Improving maternal and neonatal departments in high and low resource settings: the opinion of local health providers.
OBJECTIVE
We compared local health caregivers' opinions regarding the priority areas for improving the maternal and neonatal departments in low and high resource countries.


METHODS
Personnel involved in maternal and neonatal care operating in level III, teaching hospitals in four countries (Sri Lanka, Mongolia, USA, and Italy) were asked to fill out an anonymous, written questionnaire.


RESULTS
The questionnaire was completed by 1112 out of 1265 (87.9%) participants. "Personnel's education" was classified as the first most important intervention by health providers working in high (49.0%) as well as in low (29.9%) resource countries, respectively. Improvement in salary, equipment, internet access, and organizational protocols were considered as the most important interventions by a significantly larger percentage of personnel from low resource countries in comparison with those from high resource countries. Health providers from high resource countries considered organizational aspects (to define specific roles and responsibilities) as a priority more frequently than their colleagues from low resource countries.


CONCLUSIONS
Although education of personnel was valued as the highest priority for improving maternal and neonatal departments there are substantial differences in priorities associated with the working setting. Local caregivers' opinion may contribute to better design interventions in settings with high or limited resources.
Pediatric Department, Medical School, University of Padua, Azienda Ospedaliera Padova, Padua, Italy. trevo@pediatria.unipd.it
Daniele
D
Trevisanuto
Bayasgalantai
B
Bavuusuren
Chandani S
CS
Wickramasinghe
Saminda M
SM
Dharmaratne
Nicoletta
N
Doglioni
Alessia
A
Giordan
Vincenzo
V
Zanardo
Waldemar A
WA
Carlo
D001291:Attitude of Health Personnel; D019049:Developed Countries; D003906:Developing Countries; D006801:Humans; D008427:Maternal Health Services / Q000592:standards*; D008880:Midwifery; D009359:Neonatology / Q000592:standards*; D011795:Surveys and Questionnaires