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Basic and comprehensive emergency obstetric and neonatal care in 12 South African health districts

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Pattinson, RC, Makin, JD, Pillay, Y, van den Broek, Nynke ORCID: https://orcid.org/0000-0001-8523-2684 and Moodley, J (2015) 'Basic and comprehensive emergency obstetric and neonatal care in 12 South African health districts'. Samj South African Medical Journal, Vol 4, Issue 5, pp. 256-260.

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Abstract

Aim. To assess the functionality of healthcare facilities with respect to providing the signal functions of basic and comprehensive emergency obstetric care in 12 districts.
Setting. Twelve districts were selected from the 52 districts in South Africa, based on the number of maternal deaths, the institutional maternal mortality ratio and the stillbirth rate for the district.
Methods. All community health centres (CHCs) and district, regional and tertiary hospitals were visited and detailed information was obtained on the ability of the facility to perform the basic (BEmONC) and comprehensive (CEmONC) emergency obstetric and neonatal
care signal functions.
Results. Fifty-three CHCs, 63 district hospitals (DHs), 13 regional hospitals and 4 tertiary hospitals were assessed. None of the CHCs
could perform all seven BEmONC signal functions; the majority could not give parenteral antibiotics (68%), perform manual removal of the placenta (58%), do an assisted delivery (98%) or perform manual vacuum aspiration of the uterus in a woman with an uncomplicated
incomplete miscarriage (96%). Seventeen per cent of CHCs could not bag-and-mask ventilate a neonate. Less than half (48%) of the DHs could perform all nine CEmONC signal functions (81% could perform eight of the nine functions), 24% could not perform caesarean
sections, and 30% could not perform assisted deliveries.
Conclusions. The ability of the CHCs and district hospitals to perform the signal functions (lifesaving services) of basic and comprehensive emergency obstetric care was poor in many of the districts studied. This implies that safe maternity care was not consistently available at many facilities conducting births.

Item Type: Article
Uncontrolled Keywords: Signal functions; Basic and comprehensive emergency obstetric care; Maternal mortality; Safe maternal care
Subjects: WP Gynecology > WP 100 General works
WQ Obstetrics > Pregnancy > WQ 200 General works
WQ Obstetrics > Pregnancy Complications > WQ 240 Pregnancy complications (General)
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.7196/samj.9181
Depositing User: Caroline Hercod
Date Deposited: 21 Dec 2015 11:25
Last Modified: 06 Feb 2018 13:11
URI: https://archive.lstmed.ac.uk/id/eprint/5423

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