Clean Birth Kits to promote safe childbirth: perspective of policy makers and district health officers in Pakistan
This source preferred by Vanora Hundley
Authors: Hundley, V., Avan, B., Ahmed, H. and Graham, W.
Start date: 1 November 2013
Background: High rates of maternal and neonatal sepsis have been attributed to limited resources and a lack of awareness regarding clean birth practices.
Aim: To explore the views and perceptions of policy makers and district health officers (DHOs) with regard to CBKs as a means of distributing essential supplies and promoting safe childbirth.
Method: Data were collected at both decision makers’ and implementers’ levels: (1) Semi structured interviews with the key federal and provincial level policy makers in Pakistan (2) Questionnaire survey - 89 DHOs inquiring specifically about understanding of CBKs, uptake, and optimal distribution mechanisms in community settings.
Findings: Participants reported that few women experienced clean births in Pakistan. CBKs were seen as a way of distributing commodities and increasing awareness. Knowledge about CBKs varied: federal level decision makers expressed less certainty than provincial policy makers or DHOs. The availability of CBKs was reported to be greater in Punjab than in Sindh province (97% vs 49%), with free distribution through hospitals and health centres. DHOs identified the current lack of training and guidelines as a deterrent to CBK use.
Implications: Policy makers and district level implementers need to promote CBK uptake by frontline health workers if kits are to be an effective way of distributing scarce resources. Although support for CBKs was found to be high, knowledge of where and how CBKs were used was sometimes limited. Guidelines could be valuable in increasing awareness and in supporting health workers in CBK distribution and use.