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  1. Community loan funds and transport services for obstetric emergencies in northern Nigeria.

    Article - En anglais

    Preliminary studies : Focus group discussions and a community survey indicated that inadequate funds and transport caused delays in deciding to seek emergency obstetric care and in reaching facilities.

    Interventions 

    Following improvements in the quality of obstetric services, a community loan program was established in early 1995.

    Community members determined its features :

    • compulsory contributions ;

    • community administration ;

    • loans for obstetric complications only ;

    • no interest ;

    • a 6-month grace period ;

    • and 24-month repayment.

    A transport system was also established, in which private vehicle drivers agreed to respond to calls for emergency transport and charge a set fee.

    Results 

    The equivalent of US $20500 was collected from 81 annual and 2273 one-time contributors.

    Eighteen loans were approved in 9 months.

    Repayment data are not yet available

    For the transport system, 23 drivers pledged permanent participation and 58 pledged to take part in 6-month rotations.

    They transported 18 women.

    Costs : The cost of these interventions was $3409 for the loan fund and $2272 for the transport system.

    Sixty percent of the cost was paid by the community and the rest by the PMM project.

    Conclusions 

    Community-managed loan and transport systems for women with obstetric emergencies can be established and may contribute to reducing delay in obtaining emergency obstetric care.

    Mots-clés Pascal : Prévention, Mortalité, Mère, Accouchement pathologie, Gestation pathologie, Utilisation, Service hospitalier, Urgence, Obstétrique, Prêt, Fonds, Communauté, Transport, Homme, Femelle, Nigéria, Afrique

    Mots-clés Pascal anglais : Prevention, Mortality, Mother, Delivery disorders, Pregnancy disorders, Use, Hospital ward, Emergency, Obstetrics, Loans, Library holdings, Community, Transport, Human, Female, Nigeria, Africa

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0032424

    Code Inist : 002B30A03B. Création : 17/04/1998.