Saidu Rakiya, August Euna M, Alio Amina P, Salihu Hamisu M, Saka Mohammed J, Jimoh Abdulgafar A G
University of Ilorin, College of Health Sciences, Department of Obstetrivs and Gynaecology.
Afr J Reprod Health. 2013 Mar;17(1):41-8.
The objective of this study is to evaluate the levels of emergency obstetrics care (EOC) signal functions in health facilities in a developing setting with high maternal morbidity and mortality indices and to determine if there are differences between public and private health facilities in terms of availability of these signal functions. A survey of health facilities was carried out in six of the 16 Local Government Areas (LGAs) of Kwara State Nigeria. All health facilities in these LGAs including public and private health facilities offering some services to pregnant women were surveyed using an interviewer- administered, facility-assessment questionnaire adapted from the WHO/UNFPA/UNICEF international guidelines for monitoring the availability and use of obstetric services. Frequency tables, percentages and charts were used for presenting the data. Comparing public and private facilities was done using chi-square tests. A total of 258 health facilities that provide maternal health services were surveyed in this study, out of which 76 (29.5%) were private facilities and 182 (70.5%) were public sector facilities. Most of the UN indicators were not met by the health facilities in Kwara state. The availability of EOC facilities was more among the private sector and this was statistically significant. This study shows that all stakeholders involved in reducing maternal mortality have a big challenge in the areas of availability, inequity in geographical distribution of EOC facilities and poor utilisation of these EOC services by women.
本研究的目的是评估在孕产妇发病率和死亡率指数较高的发展中环境下，医疗机构中紧急产科护理（EOC）信号功能的水平，并确定在这些信号功能的可及性方面，公立和私立医疗机构之间是否存在差异。在尼日利亚夸拉州16个地方政府辖区（LGA）中的6个开展了医疗机构调查。使用一份根据世界卫生组织/联合国人口基金/联合国儿童基金会监测产科服务可及性和使用情况的国际指南改编的、由访谈员实施的机构评估问卷，对这些辖区内所有为孕妇提供某些服务的公立和私立医疗机构进行了调查。使用频率表、百分比和图表来呈现数据。采用卡方检验对公立和私立机构进行比较。本研究共调查了258家提供孕产妇保健服务的医疗机构，其中76家（29.5%）为私立机构，182家（70.5%）为公共部门机构。夸拉州的医疗机构大多未达到联合国的指标。私立部门的EOC设施可及性更高，且具有统计学意义。本研究表明，所有参与降低孕产妇死亡率的利益相关方在EOC设施的可及性、地理分布不均以及妇女对这些EOC服务的利用率低等方面面临巨大挑战。
