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

Bibliographic Data

ID15342107
AuthorsGrace Galvin (Brigham and Women's Hospital), Lisa R Hirschhorn (0000-0002-4355-7437, Northwestern University), Maaz Shaikh (0000-0002-5466-5708), Pinki Maji (Population Services International), Megan Marx Delaney (0000-0002-6371-8226, Brigham and Women's Hospital), Danielle E Tuller (0000-0002-7643-5268, Brigham and Women's Hospital), Bridget A Neville (0000-0002-0548-3473, Brigham and Women's Hospital), Rebecca Firestone (Population Services International), Atul A Gawande (0000-0002-1824-9176, Brigham and Women's Hospital), Bhala Kodkany (Jawaharlal Nehru Medical College), Vishwajeet Kumar (0000-0003-1084-7152), Katherine E A Semrau (0000-0002-8360-1391, Brigham and Women's Hospital, corresponding author)
Year2018
Volume23
Issue2
Pages240-249
Publication date2018-11-14
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Health Journal (JOURNAL)
Journal identifiersISSN: 1092-7875 • E-ISSN: 1573-6628
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10995-018-2642-7
PMID30430350
OpenAlexW2900994757
LanguageEN
Citations received2
References cited23

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

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Unique citing works2
Citations per year0,5
Citation span2022 - 2023 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2
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