Global Maternal Health Conference 2013
This session highlighted the needs of facility-based maternal health services in providing high quality of care. Tibaijuka's presentation on the results on pre-eclampsia and eclampsia showed that this topic is one of the least reviewed at ANC visits and labor and delivery care, and as compared to other factors (screening, measurements and evaluations). Results triggered recommendations of increasing assessments, competency based training, and commodity supply to ensure better identification and treatment of those with pre-eclampsia and eclampsia. Warren's work focused on the providers in Kenya within maternal health facilities. The study took into account the perceptions of health workers and their ideas of what was acceptable for treatment of patients. Many cited of lack of support, emotionally, physically and financially, for disrespecting their clients. Ametepi presented on the readiness of Kenyan health facilities for general, ANC, PNC and delivery services. Hospitals, health centers and maternity homes were most prepared for ANC, PNC and delivery services, yet there are stark differences in readiness between the types of facilities. Bailey finished the session by outlining a multi-country review focused on Cesarean sections. The use of the partograph provided detail needed to assess many factors associated to these c-section rates, yet even with this tool, good obstetric practices were not being followed, including delaying of decision making, decisions as to which type of intervention to use, and making sure that reviewing these indicators creates discussion for better quality of care.
Moderator: Jim Ricca, Jhpiego
Quality of care for pre-eclampsia and eclampsia screening during antenatal care and labour: Survey results from six African countries
Gaudiosa Tibaijuka, Jhpiego
Stories from the field: Promising practices to promote respectful maternity care
Charlotte Warren, Population Council
Are health facilities in Kenya ready to provide integrated maternal and newborn care services?
Paul Ametepi, JHU, MEASURE DHS Project
Quality of Cesarean delivery: A multi-country chart review
Patsy Bailey, AMDD, FHI360
Filmed in Arusha, Tanzania. Wednesday, 16 January 2013