M&E Director with Jhpiego till 2018.
Nigerian Institute of Social and Economic Research, Ibadan, Nigeria.
Afr J Reprod Health. 2020 Dec;24(4):69-81. doi: 10.29063/ajrh2020/v24i4.8.
Maternal Child Survival Program (MCSP) worked in Ebonyi and Kogi States between 2014 to 2018 to improve quality of maternal, child and newborn health care. A formative assessment was conducted in selected health facilities to examine the quality of care received by mothers and their newborns at all stages of normal birth on the day of birth. Health providers attending deliveries at 13 facilities in the two states were observed by trained health professionals. Forty health facilities with a high volume of at least 50 Antenatal Care visits per month and deliveries were purposively selected from 120 quality improvement health facilities. Screening for danger signs at admission was conducted for only 10.5% cases in labor and providers adhered to most recommended infection prevention standards but only washed hands before birth in 19.5% of cases. Chlorhexidine gel was applied to the newborn's umbilical stump in only 2% cases while partograph was used in 32% of the cases. No newborns received the full package of essential care. Potentially harmful practices were observed especially holding newborn babies upside down in 32% cases. Improved provider training and mentoring in high-quality care on the day of birth and strengthened supportive supervision may help to reduce maternal and newborn morbidity and mortality.
孕产妇儿童生存项目（MCSP）于 2014 年至 2018 年在埃邦伊州和科吉州开展工作，以提高孕产妇、儿童和新生儿保健的质量。在选定的卫生设施中进行了一项形成性评估，以检查在正常分娩当天所有阶段接受母亲及其新生儿护理的质量。在这两个州的 13 个设施中，接受分娩的卫生提供者由经过培训的卫生专业人员进行观察。从 120 个质量改进卫生设施中，有 40 个设施的每月至少有 50 次产前护理就诊量高，目的是选择这些设施。只有 10.5%的产妇在分娩时进行了危险信号筛查，大多数建议的感染预防标准得到了遵守，但只有 19.5%的病例在分娩前洗手。只有 2%的新生儿脐带残端使用了洗必泰凝胶，只有 32%的病例使用了产程图。没有新生儿接受了全套基本护理。特别是在 32%的病例中，观察到了潜在的有害做法，例如将新生儿倒提。在分娩当天进行高质量护理的提供者培训和指导，并加强支持性监督，可能有助于降低孕产妇和新生儿的发病率和死亡率。
