紧急产科和新生儿护理需求评估：布基纳法索2010年和2014年调查结果

Emergency obstetric and neonatal care needs assessment: Results of the 2010 and 2014 surveys in Burkina Faso.

作者信息

Kouanda Seni, Ouédraogo Adja M, Ouédraogo Gautier H, Sanon Djeneba, Belemviré Seydou, Ouédraogo Leopold

机构信息

Kaya Health and Demographic Surveillance System, Kaya, Burkina Faso; Research Institute of Health Sciences, Ouagadougou, Burkina Faso; African Institute of Public Health, Ouagadougou, Burkina Faso.

Kaya Health and Demographic Surveillance System, Kaya, Burkina Faso; Research Institute of Health Sciences, Ouagadougou, Burkina Faso.

出版信息

Int J Gynaecol Obstet. 2016 Nov;135 Suppl 1:S11-S15. doi: 10.1016/j.ijgo.2016.08.008.

DOI:10.1016/j.ijgo.2016.08.008

PMID:27836077

Abstract

OBJECTIVE

To analyze and compare the availability, utilization, and quality of services for maternal and neonatal health in 2010 and 2014 in Burkina Faso.

METHODS

A cross-sectional study of emergency obstetric and neonatal care services (EmONC) in all public and private health facilities in Burkina Faso in 2010 and a sample of 812 health facilities in 2014. The generic tools developed by the Averting Maternal Death and Disability (AMDD) program were used as the basic tools for evaluation.

RESULTS

In 2010, 25 health facilities were considered as EmONC health facilities and there were 23 in 2014. In 2010 and 2014, the proportion of births in EmONC health facilities was low (4.5%). The cesarean delivery rate also remained very low, at 0.9% in 2010 and 1.13% in 2014. The proportion of obstetric complications supported in health facilities was 12.3% in 2010 and 17.1% in 2014. The direct complication case fatality rate in EmONC health facilities was 1.6% in 2010 and 1.3% in 2014.

CONCLUSION

The two surveys did not show a significant improvement in the availability, utilization, and quality of maternal and neonatal healthcare services between 2010 and 2014.

摘要

目的

分析并比较2010年和2014年布基纳法索孕产妇和新生儿健康服务的可及性、利用率及服务质量。

方法

对2010年布基纳法索所有公立和私立医疗机构的急诊产科和新生儿护理服务（EmONC）进行横断面研究，并于2014年对812家医疗机构进行抽样调查。由避免孕产妇死亡和残疾（AMDD）项目开发的通用工具被用作基本评估工具。

结果

2010年，有25家医疗机构被视为EmONC医疗机构，2014年为23家。2010年和2014年，在EmONC医疗机构分娩的比例较低（4.5%）。剖宫产率也一直很低，2010年为0.9%，2014年为1.13%。2010年医疗机构中产科并发症得到救治的比例为12.3%，2014年为17.1%。2010年EmONC医疗机构中直接并发症病死率为1.6%，2014年为1.3%。