2012年多哥紧急产科和新生儿护理的可及性、利用情况及质量指标

Indicators of availability, use, and quality of emergency obstetric and neonatal care in Togo in 2012.

作者信息

Ouédraogo Adja Mariam, Ouédraogo/Nikiema Laeticia, Meda Ivlabèhiré Bertrand, N'Tapi Kassouta, Kouanda Seni

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:S7-S10. doi: 10.1016/j.ijgo.2016.08.014.

DOI:10.1016/j.ijgo.2016.08.014

PMID:27836088

Abstract

OBJECTIVE

To assess the availability, utilization, and quality of emergency obstetric and neonatal care (EmONC) in Togo.

METHODS

A cross-sectional study of EmONC services in all public and private health facilities in the territory of Togo conducted from July to December, 2012. The generic tools developed by the Averting Maternal Death and Disability program were used as the basic tools for this evaluation.

RESULTS

The survey involved 1019 health facilities including 864 potential EmONC facilities that constituted the final sample. The results showed that there was low availability of functional EmONC health facilities (8 basic EmONC and 24 comprehensive EmONC) with a large urban/rural variation. Among the 24 current CEmONC, 22 were in urban areas and half were from the private sector. The national ratio of availability was 3 EmONC health facilities per 500 000 inhabitants. Nationally, the cesarean delivery rate was 3.5%. The lethality rate of direct obstetric causes was estimated at 1.3%.

CONCLUSION

Needs assessment for EmONC showed low availability of EmONC services and underutilization of the available services.

摘要

目的

评估多哥的急诊产科和新生儿护理（EmONC）的可及性、利用率及质量。

方法

2012年7月至12月在多哥境内所有公立和私立卫生机构开展了一项关于EmONC服务的横断面研究。由避免孕产妇死亡和残疾项目开发的通用工具用作本次评估的基本工具。

结果

该调查涉及1019个卫生机构，其中864个潜在的EmONC机构构成了最终样本。结果显示，具备功能的EmONC卫生机构（8个基本EmONC机构和24个综合EmONC机构）的可及性较低，城乡差异较大。在目前的24个综合EmONC机构中，22个在城市地区，一半来自私立部门。全国的可及率为每50万居民有3个EmONC卫生机构。在全国范围内，剖宫产率为3.5%。直接产科原因导致的致死率估计为1.3%。