Availability and distribution of, and geographic access to emergency obstetric care in Zambia
- 12 June 2011
- journal article
- research article
- Published by Wiley in International Journal of Gynecology & Obstetrics
- Vol. 114 (2), 174-179
- https://doi.org/10.1016/j.ijgo.2011.05.007
Abstract
Objective: To assess the availability and coverage of emergency obstetric care (EmOC) services in Zambia. Methods: Reported provision of EmOC signal functions in the Zambian Health Facility Census and additional criteria on staffing, opening hours, and referral capacity were used to classify all Zambian health facilities as providing comprehensive EmOC, basic EmOC, or more limited care. Geographic accessibility of EmOC services was estimated by linking health facility data with data from the Zambian population census. Results: Few Zambian health facilities provided all basic EmOC signal functions and had qualified health professionals available on a 24-hour basis. Of the 1131 Zambian delivery facilities, 135 (12%) were classified as providing EmOC. Zambia nearly met the UN EmOC density benchmarks nationally, but EmOC facilities and health professionals were unevenly distributed between provinces. Geographic access to EmOC services in rural areas was low; in most provinces, less than 25% of the population lived within 15 km of an EmOC facility. Conclusion: A national Health Facility Census with geographic information is a valuable tool for assessing service availability and coverage at national and subnational levels. Simultaneously assessing health worker density and geographic access adds crucial information. (C) 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.Keywords
This publication has 7 references indexed in Scilit:
- Tracking progress towards safe motherhood: meeting the benchmark yet missing the goal? An appeal for better use of health‐system output indicators with evidence from Zambia and Sri LankaTropical Medicine & International Health, 2011
- Measuring access to emergency obstetric care in rural ZambiaInternational Journal of Emergency Medicine, 2008
- Zambia's health-worker crisis.The Lancet, 2008
- The United Nations Process Indicators for emergency obstetric care: Reflections based on a decade of experienceInternational Journal of Gynecology & Obstetrics, 2006
- Can the process indicators for emergency obstetric care assess the progress of maternal mortality reduction programs? An examination of UNFPA Projects 2000-2004International Journal of Gynecology & Obstetrics, 2006
- Global patterns in availability of emergency obstetric careInternational Journal of Gynecology & Obstetrics, 2006
- The availability of life-saving obstetric services in developing countries: An in-depth look at the signal functions for emergency obstetric careInternational Journal of Gynecology & Obstetrics, 2006