Adama Baguiya1, Ivlabèhiré Bertrand Meda2, Tieba Millogo2, Mamadou Kourouma3, Halima Mouniri4, Seni Kouanda5. 1. Research Institute of Health Sciences, Ouagadougou, Burkina Faso; Kaya Health and Demographic Surveillance System, Kaya, Burkina Faso. Electronic address: abaguiya@gmail.com. 2. Research Institute of Health Sciences, Ouagadougou, Burkina Faso; African Institute of Public Health, Ouagadougou, Burkina Faso. 3. Directorate of Family Health and Nutrition, Ministry of Health and Public Hygiene of Guinea, Conakry, Guinea. 4. Averting Maternal Death and Disability, Mailman School of Public Health, Columbia University, New York, USA. 5. Research Institute of Health Sciences, Ouagadougou, Burkina Faso; Kaya Health and Demographic Surveillance System, Kaya, Burkina Faso; African Institute of Public Health, Ouagadougou, Burkina Faso.
Abstract
OBJECTIVE: To assess the availability and utilization of emergency obstetric and neonatal care (EmONC) in Guinea given the high maternal and neonatal mortality rates. METHODS: We used the Guinea 2012 needs assessment data collected via a national cross-sectional census of health facilities conducted from September to October 2012. All public, private, and faith-based health facilities that performed at least one delivery during the period of the study were included. RESULTS: A total of 502 health facilities were visited, of which 81 were hospitals. Only 15 facilities were classified as fully functioning EmONC facilities, all of which were reference hospitals. None of the first level health facilities were fully functioning EmONC facilities. The ratio of availability of EmONC was one fully functioning EmONC facility for 745 415 inhabitants. The institutional delivery rate was 32.3% and the proportion of all births in EmONC facilities was 7.1%. Met need for EmONC was 12.2%. Among 201 maternal deaths in EmONC facilities, 69 were due to indirect causes. The intrapartum and very early neonatal death rate was 39 deaths per 1000 live births. CONCLUSION: The study showed low availability of EmONC services and underutilization of the available services. Further investigation is needed to evaluate the effect of the current policy of user fees exemption for deliveries and prenatal care in Guinea.
OBJECTIVE: To assess the availability and utilization of emergency obstetric and neonatal care (EmONC) in Guinea given the high maternal and neonatal mortality rates. METHODS: We used the Guinea 2012 needs assessment data collected via a national cross-sectional census of health facilities conducted from September to October 2012. All public, private, and faith-based health facilities that performed at least one delivery during the period of the study were included. RESULTS: A total of 502 health facilities were visited, of which 81 were hospitals. Only 15 facilities were classified as fully functioning EmONC facilities, all of which were reference hospitals. None of the first level health facilities were fully functioning EmONC facilities. The ratio of availability of EmONC was one fully functioning EmONC facility for 745 415 inhabitants. The institutional delivery rate was 32.3% and the proportion of all births in EmONC facilities was 7.1%. Met need for EmONC was 12.2%. Among 201 maternal deaths in EmONC facilities, 69 were due to indirect causes. The intrapartum and very early neonatal death rate was 39 deaths per 1000 live births. CONCLUSION: The study showed low availability of EmONC services and underutilization of the available services. Further investigation is needed to evaluate the effect of the current policy of user fees exemption for deliveries and prenatal care in Guinea.
Authors: Katherine Albutt; Gustaf Drevin; Rachel R Yorlets; Emma Svensson; Didacus B Namanya; Mark G Shrime; Peter Kayima Journal: PLoS One Date: 2019-10-24 Impact factor: 3.240
Authors: Rachidatou Compaore; Adja Mariam Ouedraogo; Adama Baguiya; Denise Olga Kpebo; Sidikiba Sidibe; Seni Kouanda Journal: Health Serv Insights Date: 2022-04-19
Authors: Tieba Millogo; Marie Laurette Agbre-Yace; Raissa K Kourouma; W Maurice E Yaméogo; Akoua Tano-Kamelan; Fatou Bintou Sissoko; Aminata Soltié Koné-Coulibaly; Anna Thorson; Seni Kouanda Journal: BMJ Open Date: 2020-06-07 Impact factor: 2.692