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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Availability of facility resources and services and infection-related maternal outcomes in the WHO Global Maternal Sepsis Study: a cross-sectional study
The Lancet Global Health, Volume 9, No. 9, Year 2021
Notification
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Description
Background: Infections are among the leading causes of maternal mortality and morbidity. The Global Maternal Sepsis and Neonatal Initiative, launched in 2016 by WHO and partners, sought to reduce the burden of maternal infections and sepsis and was the basis upon which the Global Maternal Sepsis Study (GLOSS) was implemented in 2017. In this Article, we aimed to describe the availability of facility resources and services and to analyse their association with maternal outcomes. Methods: GLOSS was a facility-based, prospective, 1-week inception cohort study implemented in 713 health-care facilities in 52 countries and included 2850 hospitalised pregnant or recently pregnant women with suspected or confirmed infections. All women admitted for or in hospital with suspected or confirmed infections during pregnancy, childbirth, post partum, or post abortion at any of the participating facilities between Nov 28 and Dec 4 were eligible for inclusion. In this study, we included all GLOSS participating facilities that collected facility-level data (446 of 713 facilities). We used data obtained from individual forms completed for each enrolled woman and their newborn babies by trained researchers who checked the medical records and from facility forms completed by hospital administrators for each participating facility. We described facilities according to country income level, compliance with providing core clinical interventions and services according to women's needs and reported availability, and severity of infection-related maternal outcomes. We used a logistic multilevel mixed model for assessing the association between facility characteristics and infection-related maternal outcomes. Findings: We included 446 facilities from 46 countries that enrolled 2560 women. We found a high availability of most services and resources needed for obstetric care and infection prevention. We found increased odds for severe maternal outcomes among women enrolled during the post-partum or post-abortion period from facilities located in low-income countries (adjusted odds ratio 1·84 [95% CI 1·05–3·22]) and among women enrolled during pregnancy or childbirth from non-urban facilities (adjusted odds ratio 2·44 [1·02–5·85]). Despite compliance being high overall, it was low with regards to measuring respiratory rate (85 [24%] of 355 facilities) and measuring pulse oximetry (184 [57%] of 325 facilities). Interpretation: While health-care facilities caring for pregnant and recently pregnant women with suspected or confirmed infections have access to a wide range of resources and interventions, worse maternal outcomes are seen among recently pregnant women located in low-income countries than among those in higher-income countries; this trend is similar for pregnant women. Compliance with cost-effective clinical practices and timely care of women with particular individual characteristics can potentially improve infection-related maternal outcomes. Funding: UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, WHO, Merck for Mothers, and US Agency for International Development. © 2021 World Health Organization
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC8370881/bin/mmc1.pdf
Authors & Co-Authors
Brizuela, Vanessa
United States, Washington, D.c.
The World Bank, Usa
Cuesta, Cristina
Argentina, Rosario
Universidad Nacional de Rosario
Bartolelli, Gino
Argentina, Rosario
Universidad Nacional de Rosario
Abdosh, Abdulfetah Abdulkadir
Ethiopia, Addis Ababa
St. Paul‘s Hospital Millennium Medical College
Abou-Malham, Sabina
Canada, Sherbrooke
Université de Sherbrooke
Assarag, Bouchra
Morocco, Rabat
National School of Public Health
Castro Banegas, Rigoberto
Honduras, La Paz
Hospital Roberto Suazo Cordova
Diaz, Virginia
Argentina, Rosario
Centro Rosarino de Estudios Perinatales
El-Kak, Faysal H.
Lebanon, Beirut
American University of Beirut
El-Sheikh, Mohamed A.A.
Sudan, Khartoum
Khartoum University
Pérez, Aquilino Mario
Uruguay, Montevideo
Centro Hospitalario Pereira Rossell
Souza, Joao Paulo
Brazil, Sao Paulo
Universidade de São Paulo
Abalos, Edgardo J.
Argentina, Rosario
Centro Rosarino de Estudios Perinatales
Castro, Rigoberto
Unknown Affiliation
Elsheikh, Mohamed H.
Unknown Affiliation
Pérez, Aquilino M.
Unknown Affiliation
Aman, Mohammad Iqbal
Unknown Affiliation
Noormal, Bashir
Unknown Affiliation
Espinoza, Marisa Mabel
Unknown Affiliation
Pasquale, Julia
Unknown Affiliation
Roelens, Kristien
Unknown Affiliation
Vandenberghe, Griet
Unknown Affiliation
Agossou, Mahugnon Christian Urlyss
Unknown Affiliation
Goufodji Keke, Sourou
Unknown Affiliation
Tshabu Aguemon, Christiane
Unknown Affiliation
Apaza Peralta, Patricia Soledad
Unknown Affiliation
Conde Altamirano, Víctor
Unknown Affiliation
Hernández Muñoz, Rosalinda
Unknown Affiliation
Cecatti, José Guilherme
Unknown Affiliation
Ribeiro-Do-Valle, Carolina C.
Unknown Affiliation
Batiene, Vincent
Unknown Affiliation
Cisse, Kadari
Unknown Affiliation
Ouédraogo, Henri Gautier
Unknown Affiliation
Cheang, Kannitha
Unknown Affiliation
Lam, Phirun
Unknown Affiliation
Rathavy, Tung
Unknown Affiliation
Simo, Elie
Unknown Affiliation
Tebeu, Pierre Marie
Unknown Affiliation
Yakana, Emah Irene
Unknown Affiliation
Carvajal, Javier Andrés
Unknown Affiliation
Escobar-Vidarte, María Fernanda
Unknown Affiliation
Fernández, Paula Andrea
Unknown Affiliation
Colmorn, Lotte Berdiin
Unknown Affiliation
Langhoff-Roos, Jens
Unknown Affiliation
Mereci, Wilson
Unknown Affiliation
Vélez, Paola
Unknown Affiliation
Salah Eldin, Yasser
Unknown Affiliation
Sultan, Alaa
Unknown Affiliation
Teklu, Alula Meressa
Unknown Affiliation
Worku, Dawit G.
