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Journal of Health Management
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Negative Indicators of Quality of Reproductive Health Care

S.G. Kabra

SMS Medical College, Jaipur, India

Rajeshwari Gupta

SMS Medical College, Jaipur, India

Sunita Paliwal

SMS Medical College, Jaipur, India

Rates offour adverse outcomes, namely, stillbirths, congenital anomalies, ectopic preg nancies and caesarean births, in maternity hospitals of Jaipur have been studied. Data of the early 1990s and the late 1990s are evaluated. Two large public maternity (teach ing) hospitals, 12 government-run small public maternity hospitals and 10 private fee- for-service hospitals provided the study data. The rates of stillbirths (53 per 1,000 live births), congenital anomalies, mainly neural tube defects (42 per 1,000 live births), ectopic pregnancy (7 to 24 per 1,000 live births) and caesarean births (more than 20 per cent) are considered high. High rates of these adverse outcomes reflect poor quality of obstetric services considering the advancement and facilities available.

Journal of Health Management, Vol. 1, No. 2, 293-300 (1999)
DOI: 10.1177/097206349900100207
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