Publications by authors named "M Bucagu"
Access to emergency obstetric care, including assisted vaginal birth and caesarean birth, is crucial for improving maternal and childbirth outcomes. However, although the proportion of births by caesarean section has increased during the last few decades, the use of assisted vaginal birth has declined. This is particularly the case in low- and middle-income countries, despite an assisted vaginal birth often being less risky than caesarean birth.
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- The study highlights the need for effective tools to assess and improve the quality of maternal and neonatal care, noting a lack of information on how these quality assessments are used in practice.
- Reports on the implementation of the WHO Quality Assessment and Improvement tool reveal improvements in maternal and neonatal care over an average of 1.2 years across 27 facilities in various regions, but gaps in quality still remain.
- Factors influencing changes in care quality include both internal and external elements, with the capacity of facility managers and leaders being critical in facilitating or hindering these improvements.
Article Synopsis
- A significant portion of maternal and neonatal deaths can be linked to poor quality of care, leading to the development of the WHO's QA/QI MN tool in 2009 to assess and improve hospital care for mothers and newborns.
- The tool aids in evaluating the entire care process from hospital admission to discharge, incorporating feedback from patients and involving hospital staff in creating action plans to address identified issues.
- From 2009 to 2017, the tool was used in 25 countries to assess 133 hospitals, revealing major quality gaps like inadequate adherence to procedures, unnecessary interventions, poor communication, and lack of emotional support, with discrepancies observed across all participating nations.