{
    "abstract": "The study aimed to assess the functionality of labour rooms by evaluating the labour room infrastructure with reference to the standard guidelines, the status of the availability of human resources, the availability of essential equipment and consumables in the labour room and by documenting the knowledge of the healthcare provider in terms of labour room practices. The study also explored the facility parameters associated with its delivery load taking the facility as a unit of analysis.\nA cross-sectional analytical study.\nIndia has realised the importance of improving the quality of care in public health facilities, and steps are being taken to make healthcare more responsive to women's needs. With an increase in the proportion of institutional deliveries in India, the outcome of the delivery process can be improved by optimising the health facility components.\nThe study was conducted in 52 health facilities and healthcare providers involved in the delivery process in the selected facilities.\nThe infrastructure of the facilities was found to be the best for medical college followed by district hospitals, Community Health Centres (CHCs), Primary Health Centres (PHCs) and subcentres. Similar findings were observed in terms of the availability of equipment and consumables. Lack of healthcare providers was observed as only 20% of the posts for health personnel were fulfilled in CHCs followed by PHCs, subcentres and district hospitals where 43, 50 and 79% of the available vacancies were fulfilled. The level of knowledge of healthcare providers in terms of partograph, active management of the third stage of labour and post-partum haemorrhage ranged as per their designation. The specialists were the most knowledgeable while the Auxiliary Nurse Midwife (AMNs) were the least. All the components of structural capacity, i.e. infrastructure (\nThe higher facilities were better equipped to provide delivery and newborn care. A higher delivery load was found at high-level facilities which can be attributed to better infrastructure, adequate supply of equipment and consumables and availability of trained human resources.",
    "authors": [
        {
            "affiliation": "Department of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.",
            "firstname": "Divyata",
            "initials": "D",
            "lastname": "Sachan"
        },
        {
            "affiliation": "Department of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.",
            "firstname": "Deepak",
            "initials": "D",
            "lastname": "Kumar"
        },
        {
            "affiliation": "Department of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.",
            "firstname": "Abhinav",
            "initials": "A",
            "lastname": "Gangwar"
        },
        {
            "affiliation": "Department of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.",
            "firstname": "Pankaj Kumar",
            "initials": "PK",
            "lastname": "Jain"
        },
        {
            "affiliation": "Department of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.",
            "firstname": "Sandip",
            "initials": "S",
            "lastname": "Kumar"
        },
        {
            "affiliation": "Department of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.",
            "firstname": "Sushil Kumar",
            "initials": "SK",
            "lastname": "Shukla"
        },
        {
            "affiliation": "Department of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.",
            "firstname": "Dhiraj Kumar",
            "initials": "DK",
            "lastname": "Srivastava"
        },
        {
            "affiliation": "Department of Community Medicine, AIIMS, Gorakhpur, Uttar Pradesh, India.",
            "firstname": "Pradip",
            "initials": "P",
            "lastname": "Kharya"
        },
        {
            "affiliation": "Department of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.",
            "firstname": "Prashant Kumar",
            "initials": "PK",
            "lastname": "Bajpai"
        },
        {
            "affiliation": "Department of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.",
            "firstname": "Pooja",
            "initials": "P",
            "lastname": "Pathak"
        },
        {
            "affiliation": "Department of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.",
            "firstname": "Tamma Raja",
            "initials": "TR",
            "lastname": "Rao"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright: \u00a9 2021 Journal of Family Medicine and Primary Care.",
    "doi": "10.4103/jfmpc.jfmpc_282_21",
    "journal": "Journal of family medicine and primary care",
    "keywords": [
        "Childbirth",
        "facility assessment",
        "labour room",
        "maternal health",
        "quality of healthcare"
    ],
    "methods": null,
    "publication_date": "2021-12-23",
    "pubmed_id": "34934667\n26759967\n5338568\n29866726\n31362965\n21599924\n27193837\n11286361\n15557354\n27833824\n25093729\n23421767\n30295161\n29899607\n25406496",
    "results": "The infrastructure of the facilities was found to be the best for medical college followed by district hospitals, Community Health Centres (CHCs), Primary Health Centres (PHCs) and subcentres. Similar findings were observed in terms of the availability of equipment and consumables. Lack of healthcare providers was observed as only 20% of the posts for health personnel were fulfilled in CHCs followed by PHCs, subcentres and district hospitals where 43, 50 and 79% of the available vacancies were fulfilled. The level of knowledge of healthcare providers in terms of partograph, active management of the third stage of labour and post-partum haemorrhage ranged as per their designation. The specialists were the most knowledgeable while the Auxiliary Nurse Midwife (AMNs) were the least. All the components of structural capacity, i.e. infrastructure (",
    "title": "Are the labour rooms of primary healthcare facilities capable of providing basic delivery and newborn services? A cross-sectional study.",
    "xml": "<Element 'PubmedArticle' at 0x78850219be20>"
}