Undergraduate Student, University of Michigan, School of Nursing, 400 North Ingalls, Ann Arbor, MI 48104, United States.
Graduate Student, University of Michigan, School of Nursing, 400 North Ingalls, Ann Arbor, MI 48104, United States.
Midwifery. 2022 Feb;105:103235. doi: 10.1016/j.midw.2021.103235. Epub 2021 Dec 21.
Secondary analysis design using data from a facility capacity checklist and Liberia's Health Management Information System.
71 health facilities associated with functional maternity waiting homes and 14 health facilities without functional maternity waiting homes across 14 counties of Liberia.
No human participants were used in this study.
Independent t-test, Pearson chi-square test, and logistic regression were performed to assess quality, birth outcomes, and service utilization between health facilities with and without functional maternity waiting homes.
The overall health facility quality was not significantly different between health facilities associated with functional maternity waiting homes and those without. However, health facilities with functional maternity waiting homes had better infection control with the presence of soap and sharps boxes. Health facilities with functional maternity waiting homes were also more likely to have parenteral oxytocic drugs and were better able to perform assisted vaginal deliveries. The presence of functional maternity waiting homes were not significantly associated with health facility quality, birth outcomes, or care utilization.
Health facilities with functional MWHs were better prepared to prevent infection and manage complicated deliveries. This study further highlights specific areas for quality improvement amongst these health facilities, including labor complications management.
1）评估与功能产妇等候之家相关的卫生设施和没有功能产妇等候之家的卫生设施的质量。2）检查利比里亚有功能产妇等候之家和没有功能产妇等候之家的卫生设施的分娩结果和护理利用情况。
使用来自设施能力清单和利比里亚卫生管理信息系统的数据的二次分析设计。
利比里亚 14 个县的 71 个与功能产妇等候之家相关的卫生设施和 14 个没有功能产妇等候之家的卫生设施。
本研究未使用人类参与者。
独立 t 检验、皮尔逊卡方检验和逻辑回归用于评估有和没有功能产妇等候之家的卫生设施之间的质量、分娩结果和服务利用情况。
与有功能产妇等候之家相关的卫生设施和没有功能产妇等候之家的整体卫生设施质量没有显著差异。然而，有功能产妇等候之家的卫生设施在感染控制方面更好，因为有肥皂和锐器盒。有功能产妇等候之家的卫生设施也更有可能拥有催产素药物，并能更好地进行辅助阴道分娩。功能产妇等候之家的存在与卫生设施质量、分娩结果或护理利用情况没有显著关联。
有功能产妇等候之家的卫生设施更有准备预防感染和处理复杂分娩。本研究进一步强调了这些卫生设施在质量改进方面的具体领域，包括分娩并发症的管理。
