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Updated: Apr 5, 2026
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A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
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Safety versus accessibility in maternal and perinatal care
Summary
Maternity units need realignment to ensure safety. Despite sufficient overall staff, too many facilities dilute expertise, compromising care for mothers and babies.
Area of Science:
- Public Health
- Healthcare Management
- Maternal Health
Background:
- Adequate staffing in maternity units is crucial for safe maternal and infant care.
- Previous assessments indicated potential staffing shortfalls in essential emergency services within maternity units.
- The debate continues regarding appropriate staffing norms for optimal maternity service provision.
Purpose of the Study:
- To assess the adequacy of maternity unit staffing in 12 districts based on established norms.
- To evaluate whether existing personnel numbers are sufficient for safe maternity services.
- To determine the impact of facility distribution on the effectiveness of maternity care.
Main Methods:
- Applied World Health Organization (WHO) and Greenfield staffing norms to 12 districts.
- Assessed facility numbers against Council for Scientific and Industrial Research (CSIR) and WHO population-based norms.
- Compared district-level and per-site personnel sufficiency for maternity deliveries.
Main Results:
- All 12 districts met WHO staffing criteria at the district level.
- A significant excess of maternity facilities per population was identified.
- While district personnel numbers were adequate, individual sites lacked sufficient staff due to too many delivery locations.
Conclusions:
- Sufficient healthcare personnel exist for safe maternity services overall.
- The fragmentation of services across too many maternity units leads to diluted staff and compromised safety.
- A strategic realignment of maternity units is necessary to consolidate expertise and ensure safe care, potentially impacting accessibility.
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