Readiness of district and regional hospitals in Burkina Faso to provide caesarean section and blood transfusion services: a cross-sectional study

被引:19
作者
Compaore, Georges Dayitaba [1 ]
Sombie, Issiaka [1 ]
Ganaba, Rasmane [2 ]
Hounton, Sennen [3 ]
Meda, Nicolas
De Brouwere, Vincent [4 ]
Borchert, Matthias [5 ,6 ]
机构
[1] Ctr Muraz, Burkina Faso, Bobo Dioulasso, Burkina Faso
[2] AFRICSante, Bobo Dioulasso, Burkina Faso
[3] United Nations Populat Fund, Tech Div, New York, NY USA
[4] Inst Trop Med, B-2000 Antwerp, Belgium
[5] London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, London WC1, England
[6] Charite, Inst Trop Med & Int Hlth, D-13353 Berlin, Germany
来源
BMC PREGNANCY AND CHILDBIRTH | 2014年 / 14卷
关键词
Readiness; Hospitals; Caesarean section; Blood transfusion; Burkina Faso; EMERGENCY OBSTETRIC CARE; HEALTH SECTOR REFORM; HEMORRHAGE; OFFICERS; LESSONS;
D O I
10.1186/1471-2393-14-158
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: Health centres and hospitals play a crucial role in reducing maternal mortality and morbidity by offering respectively Basic Emergency Obstetric and Newborn Care (BEmONC) and Comprehensive Emergency Obstetric and Newborn Care (CEmONC). The readiness of hospitals to provide CEmONC depends on the availability of qualified human resources, infrastructure like surgical theatres, and supplies like drugs and blood for transfusion. We assessed the readiness of district and regional hospitals in Burkina Faso to provide two key CEmONC functions, namely caesarean section and blood transfusion. As countries conduct EmONC needs assessments it is critical to provide national and subnational data, e. g. on the distribution of EmONC facilities as well as on facilities lacking the selected signal functions, to support the planning process for upgrading facilities so that they are ready to provide CEmONC. Methods: In a cross-sectional study we assessed the availability of relevant health workers, obstetric guidelines, caesarean section and blood transfusion services and experience with quality assurance approaches across all forty-three (43) district and nine (9) regional hospitals. Results: The indicator corresponding to one comprehensive emergency care unit for 500,000 inhabitants was not achieved in Burkina Faso. Physicians with surgical skills, surgical assistants and anaesthesiologist assistants are sufficiently available in only 51.2%, 88.3% and 72.0% of district hospitals, respectively. Two thirds of regional and 20.9% of district hospitals had blood banks. Most district hospitals as opposed to only one third of regional hospitals had experience in maternal death reviews. Conclusions: Our findings suggest that only 27.8% of hospitals in Burkina Faso at the time of the study could continuously offer caesarean sections and blood transfusion services. Four years later, progress has likely been made but many challenges remain to be overcome. Information provided in this study can serve as a baseline for monitoring progress in district and regional hospitals.
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页数:8
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