Availability of Safe Childbirth Supplies in 284 Facilities in Uttar Pradesh, India

Objectives Vital to implementation of the World Health Organization (WHO) Safe Childbirth Checklist (SCC), designed to improve delivery of 28 essential birth practices (EBPs), is the availability of safe birth supplies: 22 EBPs on the SCC require one or more supplies. Mapping availability of these supplies can determine the scope of shortages and need for supply chain strengthening. Methods A cross-sectional survey on the availability of functional and/or unexpired supplies was assessed in 284 public-sector facilities in 38 districts in Uttar Pradesh, India. The twenty-three supplies were categorized into three non-mutually exclusive groups: maternal (8), newborn (9), and infection control (6). Proportions and mean number of supplies available were calculated; means were compared across facility types using t-tests and across districts using a one-way ANOVA. Log-linear regression was used to evaluate facility characteristics associated with supply availability. Results Across 284 sites, an average of 16.9 (73.5%) of 23 basic childbirth supplies were available: 63.4% of maternal supplies, 79.1% of newborn supplies, and 78.7% of infection control supplies. No facility had all 23 supplies available and only 8.5% had all four medicines assessed. Significant variability was observed by facility type and district. In the linear model, facility type and distance from district hospital were significant predictors of higher supply availability. Conclusions for Practice In Uttar Pradesh, more remote sites, and primary and community health centers, were at higher risk of supply shortages. Supply chain management must be improved for facility-based delivery and quality of care initiatives to reduce maternal and neonatal harm

Checklist · Childbirth · Economic shortage · Environmental health · Government (linguistics · Health facility · Operations management · Population · Pregnancy · Public health · Socioeconomics · Uttar pradesh · Child Nutrition and Water Access · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Nursing

• Impact of the WHO Safe Childbirth Checklist on safety culture among health workers

  Open Access•Lennart Kaplan, Katharina Richert et al.•PLOS Global Public Health•2023

  Incluir item

• Assessment of health system readiness for routine maternal and newborn health services in Nepal

  Open Access•Resham B Khatri, Yibeltal Assefa et al.•PLOS Global Public Health•2022

  Incluir item

• An Introduction to the Bootstrap

  Open Access•Bradley Efron, Robert J Tibshirani et al.•An Introduction to the Bootstrap•1993

  Incluir item

• An Introduction to the Bootstrap

  Bradley Efron, Robert Tibshirani et al.•Introduction to the Bootstrap•1994

  Incluir item

• Continuum of care for maternal, newborn, and child health

  Open Access•Kate Kerber, Kate J Kerber et al.•The Lancet•2007

  Incluir item

• Does the Janani Suraksha Yojana cash transfer programme to promote facility births in India ensure skilled birth attendance? A qualitative study of intrapartum care in Madhya Pradesh

  Open Access•Sarika Chaturvedi, Ayesha De Costa et al.•Global Health Action•2015

  Incluir item

• The Skilled Attendance Index

  Julia Hussein, Jacqueline Bell et al.•Reproductive Health Matters•2004

  Incluir item

• Child Health

  Open Access•Adam Wagstaff, Flavia Bustreo et al.•American Journal of Public Health•2004

  Incluir item