Situation analyses of emergency obstetric care : examples from eleven operations research projects in West Africa.
Situation analyses were conducted by 11 multidisciplinary teams in the West African Prevention of Maternal Mortality (PMM) Network, with technical assistance from Columbia University's Center for Population and Family Health.
Data on the functioning and use of facilities were used to identify resource needs and management problems at facilities providing emergency obstetric care in Ghana, Nigeria and Sierra Leone.
The researchers looked at the number and distribution of facilities, trends in utilization patterns, time from admission to treatment at facilities, functioning of referral systems, availability of essential supplies, staffing patterns, and star perceptions of services.
Research methods included patient flow studies, inventories of drugs and supplies, and retrospective reviews of hospital records.
Qualitative information was also collected through interviews with star.
This paper summarizes the principal findings of the situation analyses.
Normal deliveries fell markedly where users'fees were initiated.
However, the number of women with complications seen increased at several of these sites.
The lack of drugs and supplies at the facilities had an adverse erect on utilization of non-emergency services and on women's survival chances.
Users'fees and unavailability of supplies contributed to unacceptably long waiting times between admission and treatment at most sites.
These long waiting times were also found to be associated with higher case fatality rates.
Mots-clés Pascal : Service santé, Obstétrique, Urgence, Utilisation, Organisation santé, Système santé, Ghana, Nigéria, Sierra Leone, Homme, Hôpital, Afrique
Mots-clés Pascal anglais : Health service, Obstetrics, Emergency, Use, Public health organization, Health system, Ghana, Nigeria, Sierra Leone, Human, Hospital, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0140033
Code Inist : 002B30A01B. Création : 09/06/1995.