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To explore the role of a community-based intervention in reducing delays in accessing emergency obstetric care (EmOC) in rural Bangladesh, and the factors associated with delayed decision making, reaching the health facility and receiving treatment.
Our grading system allows for inter- and intra-country comparisons by providing a systematic process for monitoring access to EmOC in rural, low-income countries similar to Zambia.
Our goal was to develop a tool to measure the availability of EmOC in rural Zambia in order to estimate pregnant women's access to this life-saving intervention.
In our study we developed a novel tool to assess access to EmOC in the Central Province of Zambia, an area selected by the government of Zambia for a new programme to reduce maternal and infant deaths.
The availability of EmOC in the Central Province of Zambia is extremely limited; the majority of health centres provide only one or two basic functions of EmOC, and no health centres perform all six functions.
First, we had to develop a novel tool for measuring the availability of basic EmOC in a rural area with a low rate of deliveries where the established UN process indicators would be likely to underestimate access to EmOC.
Similar(21)
The absence of assisted vaginal delivery is why we categorized facilities as "basic or comprehensive EmOC facilities minus 1", in addition to the standard convention.
This study explored such incidents among mid-level cadres working in EmOC settings in Malawi.
The percentage of expected deliveries in EmOC facilities in the study area is 36%, compared with the UN Guidelines minimum accepted threshold of 15%.
A total of 539 and 687 forms were completed for women who underwent a caesarean section in the three comprehensive EmOC facilities in the district in 2008 and 2009 respectively.
The institutional delivery rate was approximately 3% in areas with health centres not fulfilling the criteria of basic EmOC, while in contrast, areas such as Kamba, with health centres capable of providing EmOC and performing caesarean sections, had a higher rate of institutional deliveries.
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