Making EmOC a reality—CARE's experiences in areas of high maternal mortality in Africa

Kayongo, M.; Rubardt, Marcie; Butera, J.; Abdullah, Muna; Mboninyibuka, D.; Madili, M.

doi:10.1016/j.ijgo.2005.12.003

Cited by 66 publications

(72 citation statements)

References 2 publications

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“…Availability of EmOC essential equipments by facility. These findings as well as the results of the UN Process Indicators for the targeted facilities are consistent with findings from previous need assessments performed in Yemen by UNICEF [12] and YG-RHP [13] and in similar low-income countries [16][17][18][19] that have invested in physical infrastructure without significant investments in human resources, equipment, and supplies.…”

Section: Discussionsupporting

confidence: 90%

Reducing maternal mortality in Yemen: Challenges and lessons learned from baseline assessment

Serouri

Rabee

Afif³

et al. 2009

Intl J Gynecology & Obste

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Objective: The Yemen is a signatory of the Millennium Development Goals (MDGs) and one of 10 countries chosen for the UN Millennium Project. However, recent MDG progress reviews show that it is unlikely that the maternal health goal will be reached by 2015 and Yemen still has an unacceptably high maternal mortality of 365 per 100 000 live births. Because 82% of deaths happen intrapartum, the purpose of this needs assessment was to identify and prioritize constraints in delivery of emergency obstetric care (EmOC). Methods: Four district hospitals and 16 health centers in 8 districts were assessed for functional capacity in terms of infrastructure; availability of essential equipment and drugs; EmOC technical competency and training needs; and Health Management Information System. Results: We found poor obstetric services in terms of structure (staffing pattern, equipment, and supplies) and process (knowledge and management skills). Conclusion: The data argue for strengthening the 4 interlinked health system elements-human resources, and access to, use, and quality of services. The Government must address each of these elements to meet the Safe Motherhood MDG.

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Section: Discussionsupporting

confidence: 90%

Reducing maternal mortality in Yemen: Challenges and lessons learned from baseline assessment

Serouri

Rabee

Afif³

et al. 2009

Intl J Gynecology & Obste

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“…Reductions in maternal deaths can only be attained by improving the quality of maternal and obstetric care, in addition to coverage, and will require constant monitoring and assessment with dynamic use of data to guide decisions and actions [3]. In fact, increasing the level of attentiveness for emergencies and capacity to manage common obstetric complications, according to evidence-based practices, has led to increased availability, improved quality and greater use of services and consequently a decline in the case fatality rates of obstetric complications [3,17,18].…”

Section: Discussionmentioning

confidence: 99%

“…Difficult access to emergency obstetric care due to lack of transport, paved roads or a nearby hospital have been found to play a major role [23]. Those findings are important in the search for interventions aimed at maternal mortality reduction [18,19].…”

Section: Discussionmentioning

confidence: 99%

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Maternal mortality in Jordan: role of substandard care and delays

Am¹,

Khader²,

Amarin³

et al. 2012

East Mediterr Health J

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Understanding the factors that operate during pregnancy, delivery and postpartum is the key to success in the prevention of maternal mortality. This cross-sectional survey in Jordan for the years 2007-2008 aimed to identify the role of substandard care and delays in maternal deaths. All maternal deaths among women aged 15-49 years over this period (n = 76) were investigated retrospectively through file review and household interviews in all hospitals (n = 102) and forensic medicine departments in Jordan; elements of substandard care and delays at hospital, home and transport levels were evaluated. Substandard care accounted for 52.6% of deaths, delay in seeking care 55.3%, delay in transport 15.8% and delay in hospital care 17.1%. Women who did not recognize the danger signs of pregnancy (OR 6.32), refused medical advice to terminate the pregnancy (OR 1.78) or at a gestational age > 37 weeks (OR 1.85) were significantly more likely to delay seeking care, as were those with larger mean family size.

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“…While the UN process indicators have been used successfully in a variety of settings, some limitations have been identified [7][8][9][10][11]. To qualify as an EmOC facility, a health centre or hospital must have performed each of the six signal functions at least once within the past 3 months.…”

Section: Introductionmentioning

confidence: 99%

19: Measuring Access to Emergency Obstetric Care in Rural Zambia

Levine

Marsh

Nelson

et al. 2008

Annals of Emergency Medicine

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Making EmOC a reality—CARE's experiences in areas of high maternal mortality in Africa

Abstract: The increases in met need and decreases in case fatality suggest that project interventions improved the quality and use of EmOC, a critical component for saving women's lives.

Cited by 66 publications

References 2 publications

Reducing maternal mortality in Yemen: Challenges and lessons learned from baseline assessment

Reducing maternal mortality in Yemen: Challenges and lessons learned from baseline assessment

Maternal mortality in Jordan: role of substandard care and delays

19: Measuring Access to Emergency Obstetric Care in Rural Zambia

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