bhatta, Surya ; Lama, Susma ; Adhikari, Abisha ; Banstola, Ashik. / The Availability of Emergency Obstetric Care in Birthing Centres in Rural Nepal : A Cross‑sectional Survey. In: Maternal and Child Health Journal. 2019.
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The Availability of Emergency Obstetric Care in Birthing Centres in Rural Nepal : A Cross‑sectional Survey. / Banstola, Amrit; Simkhada, Padam; van Teijlingen, Edwin; Bhatta, Surya; Lama, Susma; Adhikari, Abisha; Banstola, Ashik.

In: Maternal and Child Health Journal, 19.12.2019.

Research output: Contribution to journalArticle

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