Role of faith-based and nongovernment organizations in the provision of obstetric services in 3 African countries

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dc.contributor.authorVogel, Joshua Peter
dc.contributor.authorBetran, Ana Pilar
dc.contributor.authorWidmer, Mariana
dc.contributor.authorSouza, Joao Paulo
dc.contributor.authorGuelmezoglu, Ahmet Metin
dc.contributor.authorSeuc, Armando
dc.contributor.authorTorloni, Maria Regina [UNIFESP]
dc.contributor.authorMengestu, Tigest Ketsela
dc.contributor.authorMerialdi, Mario
dc.contributor.institutionWHO
dc.contributor.institutionUniv Western Australia
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionBrazilian Cochrane Ctr
dc.date.accessioned2016-01-24T14:28:05Z
dc.date.available2016-01-24T14:28:05Z
dc.date.issued2012-12-01
dc.description.abstractOBJECTIVE: We sought to describe obstetric care capacity of nongovernment organization (NGO)-/faith-based organization (FBO)-run institutions compared to government-run institutions in 3 African countries using the World Health Organization Global Survey. We also compared delivery characteristics and outcomes.STUDY DESIGN: This is a descriptive analysis of the 22 NGO-/FBO-run institutions in Uganda, Kenya and Democratic Republic of Congo delivering 11,594 women, compared to 20 government-run institutions delivering 25,825 women in the same countries and period.RESULTS: Infrastructure, obstetric services, diagnostic facilities, and anesthesiology at NGO/FBO institutions were comparable to govern-ment institutions. Women delivering at NGO/FBO institutions had more antenatal care, antenatal complications, and cesarean delivery. NGO/FBO institutions had higher obstetrician attendance and lower rates of eclampsia, preterm birth, stillbirth, Apgar <7, and neonatal near miss.CONCLUSION: NGO/FBO institutions are comparable to government institutions in capacity to deliver obstetric care. NGO/FBOs have been found effective in providing delivery care in developing countries and should be appropriately recognized by stakeholders in their efforts to assist nations achieve international goals.en
dc.description.affiliationWHO, Dept Reprod Hlth & Res RHR, UNDP UNFPA WHO World Bank Special Programme Res D, CH-1211 Geneva, Switzerland
dc.description.affiliationUniv Western Australia, Fac Med Dent & Hlth Sci, Sch Populat Hlth, Crawley, Australia
dc.description.affiliationUniversidade Federal de São Paulo, Dept Obstet, São Paulo, Brazil
dc.description.affiliationBrazilian Cochrane Ctr, São Paulo, Brazil
dc.description.affiliationWHO, Reg Off Africa, Brazzaville, Congo
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Obstet, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipAustralian Postgraduate Award
dc.description.sponsorshipA&A Saw Scholarship
dc.description.sponsorshipGovernment China
dc.description.sponsorshipGovernment India
dc.description.sponsorshipGovernment Japan
dc.description.sponsorshipUnited States Agency for International Development (USAID)
dc.format.extent7
dc.identifierhttp://dx.doi.org/10.1016/j.ajog.2012.10.003
dc.identifier.citationAmerican Journal of Obstetrics and Gynecology. New York: Mosby-Elsevier, v. 207, n. 6, 7 p., 2012.
dc.identifier.doi10.1016/j.ajog.2012.10.003
dc.identifier.issn0002-9378
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/35554
dc.identifier.wosWOS:000311483300025
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofAmerican Journal of Obstetrics and Gynecology
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.subjectAfricaen
dc.subjectfaith-based organizationen
dc.subjectnongovernmenten
dc.subjectorganizationen
dc.subjectobstetric careen
dc.titleRole of faith-based and nongovernment organizations in the provision of obstetric services in 3 African countriesen
dc.typeinfo:eu-repo/semantics/article
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