Centre for Infectious Disease Zambia, Lusaka, Zambia.
Am J Perinatol. 2013 Oct;30(9):787-94. doi: 10.1055/s-0032-1333409. Epub 2013 Jan 17.
To describe the staffing and availability of medical equipment and medications and the performance of procedures at health facilities providing maternal and neonatal care at African, Asian, and Latin American sites participating in a multicenter trial to improve emergency obstetric/neonatal care in communities with high maternal and perinatal mortality.
In 2009, prior to intervention, we surveyed 136 hospitals and 228 clinics in 7 sites in Africa, Asia, and Latin America regarding staffing, availability of equipment/medications, and procedures including cesarean section.
The coverage of physicians and nurses/midwives was poor in Africa and Latin America. In Africa, only 20% of hospitals had full-time physicians. Only 70% of hospitals in Africa and Asia had performed cesarean sections in the last 6 months. Oxygen was unavailable in 40% of African hospitals and 17% of Asian hospitals. Blood was unavailable in 80% of African and Asian hospitals.
Assuming that adequate facility services are necessary to improve pregnancy outcomes, it is not surprising that maternal and perinatal mortality rates in the areas surveyed are high. The data presented emphasize that to reduce mortality in these areas, resources that result in improved staffing and sufficient equipment, supplies, and medication, along with training, are required.
描述在参与改善高孕产妇和围产儿死亡率社区急救产科/新生儿护理的多中心试验的非洲、亚洲和拉丁美洲参与站点的提供孕产妇和新生儿护理的卫生机构中的人员配置和医疗设备及药物的供应情况以及手术操作的执行情况。
2009 年，在干预之前，我们调查了非洲、亚洲和拉丁美洲 7 个站点的 136 家医院和 228 家诊所的人员配置、设备/药物的供应情况以及包括剖宫产术在内的手术操作情况。
在非洲和拉丁美洲，医生和护士/助产士的覆盖率很低。在非洲，只有 20%的医院有全职医生。在过去 6 个月中，只有 70%的非洲和亚洲医院进行了剖宫产术。40%的非洲医院和 17%的亚洲医院没有氧气。80%的非洲和亚洲医院没有血液。
假设充足的设施服务对于改善妊娠结局是必要的，那么调查地区的孕产妇和围产儿死亡率高就不足为奇了。所呈现的数据强调，要降低这些地区的死亡率，需要有资源来改善人员配置和充足的设备、用品和药物供应，以及培训。
