Status of emergency obstetric care in six developing countries five years before the MDG targets for maternal and newborn health
Ensuring women have access to good quality Emergency Obstetric Care (EOC) is a key strategy to reducing maternal and newborn deaths. Minimum coverage rates are expected to be 1 Comprehensive (CEOC) and 4 Basic EOC (BEOC) facilities per 500,000 population. A cross-sectional survey of 378 health facil...
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| creator | Ameh, Charles Msuya, Sia Hofman, Jan Raven, Joanna Mathai, Matthews van den Broek, Nynke |
| description | Ensuring women have access to good quality Emergency Obstetric Care (EOC) is a key strategy to reducing maternal and newborn deaths. Minimum coverage rates are expected to be 1 Comprehensive (CEOC) and 4 Basic EOC (BEOC) facilities per 500,000 population.
A cross-sectional survey of 378 health facilities was conducted in Kenya, Malawi, Sierra Leone, Nigeria, Bangladesh and India between 2009 and 2011. This included 160 facilities designated to provide CEOC and 218 designated to provide BEOC. Fewer than 1 in 4 facilities aiming to provide CEOC were able to offer the nine required signal functions of CEOC (23.1%) and only 2.3% of health facilities expected to provide BEOC provided all seven signal functions. The two signal functions least likely to be provided included assisted delivery (17.5%) and manual vacuum aspiration (42.3%). Population indicators were assessed for 31 districts (total population = 15.7 million). The total number of available facilities (283) designated to provide EOC for this population exceeded the number required (158) a ratio of 1.8. However, none of the districts assessed met minimum UN coverage rates for EOC. The population based Caesarean Section rate was estimated to be |
| doi_str_mv | 10.1371/journal.pone.0049938 |
| format | Article |
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A cross-sectional survey of 378 health facilities was conducted in Kenya, Malawi, Sierra Leone, Nigeria, Bangladesh and India between 2009 and 2011. This included 160 facilities designated to provide CEOC and 218 designated to provide BEOC. Fewer than 1 in 4 facilities aiming to provide CEOC were able to offer the nine required signal functions of CEOC (23.1%) and only 2.3% of health facilities expected to provide BEOC provided all seven signal functions. The two signal functions least likely to be provided included assisted delivery (17.5%) and manual vacuum aspiration (42.3%). Population indicators were assessed for 31 districts (total population = 15.7 million). The total number of available facilities (283) designated to provide EOC for this population exceeded the number required (158) a ratio of 1.8. However, none of the districts assessed met minimum UN coverage rates for EOC. The population based Caesarean Section rate was estimated to be <2%, the maternal Case Fatality Rate (CFR) for obstetric complications ranged from 2.0-9.3% and still birth (SB) rates ranged from 1.9-6.8%.
Availability of EOC is well below minimum UN target coverage levels. Health facilities in the surveyed countries do not currently have the capacity to adequately respond to and manage women with obstetric complications. To achieve MDG 5 by 2015, there is a need to ensure that the full range of signal functions are available in health facilities designated to provide CEOC or BEOC and improve the quality of services provided so that CFR and SB rates decline.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0049938</identifier><identifier>PMID: 23236357</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Clinics ; Complications ; Cross-Sectional Studies ; Developing Countries ; Emergency Medical Services ; Female ; Health care facilities ; Health Care Surveys ; Health facilities ; Health services ; Health Services Accessibility ; Humans ; Infant mortality ; LDCs ; Literature reviews ; Low income groups ; Maternal child nursing ; Maternal Health Services ; Maternal mortality ; Medicine ; Newborn babies ; Newborn infants ; Obstetric Labor Complications - therapy ; Obstetrics ; Polls & surveys ; Population ; Pregnancy ; Quality ; Quality of Health Care ; Surveys ; Teaching hospitals ; Vacuum</subject><ispartof>PloS one, 2012-12, Vol.7 (12), p.e49938-e49938</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 Ameh et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2012 Ameh et al 2012 Ameh et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-16c57c13e3d5606892732f3c1c19c7f7f19e749ccb1bd1a10ee971fbae504153</citedby><cites>FETCH-LOGICAL-c692t-16c57c13e3d5606892732f3c1c19c7f7f19e749ccb1bd1a10ee971fbae504153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516515/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516515/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23236357$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ameh, Charles</creatorcontrib><creatorcontrib>Msuya, Sia</creatorcontrib><creatorcontrib>Hofman, Jan</creatorcontrib><creatorcontrib>Raven, Joanna</creatorcontrib><creatorcontrib>Mathai, Matthews</creatorcontrib><creatorcontrib>van den Broek, Nynke</creatorcontrib><title>Status of emergency obstetric care in six developing countries five years before the MDG targets for maternal and newborn health</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Ensuring women have access to good quality Emergency Obstetric Care (EOC) is a key strategy to reducing maternal and newborn deaths. Minimum coverage rates are expected to be 1 Comprehensive (CEOC) and 4 Basic EOC (BEOC) facilities per 500,000 population.
