Essien E, Ifenne D, Sabitu K, Musa A, Alti-Mu'azu M, Adidu V, Golji N, Mukaddas M
Department of Community Medicine, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Int J Gynaecol Obstet. 1997 Nov;59 Suppl 2:S237-44. doi: 10.1016/s0020-7292(97)00171-9.
Focus group discussions and a community survey indicated that inadequate funds and transport caused delays in deciding to seek emergency obstetric care and in reaching facilities.
Following improvements in the quality of obstetric services, a community loan program was established in early 1995. Community members determined its features: compulsory contributions; community administration; loans for obstetric complications only; no interest; a 6-month grace period; and 24-month repayment. A transport system was also established, in which private vehicle drivers agreed to respond to calls for emergency transport and charge a set fee.
The equivalent of US $20,500 was collected from 81 annual and 2273 one-time contributors. Eighteen loans were approved in 9 months. Repayment data are not yet available. For the transport system, 23 drivers pledged permanent participation and 58 pledged to take part in 6-month rotations. They transported 18 women.
The cost of these interventions was $3409 for the loan fund and $2272 for the transport system. Sixty percent of the cost was paid by the community and the rest by the PMM project.
Community-managed loan and transport systems for women with obstetric emergencies can be established and may contribute to reducing delay in obtaining emergency obstetric care.
焦点小组讨论和社区调查表明，资金不足和交通问题导致在决定寻求紧急产科护理以及前往医疗机构时出现延误。
随着产科服务质量的提高，1995年初设立了一项社区贷款计划。社区成员确定了其特点：强制捐款；社区管理；仅用于产科并发症的贷款；无息；6个月宽限期；以及24个月还款期。还建立了一个交通系统，其中私家车司机同意响应紧急运输呼叫并收取固定费用。
从81名年度捐款者和2273名一次性捐款者那里筹集了相当于20,500美元的资金。9个月内批准了18笔贷款。还款数据尚未可得。对于交通系统，23名司机承诺长期参与，58名司机承诺参加为期6个月的轮值。他们运送了18名妇女。
这些干预措施的成本，贷款基金为3409美元，交通系统为2272美元。60%的成本由社区支付，其余由孕产妇和新生儿保健项目支付。
可以建立由社区管理的针对产科急症妇女的贷款和交通系统，这可能有助于减少获得紧急产科护理的延误。
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