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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Availability, utilisation and quality of basic and comprehensive emergency obstetric care services in Malawi
Maternal and Child Health Journal, Volume 13, No. 5, Year 2009
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Description
Objective: To establish a baseline for the availability, utilisation and quality of maternal and neonatal health care services for monitoring and evaluation of a maternal and neonatal morbidity/mortality reduction programme in three districts in the Central Region of Malawi. Methods: Survey of all the 73 health facilities (13 hospitals and 60 health centres) that provide maternity services in the three districts (population, 2,812,183). Results: There were 1.6 comprehensive emergency obstetric care (CEmOC) facilities per 500,000 population and 0.8 basic emergency obstetric care (BEmOC) facilities per 125,000 population. About 23% of deliveries were conducted in emergency obstetric care (EmOC) facilities and the met need for emergency obstetric complications was 20.7%. The case fatality rate for emergency obstetric complications treated in health facilities was 2.0%. Up to 86.7% of pregnant women attended antenatal clinic at least once and only 12.0% of them attend postnatal clinic at least once. There is a shortage of qualified staff and unequal distribution with more staff in hospitals leaving health centres severely understaffed. Conclusions: The total number of CEmOC facilities is adequate but the distribution is unequal, leaving some rural areas with poor access to CEmOC services. There are no functional BEmOC facilities in the three districts. In order to reduce maternal mortality in Malawi and countries with similar socio-economic profile, there is a need to upgrade some health facilities to at least BEmOC level by training staff and providing equipment and supplies. © Springer Science+Business Media, LLC 2008.
Authors & Co-Authors
Kongnyuy, Eugene Justine
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Hofman, Jan J.
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Mlava, Grace
Malawi
The Health Foundation Consortium
Mhango, Chisale G.
Malawi, Lilongwe
Ministry of Health Malawai
Van Den Broek, Nynke R.
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Statistics
Citations: 97
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.1007/s10995-008-0380-y
ISSN:
10927875
e-ISSN:
15736628
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Malawi
Participants Gender
Female