Publications & Reports

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

Joshua Peter Vogel, Ana Pilar Betran, Mariana Widmer, Joao Paulo Souza, Ahmet Metin Gulmezoglu, Armando Seuc, Maria Regina Torloni, Tigest Ketsela Mengestu, Mario Merialdi
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.

Publication

  • Journal: American Journal of Obstetrics and Gynecology
  • Published: 01/12/2012
  • Volume: 207
  • Issue: 6
  • Pagination: 495.e1-495.e7

Author