Baguiya Adama, Meda Ivlabèhiré Bertrand, Millogo Tieba, Kourouma Mamadou, Mouniri Halima, Kouanda Seni
Research Institute of Health Sciences, Ouagadougou, Burkina Faso; Kaya Health and Demographic Surveillance System, Kaya, Burkina Faso.
Research Institute of Health Sciences, Ouagadougou, Burkina Faso; African Institute of Public Health, Ouagadougou, Burkina Faso.
Int J Gynaecol Obstet. 2016 Nov;135 Suppl 1:S2-S6. doi: 10.1016/j.ijgo.2016.09.004.
To assess the availability and utilization of emergency obstetric and neonatal care (EmONC) in Guinea given the high maternal and neonatal mortality rates.
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.
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.
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.
鉴于几内亚孕产妇和新生儿死亡率较高，评估该国产科和新生儿急诊护理（EmONC）的可及性和利用情况。
我们使用了2012年9月至10月通过全国卫生设施横断面普查收集的几内亚需求评估数据。纳入了在研究期间至少进行过一次分娩的所有公立、私立和宗教性质的卫生设施。
共走访了502家卫生设施，其中81家为医院。只有15家设施被归类为功能齐全的EmONC设施，且均为参考医院。一级卫生设施中没有功能齐全的EmONC设施。EmONC的可及率为每745415名居民有一家功能齐全的EmONC设施。机构分娩率为32.3%，在EmONC设施分娩的所有婴儿比例为7.1%。满足的EmONC需求为12.2%。在EmONC设施的201例孕产妇死亡中，69例是间接原因导致的。产时和极早期新生儿死亡率为每1000例活产39例死亡。
该研究表明EmONC服务的可及性较低，现有服务利用不足。需要进一步调查以评估几内亚目前分娩和产前护理免除用户费用政策的效果。
