EVALUATION OF AVAILABILITY, READINESS AND SATISFACTION TOWARDS BASIC EMERGENCY OBSTETRIC AND NEWBORN CARE SERVICES OF MOTHERS OF REPRODUCTIVE AGE AT PRIMARY HEALTH FACILITIES: A CROSS SECTIONAL STUDY

Fozia Jamal; Faiza Memon; Kanwal Naz Ariser; Muhammad Ilyas Siddiqui; Rai Chand; Hassan Shami Shaikh

doi:10.46903/gjms/23.4.Suppl.2099

EVALUATION OF AVAILABILITY, READINESS AND SATISFACTION TOWARDS BASIC EMERGENCY OBSTETRIC AND NEWBORN CARE SERVICES OF MOTHERS OF REPRODUCTIVE AGE AT PRIMARY HEALTH FACILITIES: A CROSS SECTIONAL STUDY

Fozia Jamal, Faiza Memon, Kanwal Naz Ariser, Muhammad Ilyas Siddiqui, Rai Chand, Hassan Shami Shaikh

Abstract

Background: Pakistan has the highest maternal mortality and neonatal mortality rate. Despite global efforts to reduce these rates, Pakistan still faces significant challenges, especially in rural areas where healthcare access is limited. Emergency obstetric and neonatal care (EmONC) services are crucial for reducing maternal and neonatal mortality. This study evaluated the availability and readiness of basic emergency obstetric and newborn care services at primary health care facilities and assessed clients’ satisfaction.

Materials and Methods: A cross-sectional study was conducted at two randomly selected health facilities in District Jamshoro, Sindh from September 2023 to March 2024. The 285 female participants of reproductive age were selected through convenient sampling and sample size calculated via OpenEpi. Data were collected using the WHO’s Service Availability and Readiness Assessment (SARA) tool and a structured questionnaire, followed by statistical analysis.

Results: Both facilities showed high readiness, offering all seven BEmONC functions. Client satisfaction was high: 83.2% for healthcare practitioners, 95.8% for lab services, and 96.1% for hygiene. Positive feedback was also given for free delivery services, privacy, breastfeeding support, and consultation time.

Conclusion: Primary healthcare facilities effectively deliver BEmONC services, with adequate resources, infrastructure, and skilled staff to manage obstetric and neonatal emergencies. High satisfaction rates reflect quality care, professional conduct, and clean environments.

Keywords

BEmONC, Readiness, Health facilities, Newborn care, Primary care provider

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DOI: https://doi.org/10.46903/gjms/23.4.Suppl.2099