Badrul Alam1, Malay K Mridha2, Taposh K Biswas3, Lumbini Roy3, Maksudur Rahman3, Mahbub E Chowdhury4. 1. Liverpool Hope University, Liverpool, UK. 2. International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh; University of California, Davis, Davis, CA, USA. 3. International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh. 4. International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh. Electronic address: melahi@icddrb.org.
Abstract
OBJECTIVE: To assess the coverage of emergency obstetric care (EmOC) and the availability of obstetric services in Bangladesh. METHODS: In a national health facility assessment performed between November 2007 and July 2008, all public EmOC facilities and private facilities providing obstetric services in the 64 districts of Bangladesh were mapped. The performance of EmOC services in these facilities during the preceding month was investigated using a semi-structured questionnaire completed through interviews of managers and service providers, and record review. RESULTS: In total, 8.6 (2.1 public and 6.5 private) facilities per 500000 population offered obstetric care services. Population coverage by obstetric care facilities varied by region. Among 281 public facilities designated for comprehensive EmOC, cesarean delivery was available in only 215 (76.5%) and blood transfusion services in 198 (70.5%). In the private sector (for profit and not for profit), these services were available in more than 80% of facilities. In all facility types, performance of assisted vaginal delivery (range 12.2%-48.4%) and use of parenteral anticonvulsants to treat pre-eclampsia/eclampsia (range 48.6%-80.8%) were low. The main reason for non-availability of EmOC services was a lack of specialist/trained providers. CONCLUSION: Bangladesh needs to increase the availability of EmOC services through innovative public-private partnerships. In the public sector, additional trained manpower supported by an incentivized package should be deployed.
OBJECTIVE: To assess the coverage of emergency obstetric care (EmOC) and the availability of obstetric services in Bangladesh. METHODS: In a national health facility assessment performed between November 2007 and July 2008, all public EmOC facilities and private facilities providing obstetric services in the 64 districts of Bangladesh were mapped. The performance of EmOC services in these facilities during the preceding month was investigated using a semi-structured questionnaire completed through interviews of managers and service providers, and record review. RESULTS: In total, 8.6 (2.1 public and 6.5 private) facilities per 500000 population offered obstetric care services. Population coverage by obstetric care facilities varied by region. Among 281 public facilities designated for comprehensive EmOC, cesarean delivery was available in only 215 (76.5%) and blood transfusion services in 198 (70.5%). In the private sector (for profit and not for profit), these services were available in more than 80% of facilities. In all facility types, performance of assisted vaginal delivery (range 12.2%-48.4%) and use of parenteral anticonvulsants to treat pre-eclampsia/eclampsia (range 48.6%-80.8%) were low. The main reason for non-availability of EmOC services was a lack of specialist/trained providers. CONCLUSION: Bangladesh needs to increase the availability of EmOC services through innovative public-private partnerships. In the public sector, additional trained manpower supported by an incentivized package should be deployed.
Authors: Wit Wichaidit; Mahbub-Ul Alam; Amal K Halder; Leanne Unicomb; Davidson H Hamer; Pavani K Ram Journal: Am J Trop Med Hyg Date: 2016-06-06 Impact factor: 2.345
Authors: Edward Maswanya; Projestine Muganyizi; Stella Kilima; Deus Mogella; Julius Massaga Journal: BMC Health Serv Res Date: 2018-12-05 Impact factor: 2.655
Authors: Taposh Kumar Biswas; Anjuman Ara Begum; Shamima Akther; M Hafizur Rahman; Henry B Perry; Heidi E Jones; Mahbub Elahi Chowdhury Journal: BMC Health Serv Res Date: 2018-09-04 Impact factor: 2.655