A cross-sectional survey of 378 health facilities was conducted in Kenya, Malawi, Sierra Leone, Nigeria, Bangladesh and India between 2009 and 2011. This included 160 facilities designated to provide CEOC and 218 designated to provide BEOC. Fewer than 1 in 4 facilities aiming to provide CEOC were able to offer the nine required signal functions of CEOC (23.1%) and only 2.3% of health facilities expected to provide BEOC provided all seven signal functions. The two signal functions least likely to be provided included assisted delivery (17.5%) and manual vacuum aspiration (42.3%). Population indicators were assessed for 31 districts (total population = 15.7 million). The total number of available facilities (283) designated to provide EOC for this population exceeded the number required (158) a ratio of 1.8. However, none of the districts assessed met minimum UN coverage rates for EOC. The population based Caesarean Section rate was estimated to be <2%, the maternal Case Fatality Rate (CFR) for obstetric complications ranged from 2.0-9.3% and still birth (SB) rates ranged from 1.9-6.8%.
Availability of EOC is well below minimum UN target coverage levels. Health facilities in the surveyed countries do not currently have the capacity to adequately respond to and manage women with obstetric complications. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ameh, Charles</au><au>Msuya, Sia</au><au>Hofman, Jan</au><au>Raven, Joanna</au><au>Mathai, Matthews</au><au>van den Broek, Nynke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Status of emergency obstetric care in six developing countries five years before the MDG targets for maternal and newborn health</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2012-12-06</date><risdate>2012</risdate><volume>7</volume><issue>12</issue><spage>e49938</spage><epage>e49938</epage><pages>e49938-e49938</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Ensuring women have access to good quality Emergency Obstetric Care (EOC) is a key strategy to reducing maternal and newborn deaths. Minimum coverage rates are expected to be 1 Comprehensive (CEOC) and 4 Basic EOC (BEOC) facilities per 500,000 population.
A cross-sectional survey of 378 health facilities was conducted in Kenya, Malawi, Sierra Leone, Nigeria, Bangladesh and India between 2009 and 2011. This included 160 facilities designated to provide CEOC and 218 designated to provide BEOC. Fewer than 1 in 4 facilities aiming to provide CEOC were able to offer the nine required signal functions of CEOC (23.1%) and only 2.3% of health facilities expected to provide BEOC provided all seven signal functions. The two signal functions least likely to be provided included assisted delivery (17.5%) and manual vacuum aspiration (42.3%). Population indicators were assessed for 31 districts (total population = 15.7 million). The total number of available facilities (283) designated to provide EOC for this population exceeded the number required (158) a ratio of 1.8. However, none of the districts assessed met minimum UN coverage rates for EOC. The population based Caesarean Section rate was estimated to be <2%, the maternal Case Fatality Rate (CFR) for obstetric complications ranged from 2.0-9.3% and still birth (SB) rates ranged from 1.9-6.8%.
Availability of EOC is well below minimum UN target coverage levels. Health facilities in the surveyed countries do not currently have the capacity to adequately respond to and manage women with obstetric complications. To achieve MDG 5 by 2015, there is a need to ensure that the full range of signal functions are available in health facilities designated to provide CEOC or BEOC and improve the quality of services provided so that CFR and SB rates decline.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23236357</pmid><doi>10.1371/journal.pone.0049938</doi><tpages>e49938</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Clinics Complications Cross-Sectional Studies Developing Countries Emergency Medical Services Female Health care facilities Health Care Surveys Health facilities Health services Health Services Accessibility Humans Infant mortality LDCs Literature reviews Low income groups Maternal child nursing Maternal Health Services Maternal mortality Medicine Newborn babies Newborn infants Obstetric Labor Complications - therapy Obstetrics Polls & surveys Population Pregnancy Quality Quality of Health Care Surveys Teaching hospitals Vacuum |
| title | Status of emergency obstetric care in six developing countries five years before the MDG targets for maternal and newborn health |
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