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Reducing maternal mortality in Yemen: Challenges and lessons learned from baseline assessment
- Source :
-
International Journal of Gynecology & Obstetrics . Apr2009, Vol. 105 Issue 1, p86-91. 6p. - Publication Year :
- 2009
-
Abstract
- <bold>Objective: </bold>The Yemen is a signatory of the Millennium Development Goals (MDGs) and one of 10 countries chosen for the UN Millennium Project. However, recent MDG progress reviews show that it is unlikely that the maternal health goal will be reached by 2015 and Yemen still has an unacceptably high maternal mortality of 365 per 100000 live births. Because 82% of deaths happen intrapartum, the purpose of this needs assessment was to identify and prioritize constraints in delivery of emergency obstetric care (EmOC).<bold>Methods: </bold>Four district hospitals and 16 health centers in 8 districts were assessed for functional capacity in terms of infrastructure; availability of essential equipment and drugs; EmOC technical competency and training needs; and Health Management Information System.<bold>Results: </bold>We found poor obstetric services in terms of structure (staffing pattern, equipment, and supplies) and process (knowledge and management skills).<bold>Conclusion: </bold>The data argue for strengthening the 4 interlinked health system elements-human resources, and access to, use, and quality of services. The Government must address each of these elements to meet the Safe Motherhood MDG. [ABSTRACT FROM AUTHOR]
- Subjects :
- *MATERNAL mortality
*MEDICAL care
*DRUGS
*COMPARATIVE studies
*DELIVERY (Obstetrics)
*HEALTH services accessibility
*HOSPITAL emergency services
*MATERNAL health services
*RESEARCH methodology
*MEDICAL quality control
*MEDICAL cooperation
*PREGNANCY complications
*RESEARCH
*HOSPITAL maternity services
*MOTHERS
*PILOT projects
*EVALUATION research
*ACQUISITION of data
*SOCIAL history
PREVENTION of pregnancy complications
Subjects
Details
- Language :
- English
- ISSN :
- 00207292
- Volume :
- 105
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- International Journal of Gynecology & Obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 37161537
- Full Text :
- https://doi.org/10.1016/j.ijgo.2008.12.020