What does this research mean for the field?

Observed intrapartum care in public facilities in Dire Dawa Administration, Ethiopia, exhibits substantial quality gaps, particularly during the second stage of labour and immediate postpartum care, with quality positively associated with urban location, health centre setting, and provider in-service training. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate the observed clinical quality of care provided during labor, birth, and the immediate postpartum period across public healthcare facilities.

August 30, 2026International Journal for Quality in Health Care

Observed quality of intrapartum care in Dire Dawa Administration, eastern Ethiopia

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Authors

MJMoti Tolera Jalu DYDessie Yadeta TGTsinuel Girma

Discussion

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Overview

Cross-sectional study reveals substantial quality gaps during childbirth and neonatal care across public facilities, highlighting uneven adherence to clinical standards.

Key Points

To evaluate the observed clinical quality of care provided during labor, birth, and the immediate postpartum period across public healthcare facilities.
Conducted a secondary cross-sectional analysis using continuous direct observations of 811 spontaneous vaginal births and surveys of 84 intrapartum-care providers across nine public health facilities in Ethiopia.
Measured clinical practice quality using a structured 28-item checklist adapted from WHO and MCHiP/SMGL clinical standards.
Used multilevel linear regression models to account for hierarchical clustering of patient observations within providers and facilities.
The overall mean observed intrapartum-care quality index was 48% (SD 29), with lowest performance during the second stage of labor (26%) and immediate neonatal care (35%), compared to the third stage of labor (65%).
Health centers achieved significantly higher quality scores than hospitals (β = 5.50; 95% CI: 4.30 to 6.70), while rural facilities scored significantly lower than urban facilities (β = -3.47; 95% CI: -5.49 to -1.44).
Provider in-service training correlated positively with quality (β = 0.84; 95% CI: 0.34 to 1.34), whereas managing complications or emergencies correlated negatively with quality (β = -2.89; 95% CI: -4.42 to -1.36).

Cite This Study

Jalu et al. (2026) studied this question.

synapsesocial.com/papers/6a93f08e6c1a8fb52e79cd0e https://doi.org/10.1093/intqhc/mzag121

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August 30, 2026International Journal for Quality in Health Care

Observed quality of intrapartum care in Dire Dawa Administration, eastern Ethiopia

View Full Paper

Ask AI

Bookmark

Authors

MJMoti Tolera Jalu DYDessie Yadeta TGTsinuel Girma

Discussion

Member takes

Overview

Cross-sectional study reveals substantial quality gaps during childbirth and neonatal care across public facilities, highlighting uneven adherence to clinical standards.

Key Points

To evaluate the observed clinical quality of care provided during labor, birth, and the immediate postpartum period across public healthcare facilities.
Conducted a secondary cross-sectional analysis using continuous direct observations of 811 spontaneous vaginal births and surveys of 84 intrapartum-care providers across nine public health facilities in Ethiopia.
Measured clinical practice quality using a structured 28-item checklist adapted from WHO and MCHiP/SMGL clinical standards.
Used multilevel linear regression models to account for hierarchical clustering of patient observations within providers and facilities.
The overall mean observed intrapartum-care quality index was 48% (SD 29), with lowest performance during the second stage of labor (26%) and immediate neonatal care (35%), compared to the third stage of labor (65%).
Health centers achieved significantly higher quality scores than hospitals (β = 5.50; 95% CI: 4.30 to 6.70), while rural facilities scored significantly lower than urban facilities (β = -3.47; 95% CI: -5.49 to -1.44).
Provider in-service training correlated positively with quality (β = 0.84; 95% CI: 0.34 to 1.34), whereas managing complications or emergencies correlated negatively with quality (β = -2.89; 95% CI: -4.42 to -1.36).

Cite This Study

Jalu et al. (2026) studied this question.

synapsesocial.com/papers/6a93f08e6c1a8fb52e79cd0e https://doi.org/10.1093/intqhc/mzag121

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