Innovative Tools and Strategies | Prevention and Clinical Management | Strengthening Quality of Care | Global Guidelines and Local Adaptations | Focus: Small and Sick Newborns | Focus: Private Sector Room: 1.41-1.42 Oral Abstracts
May 09, 2023 13:15 - 14:30(Africa/Johannesburg)
20230509T1315 20230509T1430 Africa/Johannesburg Patient Safety in Maternal and Newborn Health: Time to Deliver

Intrapartum Use of Oxytocin Injection: A Survey of Health Care Providers' Practice in Nigeria

Studies have demonstrated that more women who want to deliver babies have undergone inappropriate use of oxytocin for labor induction and augmentation at all levels of the health system, including primary health care facilities, in many parts of the world, including sub-Saharan Africa. This study assessed the pattern of intrapartum administration of oxytocin among different cadres of health care providers in Nigeria.

Labor Augmentation with Oxytocin in Low- and Lower-Middle-Income Countries: A Systematic Review and Meta-analysis 

Despite worldwide use, reviews of oxytocin for labor augmentation include mainly studies from high-income countries. Besides having potential benefits on labor progress, oxytocin may be harmful to the fetus, with potentially higher risks in low-resource settings. We therefore conducted a systematic review and meta-analysis of practices, benefits, and risks of oxytocin for labor augmentation in low- and lower-middle-income countries (LLMICs).

Effectiveness of SafeCare Methodology in Improving Quality of Maternal and Newborn Care: Case Study from Saving Mothers Giving Lives (SMGL) 2.0 Project in Kaduna, Nigeria 

High quality of care is the bedrock of improved health outcomes. With a maternal mortality ratio of 512/100,000, Kaduna State's neonatal mortality rate of 63/1,000 and low coverage (27%) of deliveries assisted by a skilled provider are worse than the national average. These outcomes are exacerbated by poor quality of care due to unskilled providers, lack of equipment, and inadequate basic amenities, among other factors. Saving Mothers Giving Lives (SMGL) 2.0, led by Pathfinder International in coll ...

Room: 1.41-1.42 International Maternal Newborn Health Conference 2023 information@imnhc.org
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Intrapartum Use of Oxytocin Injection: A Survey of Health Care Providers' Practice in Nigeria

Studies have demonstrated that more women who want to deliver babies have undergone inappropriate use of oxytocin for labor induction and augmentation at all levels of the health system, including primary health care facilities, in many parts of the world, including sub-Saharan Africa. This study assessed the pattern of intrapartum administration of oxytocin among different cadres of health care providers in Nigeria.


Labor Augmentation with Oxytocin in Low- and Lower-Middle-Income Countries: A Systematic Review and Meta-analysis 

Despite worldwide use, reviews of oxytocin for labor augmentation include mainly studies from high-income countries. Besides having potential benefits on labor progress, oxytocin may be harmful to the fetus, with potentially higher risks in low-resource settings. We therefore conducted a systematic review and meta-analysis of practices, benefits, and risks of oxytocin for labor augmentation in low- and lower-middle-income countries (LLMICs).


Effectiveness of SafeCare Methodology in Improving Quality of Maternal and Newborn Care: Case Study from Saving Mothers Giving Lives (SMGL) 2.0 Project in Kaduna, Nigeria 

High quality of care is the bedrock of improved health outcomes. With a maternal mortality ratio of 512/100,000, Kaduna State's neonatal mortality rate of 63/1,000 and low coverage (27%) of deliveries assisted by a skilled provider are worse than the national average. These outcomes are exacerbated by poor quality of care due to unskilled providers, lack of equipment, and inadequate basic amenities, among other factors. Saving Mothers Giving Lives (SMGL) 2.0, led by Pathfinder International in collaboration with PharmAccess Foundation and Kaduna State Government, is implementing a quality improvement (QI) program using the SafeCare methodology to ensure the delivery of quality-secured care for mothers and their newborns.


