Mailman School of Public Health, Columbia University, New York, USA.
Int J Gynaecol Obstet. 2011 Oct;115(1):94-100. doi: 10.1016/j.ijgo.2011.07.009. Epub 2011 Sep 8.
To describe the methods used to implement Ethiopia's 2008 emergency obstetric and newborn care services (EmONC) assessment; highlight how the collaborative process contributed to immediate integration of results into national and subnational planning; and explain how the experience informed the development of a set of tools providing best practices and guidelines for other countries conducting similar assessments.
A team of maternal and newborn health experts from the Federal Ministry of Health (FMOH), the United Nations Children's Fund (UNICEF), the World Health Organization (WHO), and the United Nations Population Fund (UNFPA), together with representatives from the Ethiopian Society of Obstetricians and Gynecologists, provided technical guidance for the 18-month process and facilitated demand for and use of the assessment results. Eighty-four trained data collectors administered 9 data collection modules in 806 public and private facilities. Field work and data were managed by a private firm who, together with the core team, implemented a multi-layered plan for data quality. Columbia University's Averting Maternal Death and Disability Program provided technical assistance.
Results were published in national and regional reports and in 1-page facility factsheets informing subnational planning activities. Assessment results-which have been published in journal articles-informed water infrastructure improvements, efforts to expand access to magnesium sulfate, and FMOH and UN planning documents. The assessment also established a permanent database for future monitoring of the health system, including geographic locations of surveyed facilities.
Ethiopia's assessment was successful largely because of active local leadership, a collaborative process, ample financial and technical support, and rapid integration of results into health system planning.
描述埃塞俄比亚 2008 年紧急产科和新生儿护理服务（EmONC）评估所采用的方法；强调协作过程如何促成将结果立即纳入国家和国家以下各级规划；并解释经验如何为开发一套工具提供信息，为其他国家开展类似评估提供最佳做法和准则。
来自联邦卫生部（FMOH）、联合国儿童基金会（UNICEF）、世界卫生组织（WHO）和联合国人口基金（UNFPA）的孕产妇和新生儿健康专家团队，与埃塞俄比亚妇产科医生协会的代表一起，为 18 个月的进程提供技术指导，并促进对评估结果的需求和使用。84 名经过培训的数据收集员在 806 家公立和私立设施中管理了 9 个数据收集模块。实地工作和数据由一家私营公司管理，该公司与核心团队一起实施了一个多层次的数据质量计划。哥伦比亚大学的预防产妇死亡和残疾方案提供了技术援助。
结果发表在国家和区域报告以及 1 页设施概况介绍中，为国家以下各级规划活动提供信息。评估结果——已在期刊文章中发表——为水基础设施改善、扩大硫酸镁获取机会以及 FMOH 和 UN 规划文件提供了信息。评估还为未来监测卫生系统，包括调查设施的地理位置，建立了一个永久数据库。
埃塞俄比亚的评估之所以取得成功，主要是因为当地的积极领导、协作过程、充足的财政和技术支持，以及将结果迅速纳入卫生系统规划。
