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Indicators for availability, utilization, and quality of emergency obstetric care in Ethiopia, 2008
- Source :
-
International Journal of Gynecology & Obstetrics . Oct2011, Vol. 115 Issue 1, p101-105. 5p. - Publication Year :
- 2011
-
Abstract
- <bold>Objective: </bold>To report on the availability and quality of emergency obstetric and newborn care (EmONC) in Ethiopia.<bold>Methods: </bold>All licensed hospitals and health centers were visited and standard questionnaires were administered. In addition, a nonrandom systematic sample was taken of recent cesarean deliveries, partographs, and maternal deaths-and these cases were systematically reviewed. Health facilities were geocoded using geographic positioning system devices.<bold>Results: </bold>Too few facilities provided EmONC to meet the UN standards of 5 per 500,000 population, both nationally and in all but 2 regions. Only 7% of deliveries took place in institutions of any type, and only 3% in facilities that routinely provided all the signal functions. Only 6% of women with obstetric complications were treated in any health facility, half of whom were treated in fully functional EmONC facilities. Nationwide, 0.6% of expected deliveries were by cesarean. The mortality rate for women with serious obstetric complications (case fatality rate) was 2%. The cause of death was unknown in 10% of cases, and 21% were due to indirect causes (primarily malaria, anemia, and HIV-related).<bold>Conclusion: </bold>None of the indicators met UN standards. Ethiopia faces many challenges--not least geography--with regard to improving EmONC. Nevertheless, the government places high priority on improvement and has taken (and will continue to take) action to achieve Millennium Development Goals 4 and 5. This comprehensive survey serves both as a road map for planning strategies for improvement and as a baseline for measuring the impact of interventions. [ABSTRACT FROM AUTHOR]
- Subjects :
- *OBSTETRICAL emergencies
*HEALTH status indicators
*MEDICAL centers
*MEDICAL quality control
*MEDICAL care use
*CHILD health services
*CHILD welfare
*COMPARATIVE studies
*DELIVERY (Obstetrics)
*EMERGENCY medical services
*MATERNAL health services
*RESEARCH methodology
*MEDICAL cooperation
*MATERNAL mortality
*PREGNANCY complications
*RESEARCH
*MOTHERS
*EVALUATION research
*CROSS-sectional method
*STANDARDS
*SOCIAL history
PERINATAL care
TREATMENT of pregnancy complications
Subjects
Details
- Language :
- English
- ISSN :
- 00207292
- Volume :
- 115
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- International Journal of Gynecology & Obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 65499166
- Full Text :
- https://doi.org/10.1016/j.ijgo.2011.07.010