Evaluation of the implementation and effects of an obstetric kit used in the Adamawa region of Cameroon

Cacko, Joachim Aimé; Cissé, Kadari; Pambè, Madeleine Wayack; Compaoré, Rachidatou; Kouanda, Séni

doi:10.1016/j.ijgo.2016.09.002

Cited by 2 publications

(3 citation statements)

References 12 publications

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“…Continuous sensitization of populations on the availability and effectiveness on EmONC and consistent monitoring of EmONC services by health authorities could alter behaviors and improve the status of EmONC services respectively in lowincome settings. In our study, apart from the provision of EmONC, the increase in caesarean sections and overall deliveries as a proportion of expected deliveries could be also due to other factors such as obstetric kits whose pilot phase was launched by the ministry of health and the UNFPA by 2012 [19]. Obstetric kits lead to faster and cheaper access to obstetric care [19].…”

Section: Discussionmentioning

confidence: 70%

“…In our study, apart from the provision of EmONC, the increase in caesarean sections and overall deliveries as a proportion of expected deliveries could be also due to other factors such as obstetric kits whose pilot phase was launched by the ministry of health and the UNFPA by 2012 [19]. Obstetric kits lead to faster and cheaper access to obstetric care [19]. Moreover, healthcare providers inducing demand for obstetric services such as caesarean sections (as a result of reduced revenue associated with the policy of obstetric kits) is plausible especially in this low-income context.…”

Section: Discussionmentioning

confidence: 73%

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Evaluation of emergency obstetric and neonatal care services in Kumba Health District, Southwest region, Cameroon (2011–2014): a before-after study

Kadia

Dimala

et al. 2020

BMC Pregnancy Childbirth

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Background: There is uncertainty regarding the status of emergency obstetric and neonatal care (EmONC) in the Cameroonian context where maternal and neonatal mortality are persistently high. This study sought to evaluate the coverage, functionality and quality of EmONC services in Kumba health district (KHD), the largest health district in Southwest Cameroon.. Methods: A retrospective study of routine EmONC data for the periods 1 January 2011 to 31 December 2012 (when EmONC was being introduced) and 1 January 2013 to 31 December 2014 (when EmONC was fully instituted) was conducted. Coverage, functionality and quality of EmONC services were graded as per United Nations (UN) standards. Data was analysed using Epi-Info version 7 statistical software. Results: Among the 31 health facilities in KHD, 12 (39%) had been delivering EmONC services. Three (25%) of these were geographically inaccessible Among the 9 facilities that were assessed, 4 facilities (44%) performed designated signal functions, with 2 being comprehensive (CEmONC) and 2 basic (BEmONC). These exceeded the required minimum of 2.8 EmONC facilities/500000, 0.6 CEmONC facilities/500000 and 2.2 BEmONC facilities/500000, with reference to an estimated KHD population of 265,071. The signal functions that were least likely to be performed were neonatal resuscitation, manual evacuation of retained products and use of anticonvulsants. In 2011-2012, the facilities performed 35% of expected deliveries. This dropped to 28% in 2013-2014. Caesarean sections as a proportion of expected deliveries remained very low: 1.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 73%

Evaluation of emergency obstetric and neonatal care services in Kumba Health District, Southwest region, Cameroon (2011–2014): a before-after study

Kadia

Dimala

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…8 Sosialisasi pelatihan dan pemenuhan ketersediaan peralatan kesehatan bagi bidan merupakan langkah efektif untuk penyelamatan ibu dan bayi. 9 Perlu diberikan edukasi dan pelatihan bagi bidan agar dapat memberikan konseling, informasi dan edukasi yang tepat dan sesuai standar bagi ibu post partum untuk menurunkan risiko komplikasi dan kematian ibu. 10 Beberapa wanita kurang memperhatikan kondisi kesehatannya setelah melalui proses persalinannya, kurang peka mengenai tanda dan gejala abnormal hingga gawat darurat.…”

Section: Hasil Dan Pembahasanunclassified

Bottleneck Pelayanan Nifas pada Upaya Penurunan Risiko Kejadian Kematian Ibu di Wilayah Dinas Kesehatan Kota Semarang

Prihatini

Nugraheni

Jati

2017

Jurnal Manajemen Kesehatan Indonesia

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Maternal and child health was a priority of health program in Indonesia. Maternal Mortality Rate in Semarang was ranked second highest in Central Java. The highest proportion of maternal deaths occurred during puerperium. That’s indicates, there was a problem in a process of maternal health services during puerperium period in health facilities. This study was conducted to examine constraints on health systems that limit range of interventions or health services that were important for postpartum, bottlenecks related to postpartum services in Public Health Center (PHC), especially infrastructure, human resources, access to PHC, post partum visits (KF1 and KF3), as well as quality of post partum services on risk reduction of maternal mortality. This case study used a qualitative approach. Data collection through interviews to five midwives as main informants, 5 midwives coordinator and 5 heads of PHC as informant triangulation. Data analsyis used content analysis method, then assigned priority bottleneck through MCUA (Multiple Criteria Utility Assessment) techniques. WHO's scale-up BNA plan to analyze bottleneck causes. Results showed, there was a bottleneck on childbirth services in PHC. The causes of bottleneck risk reduction efforts of maternal mortality incidence in puerperium period has never been analyzed workload of health personnel in PHC, lack of monitoring and evaluation of an availability infrastructure facilities in PHC, there has not been regular training, especially on delivery until puerperium services, and PHC has not received more detailed and operational information about puerperium so their maternal knowledge about puerperium has not increased much and couldn’t raise mother's awareness to do so. Semarang Public Health Office (Dinas Kesehatan Kota Semarang) needs to conduct periodic monitoring and evaluation implementation of postpartum services and improve quality of childbirth services in PHC.Keywords: Bottleneck analysis, health services, post partum, Primary Health Care, Puskesmas, Maternal Mortality Rate

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Evaluation of the implementation and effects of an obstetric kit used in the Adamawa region of Cameroon

Abstract: There is a need to rethink this strategy, given its gaps and shortcomings.

Cited by 2 publications

References 12 publications

Evaluation of emergency obstetric and neonatal care services in Kumba Health District, Southwest region, Cameroon (2011–2014): a before-after study

Evaluation of emergency obstetric and neonatal care services in Kumba Health District, Southwest region, Cameroon (2011–2014): a before-after study

Bottleneck Pelayanan Nifas pada Upaya Penurunan Risiko Kejadian Kematian Ibu di Wilayah Dinas Kesehatan Kota Semarang

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