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Role of faith-based and nongovernment organizations in the provision of obstetric services in 3 African countries

  • Joshua Peter Vogel
    Correspondence
    Reprints: Joshua Peter Vogel, MBBS, Department of Reproductive Health and Research, World Health Organization, Avenue Appia 20, Geneva, CH-1211, Switzerland
    Affiliations
    School of Population Health, Faculty of Medicine, Dentistry, and Health Sciences, University of Western Australia, Crawley, Australia

    UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research (RHR), World Health Organization (WHO), Geneva, Switzerland
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  • Ana Pilar Betrán
    Affiliations
    UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research (RHR), World Health Organization (WHO), Geneva, Switzerland
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  • Mariana Widmer
    Affiliations
    UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research (RHR), World Health Organization (WHO), Geneva, Switzerland
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  • João Paulo Souza
    Affiliations
    UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research (RHR), World Health Organization (WHO), Geneva, Switzerland
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  • Ahmet Metin Gülmezoglu
    Affiliations
    UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research (RHR), World Health Organization (WHO), Geneva, Switzerland
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  • Armando Seuc
    Affiliations
    UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research (RHR), World Health Organization (WHO), Geneva, Switzerland
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  • Maria Regina Torloni
    Affiliations
    Department of Obstetrics, São Paulo Federal University, and the Brazilian Cochrane Centre, São Paulo, Brazil
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  • Tigest Ketsela Mengestu
    Affiliations
    Health Promotion Cluster, WHO Regional Office for Africa, Brazzaville, Republic of Congo
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  • Mario Merialdi
    Affiliations
    UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research (RHR), World Health Organization (WHO), Geneva, Switzerland
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Published:October 08, 2012DOI:https://doi.org/10.1016/j.ajog.2012.10.003

      Objective

      We sought to describe obstetric care capacity of nongovernment organization (NGO)-/faith-based organization (FBO)-run institutions compared to government-run institutions in 3 African countries using the World Health Organization Global Survey. We also compared delivery characteristics and outcomes.

      Study Design

      This is a descriptive analysis of the 22 NGO-/FBO-run institutions in Uganda, Kenya and Democratic Republic of Congo delivering 11,594 women, compared to 20 government-run institutions delivering 25,825 women in the same countries and period.

      Results

      Infrastructure, obstetric services, diagnostic facilities, and anesthesiology at NGO/FBO institutions were comparable to government institutions. Women delivering at NGO/FBO institutions had more antenatal care, antenatal complications, and cesarean delivery. NGO/FBO institutions had higher obstetrician attendance and lower rates of eclampsia, preterm birth, stillbirth, Apgar <7, and neonatal near miss.

      Conclusion

      NGO/FBO institutions are comparable to government institutions in capacity to deliver obstetric care. NGO/FBOs have been found effective in providing delivery care in developing countries and should be appropriately recognized by stakeholders in their efforts to assist nations achieve international goals.

      Key words

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