Measuring the effectiveness of maternal delivery services: A cross-sectional and qualitative study of perinatal mortality in six primary referral hospitals, Kenya

Name	World Continuing Education Alliance
Activity Title	Measuring the effectiveness of maternal delivery services: A cross-sectional and qualitative study of perinatal mortality in six primary referral hospitals, Kenya
Details	The hospital sector represents approximately 45–69% of government health expenditure in sub-Saharan Africa and the effective performance of the sub-sector is therefore critical to overall health system goal achievement. In Kenya, overall health status is measured by indicators including life expectancy, and under-five and maternal mortality. Maternal delivery service (MDS) indicators and outcomes, such as skilled delivery levels, coverage of caesarean sections and neonatal mortality, are sensitive indicators of the effectiveness of the whole health system. Roughly one third of 363 interventions in the Kenya Essential Package for Health focus on reproductive health. Efforts to reduce maternal mortality and morbidity in low-resource settings often depend on global standards and indicators to assess obstetric care. However these standards often do not take into account the local context especially in terms of skill and resource availabilityn Objectives Course Objective The effective performance of hospitals is critical to overall health system goal achievement. Global health system performance frameworks are often used as part of global benchmarking, but not within low and middle-income countries as part of service delivery performance measurement. This study explored the utility of perinatal mortality as a measure of hospital effectiveness.. A cross sectional, mixed methods study of six primary referral hospitals, differentiated by ownership, was conducted from 10th June to 9th October 2015. Monthly summary hospital data of maternal delivery services (MDS) were abstracted to determine the perinatal mortality. Tests of associations were used to correlate bed turnover, skilled staffing, method of delivery and perinatal mortality.
Competence	Public Health
Start Date	<span class="not-set">(not set)</span>
End Date	<span class="not-set">(not set)</span>
Event Time	08:00 AM
Location	World Continuing Education Alliance eLearning System
Cost (UGX)	0
CPD Points	1