Khader Yousef S, Alyahya Mohammad S, Al-Sheyab Nihaya A, Shattnawi Khulood K, Saqer Hind Rajeh, Batieha Anwar
Epidemiology, Medical Education and Biostatistics, Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan,
Department of Health Management and Policy, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
J Multidiscip Healthc. 2018 Sep 5;11:439-456. doi: 10.2147/JMDH.S171982. eCollection 2018.
This study aimed to assess the maternal and newborn services in Jordanian hospitals to provide policymakers, health professionals, and researchers with a clear picture about the current status of maternal and newborn health services.
A total of 32 main hospitals that provide maternity services in Jordan were assessed. The study involved direct observations of these hospitals and interviews with basic health and hospital staff, with the purpose of assessing and evaluating the availability of various services for mothers and newborns, availability of resources, equipment and supplies, documentation and staff training, and provision of the health care services.
Some hospitals had shortages of obstetricians and gynecologists, pediatricians, neonatologists, and midwives/nurses. Antenatal care was not provided systematically in many hospitals across the country. A lack of necessary equipment, drugs, and supplies was evident in some hospitals. Admission departments of some hospitals had insufficient supplies. The operation theaters in many hospitals lacked a variety of necessary equipment including some basic items such as thermometers and some advanced items such as resuscitation sets for babies. Only two-thirds of all delivery rooms in the selected hospitals had radiant heaters and obstetrical stethoscopes available. A significant lack of neonatal ICU equipment was found such as incubators, resuscitation tables, continuous positive airway pressure, O2 oximeters, and phototherapy.
The findings revealed an overall satisfactory quality of maternal and newborn care and services, however, some deficiencies existed. The findings are expected to aid policymakers, health professionals, and researchers to recognize the gaps in the processes, supplies, and quality of care related to the provided services at maternal facilities and help them to design and implement evidence-based health programs in order to provide effective health services and promote the health of mothers and newborns.
本研究旨在评估约旦医院的孕产妇和新生儿服务，以便为政策制定者、卫生专业人员和研究人员提供有关孕产妇和新生儿保健服务现状的清晰情况。
对约旦提供产科服务的32家主要医院进行了评估。该研究包括对这些医院的直接观察以及与基层卫生和医院工作人员的访谈，目的是评估和评价为母亲和新生儿提供的各种服务的可获得性、资源、设备和用品的可获得性、文件记录和工作人员培训以及医疗保健服务的提供情况。
一些医院的产科医生、妇科医生、儿科医生、新生儿科医生以及助产士/护士短缺。该国许多医院未系统地提供产前护理。一些医院明显缺乏必要的设备、药品和用品。一些医院的入院科室用品不足。许多医院的手术室缺少各种必要设备，包括一些基本物品如温度计，以及一些先进物品如婴儿复苏设备。在选定医院中，只有三分之二的产房配备了辐射暖箱和产科听诊器。发现新生儿重症监护室设备严重短缺，如保温箱、复苏台、持续气道正压通气设备、血氧饱和度仪和光疗设备。
研究结果显示孕产妇和新生儿护理及服务的总体质量令人满意，然而，仍存在一些不足之处。这些结果有望帮助政策制定者、卫生专业人员和研究人员认识到与孕产妇设施所提供服务相关的流程、用品和护理质量方面的差距，并帮助他们设计和实施基于证据的卫生项目，以便提供有效的卫生服务并促进母亲和新生儿的健康。
