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The preponderance of minor injuries seen at the National Hospital suggests that lower level facilities could be better equipped to handle these injuries to decongest the National Hospital.
In the 11 districts, 105 health facilities were included (83 lower level facilities and 22 inpatient facilities) and 181 health workers interviewed (151 at lower level and 50 inpatient facilities respectively).
A triangulation approach was used to collect data with the following methods: health facility assessments and health worker interviews at inpatient and lower level facilities as well as in-patient/caregiver interviews and reviews of patient's charts at inpatient facilities.
Often KMC is restricted to tertiary hospitals despite the potential for practice at lower level facilities.
No statistically significant differences in FP availability were apparent at lower level facilities.
The methodology involves community outreach followed up with screening by nurse-midwives at lower level facilities.
Similar(8)
Quality of care related to feeding was high for three hospitals and two lower-level facilities, and moderate for one hospital and three lower-level facilities.
Higher-level facilities serve as referral units for lower-level facilities.
In-depth investigations are needed to clarify whether time is spent appropriately at lower-level facilities.
This may be due to fewer health workers in lower-level facilities and poor health services.
Strengthening CS capacity at lower-level facilities will also increase equity in the provision of CS deliveries.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com