Document Detail


Making EmOC a reality--CARE's experiences in areas of high maternal mortality in Africa.
MedLine Citation:
PMID:  16442536     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This paper describes the package of interventions undertaken by the CARE/AMDD program collaboration to increase the availability and quality of emergency obstetric care for 3 high maternal mortality countries in Africa. METHODS: Project implementation over 4 years focused on enhancing the capacity of 10 district hospitals in 3 countries - Tanzania, Rwanda and Ethiopia. Interventions were designed to create functional health facilities with trained and competent staff, working in an enabling environment supporting EmOC service delivery. RESULTS: By keeping a clear focus on EmOC, the project achieved modest improvements in services, even in the face of the considerable constraints of rural district hospitals. Availability and utilization of EmOC increased in Tanzania; the met need for EmOC increased slightly from 14% in year 1 to 19% in year 4, while in Rwanda it increased from 16% to 25% over 4 years. Case fatality rates (CFR) declined by 30-50% in all 3 countries. While still well below UN recommendations, in all 3 countries there was also a progressive increase in the cesarean section rates, a life saving obstetric intervention. CONCLUSIONS: The increases in met need and decreases in case fatality suggest that project interventions improved the quality and use of EmOC, a critical component for saving women's lives.
Authors:
M Kayongo; M Rubardt; J Butera; M Abdullah; D Mboninyibuka; M Madili
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2006-01-26
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  92     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-27     Completed Date:  2006-08-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  308-19     Citation Subset:  IM    
Affiliation:
CARE USA, USA. mkayongo@care.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Africa / epidemiology
Delivery, Obstetric / standards*,  trends
Developing Countries
Emergency Medical Services / organization & administration*
Female
Humans
Intervention Studies
Maternal Health Services / organization & administration
Maternal Mortality / trends*
Obstetric Labor Complications / epidemiology
Poverty
Pregnancy
Program Development
Program Evaluation
Quality of Health Care*
Risk Assessment

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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