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首页> 外文期刊>BMC Pregnancy and Childbirth >Quality of maternal and newborn healthcare services in two public hospitals of Bangladesh: identifying gaps and provisions for improvement
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Quality of maternal and newborn healthcare services in two public hospitals of Bangladesh: identifying gaps and provisions for improvement

机译：孟加拉国两家公立医院的孕产妇和新生儿医疗保健服务：识别改进的差距和规定

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BACKGROUND:Healthcare service delivery systems need to ensure standard quality of care (QoC) for achieving expected health outcomes. Although Bangladesh has a good healthcare service delivery system, there are major concerns about the quality of maternal and newborn health (MNH) care services, which is imperative for achievements in health. The study aimed to measure the QoC for different MNH services in two selected public health facilities of Bangladesh. This study also documented the specific areas of each care which needs intervention.METHODS:The study was conducted in two district-level public health facilities-a district hospital (DH) and a mother and child welfare centre (MCWC). A total of 228 cases of MNH services were observed by using contextualized checklist 'Standards-based Management and Recognition (S-BMR)' for 8 selected MNH care services. For scoring, performed activities were calculated as percentages of the total recommended activities and categorized as high (?80%), moderate (50 to 80%), and low (?50%).RESULTS:Overall QoC scores were moderate for each DH (54.8%), and MCWC (56.1%). In DH, the QoC score was high for blood transfusion (80.3%); moderate for maternal complications management (77.0%), caesarean section (CS) (65.6%), infection prevention (64.3%), sick newborn care (54.1%), and normal vaginal delivery (NVD) (52.6%); and low for antenatal care (ANC) (25.6%) and postnatal care (PNC) (19.0%). In MCWC, the QoC scores were high for infection prevention (83.0%); moderate for CS (76.5%) and NVD (59.8%); and low for ANC (36.9%) and PNC (24.5%).CONCLUSIONS:In the study facilities, the QoC for MNH services is found to be unsatisfactory, particularly for ANC and PNC. Urgent initiative needs to be taken by introducing contextualized quality monitoring tools at health facilities, along with training of the care providers and introducing a quality monitoring system.
机译：背景：医疗保健服务交付系统需要确保实现预期保健结果的标准护理质量（QOC）。虽然孟加拉国有一个良好的医疗服务交付系统，但对妇幼保健（MNH）护理服务的质量有重大担忧，这是健康成就的必要条件。该研究旨在衡量孟加拉国两家专业公共卫生设施的不同锰服务的危机。本研究还记录了需要干预的每项护理的特定区域。方法：该研究是在两个地区一级公共卫生设施 - 一个区医院（DH）和母婴福利中心（MCWC）进行。使用上下文的清单基于标准的管理和识别（S-BMR）为8个选定的MNH Care服务，共观察到228例MNH服务。对于得分进行评分，所执行的活动被计算为推荐活动的总活动的百分比，并分类为高（>？80％），中等（50％至80％），低（<？50％）。结果：总体QoC分数适中每个DH（54.8％）和MCWC（56.1％）。在DH，QoC评分对于输血（80.3％）很高;适度的母体并发症管理（77.0％），剖腹产部分（CS）（65.6％），感染预防（64.3％），生病的新生儿护理（54.1％）和正常阴道递送（NVD）（52.6％）;和产前护理（ANC）（25.6％）和产后护理（PNC）（19.0％）的低。在MCWC中，QoC分数对于感染预防高（83.0％）;适度为CS（76.5％）和NVD（59.8％）; ANC（36.9％）和PNC（24.5％）低。结论：在研究设施中，发现MNH服务的QoC是不满意的，特别是对于ANC和PNC。通过在卫生设施的上下文化质量监测工具以及护理提供者的培训和介绍质量监测系统，需要采取紧急举措。

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