Is Delivery Conducted in Private Health Facilities and through Caesarean Section Associated with Higher Neonatal Mortality? Evidence from North Indian States 

In India, institutional delivery increased from 42% in 2005–2006 to 90% in 2019–2021. This had a huge impact on reducing the neonatal mortality rate (NMR) in the country, from 37 per 1,000 live births in 2005 to 22 in 2019. However, the progress is uneven. In states such as Bihar and Uttar Pradesh (UP), which contribute about one-fourth of the country's population, NMR is more than 30 per 1,000 live births. Due to insufficient and abysmal public health systems in these states, private health sectors are increasingly providing obstetric care and conducting cesarean section deliveries, which may have negative impact on child health if quality of service is compromised. The present study, therefore, intends to examine the effect of private sector and cesarean section deliveries on the early neonatal mortality rate [ENMR] and NMR in India and these two states.

Intrapartum Use of Oxytocin Injection: A Survey of Health Care Providers' Practice in Nigeria
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Private Sector
Strengthening Quality of Care
Prevention and Clinical Management
Presenters Chioma Ejekam
Consultant Public Health Physician And Faculty , College Of Medicine University Of Lagos
Co-authors
IO
Ifeoma Okafor
Associate Professor, Department Of Community Health And Primary Care, College Of Medicine, University Of Lagos
KO
Kehinde Okunade
College Of Medicine, University Of Lagos/Lagos University Teaching Hospital
JN
Jude Nwokike
Vice President & Director Promoting The Quality Of Medicines Plus (PQM+) Program, U.S. Pharmacopeial Convention
UI
Uchenna Igbokwe
Program Director - Smiles For Mothers Program, Solina Center For International Development And Research, Nigeria
Labor Augmentation with Oxytocin in Low- and Lower-Middle-Income Countries: A Systematic Review and Meta-analysis
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
None
Global Guidelines and Local Adaptations
Strengthening Quality of Care
Presenters
MK
Monica Kujabi
PhD Student, University Of Copenhagen, Denmark
Co-authors
EM
Emmeli Mikkelsen
PhD Candidate, Department Of Gynecology And Obstetrics, Aarhus University Hospital
Natasha Housseine
The Aga Khan University, Tanzania, Aga Khan University Dar Es Salaam, East Africa
JO
Josephine Obel
Researcher, Global Health Section, Department Of Public Health, University Of Copenhagen, Denmark
Brenda Sequeira Dmello
Technical Advisor, CCBRT
DW
Dan Wolf Meyrowitsch
Associate Professor, University Of Copenhagen
KH
Kidanto Hussein
Associate Dean, Aga Khan University, Dar Es Salaam, Aga Khan University Dar Es Salaam, East Africa
JB
Jeppe Bennekou Schroll
Medical Doctor, Department Of Obstetrics And Gynecology, Copenhagen University Hospital Hvidovre, Denmark
FK
Flemming Konradsen
Professor, Global Health Section, Department Of Public Health, University Of Copenhagen, Denmark
JV
Jos Van Roosmalen
Professor, Athena Institute, VU University Amsterdam, The Netherlands
Thomas Van Den Akker
Professor, Athena Institute, VU University Amsterdam, The Netherlands
Nanna Maaloe
MD, Ass. Professor, University Of Copenhagen
Effectiveness of SafeCare Methodology in Improving Quality of Maternal and Newborn Care: Case Study from Saving Mothers Giving Lives (SMGL) 2.0 Project in Kaduna, Nigeria
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Private Sector
Strengthening Quality of Care
Innovative Tools and Strategies
Presenters Ogochukwu Kehinde
Global Technical Advisor MEL, Pathfinder International
Co-authors
BA
Benjamin Asemota
Monitoring & Evaluation Program Officer, Pathfinder International
OO
Obafemi Omole
Senior Program Officer, Pathfinder International
Paulina Akanet
State Program Manager, Pathfinder International
AA
AMINA AMINU DORAYI
Pathfinder International
Is Delivery Conducted in Private Health Facilities and through Caesarean Section Associated with Higher Neonatal Mortality? Evidence from North Indian States
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Small and Sick Newborns (SSNB), Private Sector
Strengthening Quality of Care
Health Systems and Workforce
Presenters Abhishek Kumar
Senior Program Manager, Population Council
Senior Program Manager
,
Population Council
Global Technical Advisor MEL
,
Pathfinder International
PhD student
,
University of Copenhagen, Denmark
Consultant Public Health Physician and Faculty
,
College of Medicine University of Lagos
Dr. Hrishikesh Pai
Founder & Medical Director
,
Bloom IVF Group
Associate Professor of Community and Family Medicine
,
World Bank/Dartmouth
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