Healthcare Providers’ Views on the Management of Emergency Obstetric Care (EmOC) Centres for Forcibly Displaced Myanmar Nationals (FDMN) Women in Bangladesh
Notice bibliographique
Résumé
Background: A well managed and organized emergency obstetric care (EmOC) centre is very important to ensure that the most vulnerable groups, e.g., women and newborns, receive the best possible care in humanitarian crisis situation. Objective: This study aims to determine the healthcare providers’ views on the management of the Emergency Obstetric Care (EmOC) centers for the Forcibly Displaced Myanmar Nationals (FDMN) women currently living in Bangladesh. Methods: This cross-sectional, descriptive study was conducted between January and December of 2019. A convenient sampling technique was adopted. A total of 104 healthcare providers working in the refugee camp areas of Forcibly Displaced Myanmar Nationals (FDMN) participated in this study at Kutupalong and Balukhali of Ukhiya upazila under Cox’s Bazar district, Bangladesh. A pre-tested, semi-structured questionnaire was used in face-to-face interview. Results: Out of 104 respondents, most of them (62.5%) were in 21-30 years age group and 36.54% were 31-40 years age group. About 56% respondents were male and 44.23% were female. Among healthcare providers, 31.73% were doctors, 19.23% were nurse, 35.58% were paramedics and 13.46% were skilled birth attendants (SBAs) or midwives. About 88% were deployed in the field hospital facilities and the rest (11.54%) were in camp based primary health centres. ANC services were provided by all of them (100%). A satisfactory level of ‘signal functions’ of basic EmOC and comprehen- sive EmOC were done by them. All the centres had separate examination room and dedicated delivery room and they maintained privacy during physical examination of their clients (100%). However, 11.5% had blood bank support, 52.9% got laboratory support and dedicated OT facility for EmOC was reported by 72.1%. All claimed the presence of emergen- cy response team (ERT) in due time. Regarding quality of the services, from receiving the patients to arranging necessary treatment, cumulatively more than 85% decision making and treatment were done within 30 minutes. All the respondents (100%) claimed about availability of wheel chairs and stretchers, reception and information services, medical record keeping, emergency oxygen supply, 24/7 electricity and adequate water supply, autoclave for sterilization, ambulance or other transport facilities to carry patients. High satisfaction on workplace environment and job responsibility was reported by 17.3%, while 75.0% had moderate satisfaction and 7.7% had low satisfaction. Conclusion: Our data suggests a moderate level of satisfaction among most of the healthcare providers on management of EmOC centres for the FDMN women amid several challenges and also highlights the areas of improvement to facilitate better healthcare for them. CME J 2025; 4(2):62-69
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».