What to scale first? A cross-sectional analysis of factors affecting cesarean delivery rates at first referral units in ...
Published in Global Health Action
Background Low rates of caesarean delivery (CD) (
What to scale first? A cross-sectional analysis of factors affecting cesarean delivery rates at first referral units in ...
Application of GIS in Public Health Practice: A Consortium’s Approach to Tackling Travel Delays in Obstetric Emergencies...
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Geographic Information System (GIS) has become an effective and reliable tool for researchers, policymakers, and decision-makers to map health outcomes and inform targeted planning, evaluation, and monitoring. With the advent of big data-enabled GIS, researchers can now identify disparities and spatial inequalities in health at more granular levels...
The dominance of the private sector in the provision of emergency obstetric care: studies from Gujarat, India
Published in BMC Health Services Research
BackgroundIndia has experienced a steep rise in institutional childbirth. The relative contributions of public and private sector facilities to emergency obstetric care (EmOC) has not been studied in this setting. This paper aims to study in three districts of Gujarat state, India:(a) the availability of EmOC facilities in the public and private se...
Ambulance referral for emergency obstetric care in remote settings.
An ambulance service dedicated to EmOC that interconnected health centers and a hospital facilitated referrals and better utilized local resources.
Bypassing health facilities for childbirth: a multilevel study in three districts of Gujarat, India.
Published in Global health action
Bypassing available facilities for childbirth has important implications for maternal health service delivery and human resources within a health system. The results are the additional expenses imposed on the woman and her family, as well as the inefficient use of health system resources. Bypassing often indicates a lack of confidence in the care p...
Brought in Dead: An Avoidable Delay in Maternal Deaths
Published in The Journal of Obstetrics and Gynecology of India
PurposeMaternal brought in dead are the patient who dies in the need of adequate medical care. These deaths are often not analyzed sincerely as they are not institutional deaths. Our aim is to find out actual life threatening cause of delay leading to death.MethodPatients brought dead to casualty were seen by the doctors on duty in Department of Ob...
An assessment of priority setting process and its implication on availability of emergency obstetric care services in Ma...
Published in The Pan African medical journal
The findings illuminate that consideration of all local plans in national planning and budgeting as well as the involvement of all relevant stakeholders in the priority setting exercise is essential in order to achieve a consensus on the provision of emergency obstetric care services among other health service priorities.
‘The clock keeps ticking’ – the role of a community-based intervention in reducing delays in seeking emergency obstetric...
Published in Public Health
Barriers to emergency obstetric care services: accounts of survivors of life threatening obstetric complications in Mali...
Published in The Pan African medical journal
Delays in making the decision to seek care when obstetric complications occur, combined with delays in reaching the hospital, contribute to ineffective treatment upon arrival at the hospital. Interventions to reduce maternal mortality and morbidity must adequately consider the pre-hospital challenges faced by pregnant women in order to influence de...
