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

Compaoré GD, Sombié I, Ganaba R, Hounton S, Meda N, Brouwere VD, Borchert M - BMC Pregnancy Childbirth (2014)

Bottom Line: 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).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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Centre Muraz, Bobo-Dioulasso, Burkina Faso, PO Box 390, Bobo-Dioulasso, Burkina Faso. georgesday@yahoo.fr.

ABSTRACT

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.

Show MeSH
Readiness of regional and district hospitals based on the availability of caesarean and blood transfusion services, Burkina Faso, 2007. CHR: Regional hospital, CMA: District hospital with surgery unit, CM: District hospital without surgery unit.
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Figure 1: Readiness of regional and district hospitals based on the availability of caesarean and blood transfusion services, Burkina Faso, 2007. CHR: Regional hospital, CMA: District hospital with surgery unit, CM: District hospital without surgery unit.

Mentions: Figure 1 shows a relatively good geographical distribution of both regional and district hospitals within the country, very few of which are ready to provide CEmONC. According to the inter-agency handbook on monitoring EmONC [17] there should be one CEmONC unit for 500,000 inhabitants, in addition to four BEmONC units. With an estimated population of 13,000,000 inhabitants in 2007, this translates into a minimum of 26 CEmONC units for Burkina Faso. With 15/54 hospitals (27.8%; 2/2 national teaching hospitals, 6/9 regional and 7/43 district hospitals) offering caesarean section and blood transfusion services 24/7, this norm was not achieved.


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

Compaoré GD, Sombié I, Ganaba R, Hounton S, Meda N, Brouwere VD, Borchert M - BMC Pregnancy Childbirth (2014)

Readiness of regional and district hospitals based on the availability of caesarean and blood transfusion services, Burkina Faso, 2007. CHR: Regional hospital, CMA: District hospital with surgery unit, CM: District hospital without surgery unit.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4016796&req=5

Figure 1: Readiness of regional and district hospitals based on the availability of caesarean and blood transfusion services, Burkina Faso, 2007. CHR: Regional hospital, CMA: District hospital with surgery unit, CM: District hospital without surgery unit.
Mentions: Figure 1 shows a relatively good geographical distribution of both regional and district hospitals within the country, very few of which are ready to provide CEmONC. According to the inter-agency handbook on monitoring EmONC [17] there should be one CEmONC unit for 500,000 inhabitants, in addition to four BEmONC units. With an estimated population of 13,000,000 inhabitants in 2007, this translates into a minimum of 26 CEmONC units for Burkina Faso. With 15/54 hospitals (27.8%; 2/2 national teaching hospitals, 6/9 regional and 7/43 district hospitals) offering caesarean section and blood transfusion services 24/7, this norm was not achieved.

Bottom Line: 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).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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Centre Muraz, Bobo-Dioulasso, Burkina Faso, PO Box 390, Bobo-Dioulasso, Burkina Faso. georgesday@yahoo.fr.

ABSTRACT

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.

Show MeSH