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Assessing Capacity of Health Facilities to Provide Routine Maternal and Newborn Care in Low-income Settings: What Proportions Are Ready to Provide Good-quality Care, and What Proportions of Women Receive It? by Tomlin, Keith; Berhanu, Della; Gautham, Meenakshi; Umar, Nasir; Schellenberg, Joanna; Wickremasinghe, Deepthi; Marchant, Tanya is a Medicine article available to read on EtoBox.

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## Background Good quality maternal and newborn care at primary health facilities is essential, but in settings with high maternal and newborn mortality the evidence for the protective effect of facility delivery is inconsistent. We surveyed samples of health facilities in three settings with high maternal mortality to assess their readiness to provide routine maternal and newborn care, and proportions of women using facilities that were ready to offer good quality care. Surveys were conducted in 2012 and 2015 to assess changes over time. ## Methods Surveys were conducted in Ethiopia, the Indian state of Uttar Pradesh and Gombe State in North-Eastern Nigeria. At each facility the staffing, infrastructure and commodities were quantified. These formed components of four “signal functions” that described aspects of routine maternal and newborn care. A facility was considered ready to perform a signal function if all the required components were present. Readiness to perform all four signal functions classed a facility as ready to provide good quality routine care. From facility registers we counted deliveries and calculated the proportions of women delivering in facilities ready to of

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Author

Tomlin, Keith; Berhanu, Della; Gautham, Meenakshi; Umar, Nasir; Schellenberg, Joanna; Wickremasinghe, Deepthi; Marchant, Tanya

Publisher

BioMed Central; Springer (Biomed Central Ltd.); London: BioMed Central, 2001-; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1471-2393)

Published

2020

Language

EN

Field

Medicine (Health Sciences)