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

Banstola, A., Simkhada, P., van Teijlingen, E., Bhatta, S., Lama, S., Adhikari, A. and Banstola, A., 2020. The Availability of Emergency Obstetric Care in Birthing Centres in Rural Nepal: A Cross-sectional Survey. Maternal and Child Health Journal, 24, 806-816.

Full text available as:

Blinded Manuscript - Submitted version 2019.pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial.


DOI: 10.1007/s10995-019-02832-2


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.

Item Type:Article
Uncontrolled Keywords:Birthing centres ; Emergency obstetric care ; Maternal health ; Services utilisation ; Signal functions
Group:Faculty of Health & Social Sciences
ID Code:33168
Deposited By: Symplectic RT2
Deposited On:08 Jan 2020 09:50
Last Modified:14 Mar 2022 14:19


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