Chiwuzie J, Okojie O, Okolocha C, Omorogbe S, Oronsaye A, Akpala W, Ande B, Onoguwe B, Oikeh E
Department of Community Health, Faculty of Medicine, University of Benin, Benin City, Nigeria.
Int J Gynaecol Obstet. 1997 Nov;59 Suppl 2:S231-6. doi: 10.1016/s0020-7292(97)00170-7.
Focus group discussions in the community identified difficulties in paying for transport as a major barrier to seeking and reaching emergency care for obstetric complications.
After emergency obstetric services in local health facilities had been upgraded, the clans in Ekpoma were mobilized in 1995 to set up emergency loan funds for women with complications. Funds were managed entirely by the clans, with ongoing monitoring and supervision by project staff. Two percent simple interest was charged.
Of the 13 clans contacted, 12 successfully launched loan funds. Total donations amounted to US$793, of which four-fifths were contributed by the community. In the 1st year of the operation, 456 women/families requested loans (ranging from US$7 to US$15), and 380 (83%) were granted. Three-hundred and fifty-four (93%) loans were repaid in full. In addition to being used for transport, loans were used to help pay for drugs, blood and hospital fees.
The cost of establishing the loan fund was US$1360, including initial donations to the loan funds. The PMM project paid 55% of the total.
With relatively little outside financial input, communities can set up and administer loan funds for emergency obstetric transport and care. However, sustaining the funds over the long term requires continuing effort and involvement with the communities.
社区焦点小组讨论发现，交通费用支付困难是寻求和获得产科并发症急救的主要障碍。
1995年，当地医疗机构的产科急救服务升级后，埃克波马的各个部族被动员起来，为有并发症的妇女设立紧急贷款基金。基金完全由部族管理，项目工作人员进行持续监测和监督。收取2%的单利。
在联系的13个部族中，12个成功设立了贷款基金。捐款总额达793美元，其中五分之四由社区提供。在运作的第一年，456名妇女/家庭申请贷款（金额从7美元到15美元不等），380人（83%）获得批准。354笔（93%）贷款全额偿还。贷款除用于支付交通费用外，还用于支付药品、血液和住院费用。
设立贷款基金的成本为1360美元，包括对贷款基金的初始捐款。孕产妇和新生儿保健项目支付了总额的55%。
在外部资金投入相对较少的情况下，社区可以设立和管理用于产科急救运输和护理的贷款基金。然而，长期维持这些基金需要持续努力并与社区保持合作。
Zotero 插件