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Advancing obstetric and neonatal care in a regional hospital in Ghana via continuous quality improvement.

Publication ,  Journal Article
Srofenyoh, E; Ivester, T; Engmann, C; Olufolabi, A; Bookman, L; Owen, M
Published in: Int J Gynaecol Obstet
January 2012

OBJECTIVE: To reduce maternal and neonatal death at a large regional hospital through the use of quality improvement methodologies. METHODS: In 2007, Kybele and the Ghana Health Service formed a partnership to analyze systems and patient care processes at a regional hospital in Accra, Ghana. A model encompassing continuous assessment, implementation, advocacy, outputs, and outcomes was designed. Key areas for improvement were grouped into "bundles" based on personnel, systems management, and service quality. Primary outcomes included maternal and perinatal mortality, and case fatality rates for hemorrhage and hypertensive disorders. Implementation and outcomes were evaluated tri-annually between 2007 and 2009. RESULTS: During the study period, there was a 34% decrease in maternal mortality despite a 36% increase in patient admission. Case fatality rates for pre-eclampsia and hemorrhage decreased from 3.1% to 1.1% (P<0.05) and from 14.8% to 1.9% (P<0.001), respectively. Stillbirths were reduced by 36% (P<0.05). Overall, the maternal mortality ratio decreased from 496 per 100000 live births in 2007 to 328 per 100,000 in 2009. CONCLUSION: Maternal and newborn mortality were reduced in a low-resource setting when appropriate models for continuous quality improvement were developed and employed.

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Published In

Int J Gynaecol Obstet

DOI

EISSN

1879-3479

Publication Date

January 2012

Volume

116

Issue

1

Start / End Page

17 / 21

Location

United States

Related Subject Headings

  • Regional Health Planning
  • Quality Improvement
  • Pregnancy Complications
  • Pregnancy
  • Obstetrics & Reproductive Medicine
  • Medically Underserved Area
  • Maternal Mortality
  • Maternal Health Services
  • Infant, Newborn, Diseases
  • Infant, Newborn
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Srofenyoh, E., Ivester, T., Engmann, C., Olufolabi, A., Bookman, L., & Owen, M. (2012). Advancing obstetric and neonatal care in a regional hospital in Ghana via continuous quality improvement. Int J Gynaecol Obstet, 116(1), 17–21. https://doi.org/10.1016/j.ijgo.2011.08.010
Srofenyoh, Emmanuel, Thomas Ivester, Cyril Engmann, Adeyemi Olufolabi, Laurel Bookman, and Medge Owen. “Advancing obstetric and neonatal care in a regional hospital in Ghana via continuous quality improvement.Int J Gynaecol Obstet 116, no. 1 (January 2012): 17–21. https://doi.org/10.1016/j.ijgo.2011.08.010.
Srofenyoh E, Ivester T, Engmann C, Olufolabi A, Bookman L, Owen M. Advancing obstetric and neonatal care in a regional hospital in Ghana via continuous quality improvement. Int J Gynaecol Obstet. 2012 Jan;116(1):17–21.
Srofenyoh, Emmanuel, et al. “Advancing obstetric and neonatal care in a regional hospital in Ghana via continuous quality improvement.Int J Gynaecol Obstet, vol. 116, no. 1, Jan. 2012, pp. 17–21. Pubmed, doi:10.1016/j.ijgo.2011.08.010.
Srofenyoh E, Ivester T, Engmann C, Olufolabi A, Bookman L, Owen M. Advancing obstetric and neonatal care in a regional hospital in Ghana via continuous quality improvement. Int J Gynaecol Obstet. 2012 Jan;116(1):17–21.

Published In

Int J Gynaecol Obstet

DOI

EISSN

1879-3479

Publication Date

January 2012

Volume

116

Issue

1

Start / End Page

17 / 21

Location

United States

Related Subject Headings

  • Regional Health Planning
  • Quality Improvement
  • Pregnancy Complications
  • Pregnancy
  • Obstetrics & Reproductive Medicine
  • Medically Underserved Area
  • Maternal Mortality
  • Maternal Health Services
  • Infant, Newborn, Diseases
  • Infant, Newborn