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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Bibliographic Details
Published in:PloS one 2012-12, Vol.7 (12), p.e49938-e49938
Main Authors: Ameh, Charles, Msuya, Sia, Hofman, Jan, Raven, Joanna, Mathai, Matthews, van den Broek, Nynke
Format: Article
Language:English
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
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Summary: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
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0049938