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Table 6 Factors possibly contributing to quality of care in the MSF Khost maternity hospital, Afghanistan, 2013–2014

From: Provision of emergency obstetric care at secondary level in a conflict setting in a rural area of Afghanistan – is the hospital fulfilling its role?

 • The 24-h availability of specialized maternity staff on all days of the week (including nurses/midwives, doctors, and gynaecologists).

 • Infrastructure provided by MSF and adapted to provide EmONC, auxiliary services, equipment, and an uninterrupted supply of drugs and consumables.

 • Ongoing “on-the-job” training by experienced midwives and gynaecologists, combined with regular refresher trainings including Advanced Life Support in Obstetric courses.

 • Task shifting of specific EmONC activities from doctors and specialists (such as manual vacuum aspiration, vacuum delivery, and manual removal of placenta) to midwives, nurses, and Lady Health Visitors.

 • Regular salaries paid by MSF

 • Ongoing monitoring of all medical activities and analysis of outcomes to orient/define further training and human resource needs (including mortality audits, chart reviews, case discussions, etc.)

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Conflict and Health

ISSN: 1752-1505