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.
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.
The equivalent of US $20500 was collected from 81 annual and 2273 one-time contributors.
Eighteen loans were approved in 9 months.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0032424
Code Inist : 002B30A03B. Création : 17/04/1998.