Unknown Affiliation
Adanu, Richard Mawuena Kofi
Unknown Affiliation
Govule, Philip
Unknown Affiliation
Noora Lwanga, Charles
Unknown Affiliation
Arriaga Romero, William Enrique
Unknown Affiliation
Flores Aceituno, María Guadalupe
Unknown Affiliation
Bustillo, Carolina
Unknown Affiliation
Lara, Bredy
Unknown Affiliation
Kumar, Vijay Senthil
Unknown Affiliation
Suri, Vanita
Unknown Affiliation
Trikha, Sonia
Unknown Affiliation
Cetin, Irene
Unknown Affiliation
Donati, S.
Unknown Affiliation
Personeni, Carlo
Unknown Affiliation
Baimussanova, Guldana
Unknown Affiliation
Kabylova, Saule
Unknown Affiliation
Sagyndykova, Balgyn
Unknown Affiliation
Gwako, George N.
Unknown Affiliation
Osoti, Alfred Onyango
Unknown Affiliation
Qureshi, Zahida P.
Unknown Affiliation
Asylbasheva, Raisa
Unknown Affiliation
Boobekova, Aigul
Unknown Affiliation
Seksenbaeva, Damira
Unknown Affiliation
Itani, Saadeddine
Unknown Affiliation
Minkauskiene, Meile
Unknown Affiliation
Ramašauskaite, Diana
Unknown Affiliation
Chikhwaza, Owen Henry
Unknown Affiliation
Gadama, Luis Aaron
Unknown Affiliation
Malunga, Eddie V.
Unknown Affiliation
Dembele, Haoua
Unknown Affiliation
Sangho, Hamadoun Ali
Unknown Affiliation
Zerbo, Fanta Eliane
Unknown Affiliation
Dávila Serapio, Filiberto
Unknown Affiliation
Herrera-Maldonado, Nazarea
Unknown Affiliation
Islas Castañeda, Juan I.
Unknown Affiliation
Cauaus, Tatiana
Unknown Affiliation
Curteanu, Ala
Unknown Affiliation
Petrov, Victor
Unknown Affiliation
Buyanjargal, Yadamsuren
Unknown Affiliation
Khishgee, Seded
Unknown Affiliation
Lkhagvasuren, Bat Erdene
Unknown Affiliation
Essolbi, Amina
Unknown Affiliation
Moulki, Rachid
Unknown Affiliation
Jaze, Zara Onila
Unknown Affiliation
Mariano, Arlete A.N.
Unknown Affiliation
Osman, Nafissa Bique
Unknown Affiliation
Einda, Hla Mya Thway
Unknown Affiliation
Maung, Thae
Unknown Affiliation
Tin, Khaing Nwe
Unknown Affiliation
Gurung, Tara
Unknown Affiliation
Shrestha, Amir Babu
Unknown Affiliation
Bloemenkamp, Kitty W.M.
Unknown Affiliation
Rijken, Marcus J.
Unknown Affiliation
van den Akker, Thomas
Unknown Affiliation
Adesina, Olubukola Adeponle
Unknown Affiliation
Aimakhu, Christopher O.
Unknown Affiliation
Fawole, Bukola O.
Unknown Affiliation
Chaudhri, Rizwana
Unknown Affiliation
Hamid, Saima
Unknown Affiliation
Khan, Maseer Adnan
Unknown Affiliation
Recidoro, Zenaida Dy
Unknown Affiliation
Budianu, Mihaela Alexandra
Unknown Affiliation
Puşcaşiu, Lucian
Unknown Affiliation
Cebekhulu, Sylvia N.
Unknown Affiliation
Cornelissen, Laura
Unknown Affiliation
Soma-Pillay, Priya S.
Unknown Affiliation
Jayaratne, Kapila
Unknown Affiliation
Nabag, Wisal Omer Mohamed
Unknown Affiliation
Dunlop, Catherine Louise
Unknown Affiliation
Knight, Marian
Unknown Affiliation
Lissauer, David M.
Unknown Affiliation
Madziyire, Mugove Gerald
Unknown Affiliation
Magwali, Thulani Lesley
Unknown Affiliation
Munjanja, Stephen Peter
Unknown Affiliation
Baguiya, Adama
Unknown Affiliation
Chamillard, Monica E.
Unknown Affiliation
Kouanda, Sèni
Unknown Affiliation
Lumbiganon, Pisake
Unknown Affiliation
Nabhan, Ashraf Fawzy
Unknown Affiliation
Nadišauskiene, Rūta Jolanta
Unknown Affiliation
Bartlett, Linda A.
Unknown Affiliation
Bellissimo-Rodrigues, Fernando
Unknown Affiliation
Jacob, Shevin T.
Unknown Affiliation
Shakoor’, Sadia
Unknown Affiliation
Yunis, Khalid A.
Unknown Affiliation
Campódonico, Liana
Unknown Affiliation
Gamerro, Hugo
Unknown Affiliation
Giordano, Daniel
Unknown Affiliation
Althabe, Fernando A.
Unknown Affiliation
Gülmezoglu, Ahmet Metin
Unknown Affiliation
Statistics
Citations: 9
Authors: 139
Affiliations: 11
Identifiers
Doi:
10.1016/S2214-109X(21)00248-5
ISSN:
2214109X
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Case-Control Study
Study Approach
Quantitative
Participants Gender
Female