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Am J Obstet Gynecol. 2012 Dec;207(6):495.e1-7. doi: 10.1016/j.ajog.2012.10.003. Epub 2012 Oct 4.

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

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1
School of Population Health, Faculty of Medicine, Dentistry, and Health Sciences, University of Western Australia, Crawley, Australia. vogeljo@who.int

Abstract

OBJECTIVE:

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 government 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.

PMID:
23174389
DOI:
10.1016/j.ajog.2012.10.003
[Indexed for MEDLINE]
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