Status of Emergency Obstetric Care in a Local Government Area in South-South Nigeria
Abstract
This study assessed the status of the availability and performance of Emergency Obstetric Care (EmOC) in 12 functional public health facilities out of the existing 19 in Gokana Local Government Area of Rivers State in SouthSouth Nigeria, prior to the Midwives Service Scheme (MSS) launch in 2009. No facility qualified as Basic EmOC, while one had Comprehensive EmOC status. Signal functions that required supply of medical consumables were performed by more facilities than services that required special training, equipment and maintenance. Only two facilities (16.67%) had the minimum requirement of ≥4 midwives for 24-hour EmOC service; while only 2.2% of expected births occurred at the facilities. The poor state of maternal health resources in the study area requires urgent interventions by Local and State Governments for infrastructure upgrade and deployment and training of staff towards attainment of MDG-5. A follow-up evaluation would be required since the commencement of the MSS (Afr
J Reprod Health 2012; 16[3]:170-179).
Résumé
Cette étude a évalué l'état de la disponibilité et la performance des soins obstétricaux d'urgence (SOU) dans 12 établissements de santé publics fonctionnels sur les 19 qui se trouvaient dans la région de l’administration local de Gokana, dans l'Etat de Rivers dans le sud-sud du Nigeria, avant le régime de service sages-femmes (MSS ) qui a été lancé en 2009. Aucun établissement n’est qualifié d’assurer le SOU, tandis que l'un avait étendu le statut de rendre le service compréhensif de SOU. Les fonctions de signalisation qui avaient besoin de consommables médicaux ont été effectuées par plus des établissements que les services qui avaient besoin d’une formation spéciale, de l'équipement et de l'entretien. Seuls deux établissements (16,67%) ont eu l'exigence minimale de ≥ 4 sages-femmes pour 24 heures de service SOU, tandis que seulement 2,2% des naissances attendues s'est produite dans les établissements. Le mauvais état des ressources de santé maternelle dans la zone d'étude nécessite des interventions urgentes par les administrations locales et des états pour la mise à niveau des infrastructures, le déploiement et la formation du personnel en vue de la réalisation des OMD-5. Une évaluation de suivi serait nécessaire depuis le commencement du MSS (Afr J Reprod Health 2012; 16[3]:170-179).
Keywords: Emergency obstetric care, EmOC, Primary Health Care, Niger Delta, Nigeria
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