Abstract
Background: WHO MCS in 2011 evaluated the incidence and management strategies linked with maternal and neonatal mortality in facilities across 26 countries including Pakistan.This study, a sub-analysis assessed the availability of essential obstetric and newborn care at referral level facilities of Pakistan that were selected for WHO MCS to correlate it with maternal and neonatal outcomes.Methods: This cross-sectional study assessed the infrastructure,equipment and services in 16 referral level government hospitalsparticipating inWHO MCSfrom 1stMarch to 30th May, 2011. The association was found between this data and maternal & neonatal outcomes of each facility using chi square test. Results: The studied facilities had basic infrastructure,most components of Essential Maternal and Neonatal Obstetric Care services withpart time/full time availability of obstetricians,anaesthetists and paediatricians. Adultintensive care unit was available in 68%, and neonatal intensive care unit was available in half of the facilities.The incidence of severe maternal outcomes had a positive correlation with presence of adult intensive care unit,mechanical ventilator and twenty-four hours (24/7) availability of anaesthesiologist,nurses & paramedics. The neonatal mortality was also higher in facilities with neonatal intensive care unit facility.Conclusion:Most components ofEssential Maternal and Neonatal Obstetric Care were present in the studied facilities.Tertiary level facilities even with availability ofAdult and neonatal intensive care units had more adverse maternal andnew-born outcomes perhaps due to more disease burden.
Syeda Batool Mazha, Afshan Batool,, Qurra-tul Ain. (2018) HEALTH SERVICES IN THE WORLD HEALTH ORGANIZATION MULTICOUNTRY SURVEY PAKISTAN AND ITS ASSOCIATION WITH MATERNAL AND NEW-BORN OUTCOME, JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 30, Issue 3.
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