Determinants of interprofessional collaboration in implementing Basic Emergency Obstetric and Neonatal Care (BEmONC) services

BEmONC Interprofessional collaboration Referral Primary healthcare Maternal health

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9 April 2025

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HIGHLIGHTS

  1. BEmONC has been proven to diminish both newborn and mother death rates and morbidity.
  2. The study identified three main areas for improving and assessing the determinants of interprofessional collaboration (IPC) in the implementation of BEmONC services: team performance, management, and BEmONC evaluation.

 

ABSTRACT

Objective: Maternal and infant mortality is a global challenge due to inadequate access to high-quality healthcare services. The WHO has implemented the BEmONC program in Indonesia to reduce MMR and IMR. Although the program is widely recognized in the country, it has been deemed suboptimal due to various healthcare service-related issues. The purpose of this study is to identify the factors that affect the execution of essential emergency obstetric and neonatal services in primary healthcare facilities.

Materials and Methods: The literature review was conducted using a descriptive analysis approach with the aid of Mendeley and Biblioshiny in R-Studio. Sixteen reputable articles were selected from four online databases based on specific inclusion criteria.

Results: The study identified three key areas for enhancing and assessing the BEmONC team. These areas involve optimizing team performance through factors such as health workers, infrastructure, teamwork, and appropriate training. Additionally, the study emphasizes the importance of effective BEmONC management, which includes policy development, communication strategies, management enhancements, and strong leadership. Finally, when evaluating the implementation of BEmONC, it is important to consider factors such as self-efficacy, the health workforce, as well as societal admiration, confidence, and trust. The primary factors contributing to the success of BEmONC were efficient cooperation, administration, and targeted assessment. Enhancing the implement-ation of maternal and newborn health services can be achieved by addressing the lack of facilities, improving the effectiveness of health workers, and fostering community admiration.

Conclusion: Effective teamwork, management, and community trust are critical to advancing maternal and newborn health outcomes in BEmONC services.