Accès ouvert déclaré 2024 article

Health workers’ perspectives on the quality of maternal and newborn health care around the time of childbirth: Results of the Improving MAternal Newborn carE in the EURO Region (IMAgiNE EURO) project in 12 countries of the World Health Organization European Region

Emanuelle Pessa Valente, Ilaria Mariani, Arianna Bomben, Sandra Morano, Michael Gemperle, Marina Ruxandra Oțelea, Céline Miani, Helen Elden, Antigoni Sarantaki, Raquel Costa, Barbara Magdalena Baranowska, Martina König‐Bachmann, Sigrun Kongslien, Daniela Drandić, Virginie Rozée, Antonella Nespoli, Alessia Abderhalden‐Zellweger, Ioana Nanu, Stephanie Batram‐Zantvoort, Karolina Lindén, Dimitra Metallinou, Heloísa Dias, Urszula Tataj–Puzyna, Elisabeth D’Costa, Ingvild Hersoug Nedberg, Magdalena Kurbanović, Élise de La Rochebrochard, Simona Fumagalli, Susanne Grylka‐Baeschlin, Claudia Mariana Handra, Mehreen Zaigham, Eirini Orovou, Catarina Carvalho Cordes Amaral Barata, Beata Szlendak, Christoph Zenzmaier, Eline Skirnisdottir Vik, Alina Liepinaitienė, Zalka Drglin, Maryse Arendt, Emma Sacks, Marzia Lazzerini

1Citations signalées, ce qui n’est pas une note de qualité

35Institutions déclarées

17Pays d’affiliation déclarés

Rattachement africain : it, ch, ro, de, se, gr, pt, pl, at, no, nl, fr, hr, lt, si, us, gb. Niveau de preuve : code pays fourni par la source.

Le résumé fourni par la source

Background: Health workers' (HWs') perspectives on the quality of maternal and newborn care (QMNC) are not routinely collected. In this cross-sectional study, we aimed to document HWs' perspectives on QMNC around childbirth in 12 World Health Organization (WHO) European countries. Methods: HWs involved in maternal/neonatal care for at least one year between March 2020 and March 2023 answered an online validated WHO standards-based questionnaire collecting 40 quality measures for improving QMNC. A QMNC index (score 0-400) was calculated as a synthetic measure. Results: Data from 4143 respondents were analysed. For 39 out of 40 quality measures, at least 20% of HWs reported a 'need for improvement', with large variations across countries. Effective training on healthy women/newborns management (n = 2748, 66.3%), availability of informed consent job aids (n = 2770, 66.9%), and effective training on women/newborns rights (n = 2714, 65.5%) presented the highest proportion of HWs stating 'need for improvement'. Overall, 64.8% (n = 2684) of respondents declared that HWs' numbers were insufficient for appropriate care (66.3% in Portugal and 86.6% in Poland), and 22.4% described staff censorship (16.3% in Germany and 56.7% in Poland). The reported QMNC index was low in all countries (Poland median (MD) = 210.60, interquartile range (IQR) = 155.71, 273.57; Norway MD = 277.86; IQR = 244.32, 308.30). The 'experience of care' domain presented in eight countries had significantly lower scores than the other domains (P < 0.001). Over time, there was a significant monthly linear decrease in the QMNC index (P < 0.001), lacking correlation with the coronavirus disease 2019 (COVID-19) pandemic trends (P > 0.05). Multivariate analyses confirmed large QMNC variation by country. HWs with <10 years of experience, HWs from public facilities, and midwives rated QMNC with significantly lower scores (P < 0.001). Conclusions: HWs from 12 European countries reported significant gaps in QMNC, lacking association with COVID-19 pandemic trends. Routine monitoring of QMNC and tailored actions are needed to improve health services for the benefit of both users and providers. Registration: ClinicalTrials.gov NCT04847336.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.

Le contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref: Health workers’ perspectives on the quality of maternal and newborn health care around the time of childbirth: Results of the Improving MAternal Newborn carE in the EURO Region (IMAgiNE EURO) project in 12 countries of the World Health Organization European Region
Date Crossref: 06/09/2024
Éditeur: International Society of Global Health
Type: journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.

Où se fait cette recherche

IRCCS Materno Infantile Burlo Garofolo pays non établi dans la notice
Établissement de santé
University of Genoa pays non établi dans la notice
Université ou école supérieure
ZHAW Zurich University of Applied Sciences pays non établi dans la notice
Université ou école supérieure
Carol Davila University of Medicine and Pharmacy pays non établi dans la notice
Université ou école supérieure
Romanian Waters National Administration pays non établi dans la notice
Organisme public
Bielefeld University pays non établi dans la notice
Université ou école supérieure
Sahlgrenska University Hospital Department of Obstetrics and Gynaecology pays non établi dans la notice
Établissement de santé
Region Västra Götaland pays non établi dans la notice
Organisme public
University of Gothenburg Institute of Health and Care Sciences pays non établi dans la notice
Université ou école supérieure
University of West Attica pays non établi dans la notice
Université ou école supérieure
Universidade do Porto Instituto de Saúde Pública pays non établi dans la notice
Université ou école supérieure
Universidade Lusófona pays non établi dans la notice
Université ou école supérieure

IRCCS Materno Infantile Burlo Garofolo, University of Genoa et ZHAW Zurich University of Applied Sciences, avec 9 autres affiliations.

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

Les sujets associés

Global Maternal and Child HealthMaternal and Perinatal Health InterventionsMaternal Mental Health During Pregnancy and Postpartum

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