Record Details

Maternity Care Pathways in Dire Dawa, Ethiopia Study

Harvard Dataverse (Africa Rice Center, Bioversity International, CCAFS, CIAT, IFPRI, IRRI and WorldFish)

View Archive Info
 
 
Field Value
 
Title Maternity Care Pathways in Dire Dawa, Ethiopia Study
 
Identifier https://doi.org/10.7910/DVN/PWPLME
 
Creator Gage, Anna
 
Publisher Harvard Dataverse
 
Description This study was done to understand the quality of maternal and immediate postpartum care in Dire Dawa Administration’s public health system. Cross-sectional primary data was collected in 9 facilities. Public facilities with the highest volumes of deliveries using the 2019 health information system data were included in the study; these facilities were collectively responsible for 83% of the facility deliveries in the region in 2019. The selected facilities consisted of two public hospitals, four health centers in Dire Dawa City and three rural health centers.

Data tools in this dataset include observations of deliveries, interviews with observed clients upon discharge from the facility, and interviews with all providers who provided care. First, all providers who provided intrapartum or immediate postpartum care in the study facilities were invited to take part in a provider survey that asked about their training, perceptions of the working environment and quality of care, and knowledge of complications diagnoses and management. Second, quality of care was assessed through observations of deliveries by trained health workers. All clients presenting for delivery during the observation period were invited to participate in the study and their care was observed from the time of arrival at the facility until 6 hours postpartum or discharge from the facility. Data collectors identified which items providers completed on a checklist adapted from the Maternal and Child Health Integrated Program tool from USAID. Finally, all participants whose care was observed were invited to participate in an exit interview upon their discharge from the facility.

Observations of care were conducted in most facilities from December 22, 2020 to February 20, 2021. However, until January 31, 2021, one of the hospitals (Sabian Primary Hospital) was not accepting maternity patients because it was a designated Covid-19 treatment facility. Observations of delivery care in Sabian, therefore, occurred between February 13 and March 21, 2021. Ethical approval for this study was obtained from Harvard University IRB (IRB19-0926), Haramaya University IRB (IHRERC/138/219) and the Ethiopia National Research Ethics and Review Committee (MoSHE//RD/1411/9403/RO).
 
Subject Medicine, Health and Life Sciences
Quality of Care
 
Contributor Gage, Anna