Emergency obstetric and neonatal care needs assessment: Results of the 2010 and 2014 surveys in Burkina Faso

Kouanda, Séni; Ouédraogo, Adja Mariam; Ouédraogo, Gautier H.; Sanon, D.; Belemviré, Seydou; Ouedraogo, Léopold

doi:10.1016/j.ijgo.2016.08.008

Cited by 12 publications

(18 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…By the end of 2014, only about 33% of pregnant women completed at least four antenatal care visits, 82.2% delivered in the presence of a skilled health worker, and 36.6% received postnatal care . These rates indicate a situation of continued inadequate maternal care coverage . Modern contraceptive use increased from 24% in 2010 to 34.3% in 2014 before decreasing again to 16% in 2016.…”

Section: Methodsmentioning

confidence: 99%

Factors associated with misreporting in performance‐based financing in Burkina Faso: Implications for risk‐based verification

Kuunibe

Lohmann

Schleicher

et al. 2019

Health Planning & Management

View full text Add to dashboard Cite

Summary Performance‐based financing (PBF) has been piloted in many low‐ and middle‐income countries (LMICs) as a strategy to improve access to and quality of health services. As a key component of PBF, quantity verification is carried out to ensure that reported data matches the actual number of services provided. However, cost concerns have led to a call for risk‐based verification. Existing evidence suggests misreporting is associated with factors such as complexity of indicators, high service volume, and accepted error margin. In contrast, evidence on the association of key facility characteristics with misreporting in PBF is scarce. We contributed to filling this gap in knowledge by combining administrative data from a large‐scale pilot PBF program in Burkina Faso with data from a health facility assessment in the context of an impact evaluation of the intervention. Our results showed the coexistence of both overreporting and underreporting and that misreporting varied by service indicator and health district. We also found that the number of clinical staff at the facility, the population size in the facility catchment area, and the distance between the facility and the district administration were associated with the probability of misreporting. We recommend further research of these factors in the move towards risk‐based verification. In addition, given that our analysis identified relevant associations, but could not explain them, we recommend further qualitative inquiry into verification processes.

show abstract

Section: Methodsmentioning

confidence: 99%

Factors associated with misreporting in performance‐based financing in Burkina Faso: Implications for risk‐based verification

Kuunibe

Lohmann

Schleicher

et al. 2019

Health Planning & Management

View full text Add to dashboard Cite

show abstract

“…Although one of the stated objectives of an EmONC assessment is to collect baseline estimates, few countries have taken advantage of more than one national assessment to show change in these indicators [ 16 ]. In this article, we investigate changes in the availability, use and quality of EmONC services between 2007 and 2012 in Mozambique.…”

Section: Introductionmentioning

confidence: 99%

Progress in Mozambique: Changes in the availability, use, and quality of emergency obstetric and newborn care between 2007 and 2012

et al. 2018

View full text Add to dashboard Cite

IntroductionMaternal mortality in Mozambique has not declined significantly in the last 10–15 years, plateauing around 480 maternal deaths per 100,000 live births. Good quality antenatal care and routine and emergency intrapartum care are critical to reducing preventable maternal and newborn deaths.Materials and methodsWe compare the findings from two national cross-sectional facility-based assessments conducted in 2007 and 2012. Both were designed to measure the availability, use and quality of emergency obstetric and neonatal care. Indicators for monitoring emergency obstetric care were used as were descriptive statistics.ResultsThe availability of facilities providing the full range of obstetric life-saving procedures (signal functions) decreased. However, an expansion in the provision of individual signal functions was highly visible in health centers and health posts, but in hospitals, performance was less satisfactory, with proportionally fewer hospitals providing assisted vaginal delivery, obstetric surgery and blood transfusions. All other key indicators showed signs of improvements: the institutional delivery rate, the cesarean delivery rate, met need for emergency obstetric care (EmOC), institutional stillbirth and early neonatal death rates, and cause-specific case fatality rates (CFRs). CFRs for most major obstetric complications declined between 17% and 69%. The contribution of direct causes to maternal deaths decreased while the proportion of indirect causes doubled during the five-year interval.ConclusionsThe indicator of EmOC service availability, often used for planning and developing EmONC networks, requires close examination. The standard definition can mask programmatic weaknesses and thus, fails to inform decision makers of what to target. In this case, the decline in the use of assisted vaginal delivery explained much of the difference in this indicator between the two surveys, as did faltering hospital performance.Despite this backsliding, many signs of improvement were also observed in this 5-year period, but indicator levels continue below recommended thresholds. The quality of intrapartum care and the adverse consequences from infectious diseases during pregnancy point to priority areas for programmatic improvement.

show abstract

“…The peak publication year was in 2011 [8,22,24,25] and 2016 [16,17,21,27] when 4 articles were published in each year ( Figure 2 ). 2 studies have each been published in Burkina-Faso [26,27], Ethiopia [8,25], Ghana [17,19], Tanzania [20,21] and Zambia [22,28]. Guinea [16], Kenya [18], Malawi [23], Sierra-Leone [24], Rwanda [9] each have 1 published study ( Figure 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…8 of the 15 studies were conducted on a national scale [16,17,19,22,24-27], while the remaining 7 studies assessed sub-national levels – regions or districts [8,9,18,20,21,23,28] ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

Assessing geographical distribution and accessibility of emergency obstetric care in sub-Saharan Africa: a systematic review

Banke-Thomas¹,

Wright²,

Collins³

2018

Journal of Global Health

View full text Add to dashboard Cite

MethodsTwo reviewers systematically searched multiple databases for articles published between January 2009 and June 2018. Both screened and selected studies based on the set inclusion criteria. Following quality assessments, data on study characteristics, process of data collection and analysis and findings reported were extracted. Extracted data were synthesised and presented in tables and charts. Narrative synthesis was used to summarise reported findings.Results15 studies met the inclusion criteria, with varying assessed quality: high (7 studies), medium (4 studies) and low (4 studies). 8 studies were conducted at a national level while 7 were sub-national. 8 studies focused on assessing Indicator 2, while the others assessed multiple EmOC indicators. Only about half of the studies presented details of analysis for assessing geographical distribution, provided a map and interpreted their findings. Similarly, half of the studies used geographic information systems (GIS) for analyses. Of these, GIS was used to map EmOC facilities or relate facility numbers to 500 000 population (3), estimate straight-line distances between facilities and residences of women (2) and model travel scenarios (3). EmOC facilities in SSA are concentrated in capitals, central and urban areas and at least a third of women in the region cannot reach their nearest EmOC facility within the recommended two-hour time-frame.ConclusionsThere is a limited number of studies that have assessed EmOC geographical distribution in SSA. When available, completeness and quality of analysis are questionable. Comprehensive assessments need to maximise recent advancements in mobile and GIS open-source technology to provide more realistic representation of EmOC access for service planners and policy-makers.PROSPERO RegistrationCRD42018099882

show abstract

Emergency obstetric and neonatal care needs assessment: Results of the 2010 and 2014 surveys in Burkina Faso

Abstract: The two surveys did not show a significant improvement in the availability, utilization, and quality of maternal and neonatal healthcare services between 2010 and 2014.

Cited by 12 publications

References 15 publications

Factors associated with misreporting in performance‐based financing in Burkina Faso: Implications for risk‐based verification

Factors associated with misreporting in performance‐based financing in Burkina Faso: Implications for risk‐based verification

Progress in Mozambique: Changes in the availability, use, and quality of emergency obstetric and newborn care between 2007 and 2012

Assessing geographical distribution and accessibility of emergency obstetric care in sub-Saharan Africa: a systematic review

Contact Info

Product

Resources

About