Quality of maternity care provided by private sector healthcare facilities in three states of India: a situational analysis.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Quality of Health Care*; Infant Care/*standards ; Maternal Health Services/*standards; Checklist ; Female ; Health Care Surveys ; Health Facilities ; Humans ; India ; Infant Care/statistics & numerical data ; Infant, Newborn ; Maternal Health Services/statistics & numerical data ; Obstetrics ; Pregnancy ; Private Sector
    • Abstract:
      Background: Better quality of care around the time of childbirth can significantly improve maternal and newborn survival. In countries like India, where the private sector contributes to a considerable proportion of institutional deliveries, it is important to assess the quality of maternity care offered by private sector healthcare facilities. This study seeks to fill that information gap by analysing baseline assessments conducted for the Manyata program, which aims to improve the quality of maternity care at private facilities.
      Methods: An observation checklist based on 16 clinical standards endorsed by the Federation of Obstetric and Gynaecological Societies of India (FOGSI) was used to assess 201 private sector healthcare facilities in Maharashtra, Jharkhand, and Uttar Pradesh. Data on facility characteristics came from profiles completed when facilities enrolled in Manyata. Differences in the mean number of standards met were analysed by facility characteristics and the availability of essential supplies.
      Results: Around half (47.1%) of all nursing staff engaged in maternity care services at these private healthcare facilities were under qualified. The mean number of clinical standards met by facilities was 3.2 (SD 2.4). Facilities with a monthly delivery load between 20 and 50 met a significantly higher number of standards, as did facilities that had more than 70% of essential supplies available. Both these factors were also significant in a multiple linear regression analysis.
      Conclusions: The overall quality of maternity care in private healthcare facilities is poor in all three states, especially for clinical standards related to management of complications.
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    • Grant Information:
      MFM-150929-014691 TO1 Merck Sharp and Dohme
    • Contributed Indexing:
      Keywords: Facility preparedness; Intrapartum care; Maternal health; Postpartum care; Private sector; Quality improvement; Quality of care
    • Publication Date:
      Date Created: 20191218 Date Completed: 20200313 Latest Revision: 20231020
    • Publication Date:
      20240105
    • Accession Number:
      PMC6915998
    • Accession Number:
      10.1186/s12913-019-4782-x
    • Accession Number:
      31842926