Year: 2011
Type: report
Abstract: The study aimed to measure the performance of delivery centres (DC) and explore \nthe factors related to performance of DCs. Data were collected using qualitative \nmethods during December 2009 - January 2010 from six DCs in the slums of Dhaka \ncity. Findings reveal that the DCs at Magbazar and Kamrangir Char performed 'well' \ndue to availability of community health workers (CHW) , their emotional support and \ncaring attitude, regular antenatal care (ANC) visits, convenient location, cleanliness \nand free services of the DCs. The DCs at Madertek and Shyampur performed \n'average' and Ramna and Kotwali DCs performed poor. Poor performance was \nlargely due to lack of CHWs, less motivation, frequent dropout due to low \nremuneration, and recurrent slum demolition. As women reported, the reasons for \nnot attending DCs was fear of being referred to the hospital which might compel \nthem to have a caesarean delivery, lack of comprehensive services at DCs including \ndoctor-assisted normal deliveries, medicines, and emergency case management. \nNeonatal mortality rate in poor performed DCs found to be high. The respondents \nsuggested that instead of referring women for minor complications, DCs should be \ncompetent of providing supervised skilled service package with basic treatment \nduring childbirth, tetanus toxoid during ANC and child immunizations and postnatal \ncare.
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
Funders: Bill and Melinda Gates Foundation, Oxfam America, Global Fund to Fight AIDS, Tuberculosis and Malaria, Nike Foundation, Styrelsen för Internationellt Utvecklingssamarbete, Aga Khan Foundation, UNICEF, Emory University, Aga Khan Foundation Canada, University of Oxford, University of Leeds, European Commission, Australian Agency for International Development, Department for International Development, Islamic Development Bank, Hospital for Sick Children
OpenAlex ID: W2995218879