The quality of the maternal health system in Eritrea.
نویسندگان
چکیده
OBJECTIVE To examine the quality of the maternal health system in Eritrea to understand system deficiencies and its relevance to maternal mortality within the context of Millennium Development Goal (MDG) 5. METHODS A sample of 118 health facilities was surveyed. Data were collected on 5 dimensions of health system quality: availability; accessibility; management; infrastructure; and process indicators. Data on the causes of hospital admissions for obstetric patients and maternal deaths were extracted from medical records. RESULTS Eritrea has only 11 comprehensive emergency obstetric care (CEmOC) facilities, all of which are grossly understaffed. There is considerable pressure on the infrastructure and health providers at hospitals. Compliance with clinical care standards and availability of supplies were optimal. As a result, the case fatality rate of 0.65% was low. In total, 45.6% of obstetric admissions and 19.5% of maternal deaths were attributed to abortion complications. CONCLUSION In Eritrea, critical gaps in the health system-especially those related to human resources-will impede progress toward MDG 5, and it will not be possible to reduce maternal mortality without addressing the high burden of abortion.
منابع مشابه
Stakeholders’ perspectives on facilitators of and barriers to the utilisation of and access to maternal health services in Eritrea: a qualitative study
BACKGROUND Wars affect maternal health services by destroying health systems. Eritrea experienced two wars with neighbouring Ethiopia. Despite this, the maternal mortality ratio (MMR) in Eritrea fell by 69% from 1590 per 100,000 live births in 1990 to 501 in 2015. This study aimed to examine facilitators of and barriers to the utilisation of and access to maternal health services in Eritrea. ...
متن کاملFactors Affecting Treatment Adherence among HIV-Positive Patients in Eritrea
Strict adherence to anti-retroviral therapy (ART) is critical for sustained suppression of viral replication and prevention of opportunistic infections that often lead to disability or death. With increased availability of ART in recent years, achievement of optimal adherence has become very important in the management of HIV/AIDS in Eritrea. To assess the factors affecting adherence to ART of ...
متن کاملMaternal psychosocial well-being in Eritrea: application of participatory methods and tools of investigation and analysis in complex emergency settings.
OBJECTIVE To establish the context in which maternal psychosocial well-being is understood in war-affected settings in Eritrea. METHOD Pretested and validated participatory methods and tools of investigation and analysis were employed to allow participants to engage in processes of qualitative data collection, on-site analysis, and interpretation. FINDINGS Maternal psychosocial well-being i...
متن کاملFactors Affecting the Use of Maternal and Child Health Services in Eritrea
Millions of women in developing countries experience life threatening and other serious health problems related to pregnancy or childbirth. Complications of pregnancy and childbirth cause more deaths and disability than any other reproductive health problems [1]. The World Health Organization (WHO) estimates that 58,000 women of reproductive age die each year from complications arising from pre...
متن کامل“Three Nooses on Our Head”: The Influence of District Health Reforms on Maternal Health Service Delivery in Vietnam
Background The impact of reorganisation on health services delivery is a recurring issue in every healthcare system. In 2005 Vietnam reorganised the delivery of health services at the district level by splitting preventive, curative, and administrative roles. This qualitative study explored how these reforms impacted on the organisation of maternal health service delivery at district and commun...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
دوره 115 3 شماره
صفحات -
تاریخ انتشار 2011