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Disease burden due to pre-eclampsia/eclampsia and the Ethiopian health system's response
- Source :
- International Journal of Gynecology & Obstetrics; Oct2011, Vol. 115 Issue 1, p112-116, 5p
- Publication Year :
- 2011
-
Abstract
- <bold>Objective: </bold>To assess the maternal disease burden due to pre-eclampsia/eclampsia in Ethiopia and the national health system's readiness to respond to the needs of women with pre-eclampsia/eclampsia.<bold>Methods: </bold>The national emergency obstetric and newborn care (EmONC) assessment entailed collecting information from 112 hospitals and 685 health centers in Ethiopia, focusing on their infrastructure, the services they provided, human resources, equipment and supplies, case load, and mortality due to pre-eclampsia/eclampsia.<bold>Results: </bold>Pre-eclampsia/eclampsia complicated 1.2% of all institutional deliveries. Given the low institutional delivery rate and an expected incidence of 2%-8% of all deliveries, this implies that only a small fraction (3.8%) of all women with pre-eclampsia/eclampsia received care at health facilities. 11% of all maternal deaths and 16% of direct maternal deaths were due to this obstetric complication. The cause-specific case fatality rate was high (3.6%). Availability of urine test strips, anticonvulsants, antihypertensives, and actual service provision to treat these diseases was limited, especially at health centers.<bold>Conclusion: </bold>The salutary effects of the national EmONC assessment were immediate, as evidenced by how quickly the release of the Ethiopian report led to important national efforts to improve maternal and newborn health. Expansion of health services should be augmented with periodic assessments of logistics and quality-related issues to assure functioning facilities for women accessing obstetric services. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREECLAMPSIA
ECLAMPSIA
MATERNAL health services
MATERNAL mortality
OBSTETRICAL emergencies
MAGNESIUM sulfate
PERINATAL care
COMPARATIVE studies
ECONOMIC aspects of diseases
EMERGENCY medical services
RESEARCH methodology
MEDICAL quality control
MEDICAL cooperation
RESEARCH
EVALUATION research
CROSS-sectional method
THERAPEUTICS
STANDARDS
Subjects
Details
- Language :
- English
- ISSN :
- 00207292
- Volume :
- 115
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Journal of Gynecology & Obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 65499168
- Full Text :
- https://doi.org/10.1016/j.ijgo.2011.07.012