Human resources and the quality of emergency obstetric care in developing countries: a systematic review of the literature

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IDL-49675.pdf (228.45 KB)

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2009-02

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Abstract

Background: This paper reports on a systematic literature review exploring the importance of human resources in the quality of emergency obstetric care and thus in the reduction of maternal deaths. Methods: A systematic search of two electronic databases (ISI Web of Science and MEDLINE) was conducted, based on the following key words "quality obstetric* care" OR "pregnancy complications OR emergency obstetric* care OR maternal mortality" AND "quality health care OR quality care" AND "developing countries. Relevant papers were analysed according to three customary components of emergency obstetric care: structure, process and results. Results: This review leads to three main conclusions: (1) staff shortages are a major obstacle to providing good quality EmOC; (2) women are often dissatisfied with the care they receive during childbirth; and (3) the technical quality of EmOC has not been adequately studied. The first two conclusions provide lessons to consider when formulating EmOC policies, while the third point is an area where more knowledge is needed.

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Keywords

MATERNAL MORTALITY, MATERNAL AND CHILD HEALTH, OBSTETRIC LABOUR COMPLICATIONS, HEALTH PERSONNEL, PATIENT SATISFACTION

Citation

Dogba, M., & Fournier, P. (2009). Human resources and the quality of emergency obstetric care in developing countries: a systematic review of the literature. Human Resources for Health, 7 (7). doi:10.1186/1478-4491-7-7

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http://hdl.handle.net/10625/49675

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IDRC Research Results / Résultats de recherches du CRDI
2000-2009 / Années 2000-2009
Health Systems Research / recherche sur les systèmes de santé
Maternal, Newborn, and Child Health (MNCH) / la santé de la mère, du nouveau-né, et de l’enfant
Research Results (GHRI) / Résultats de recherches (IRSM)
Teasdale-Corti Global Health Research Partnership (TC) / partenariat Teasdale-Corti de recherche en santé mondiale