The Quality of the Maternal Health System in Eritrea

OBJECTIVE: To examine the quality of the maternal health system in Eritrea to understand system deficiencies and its relevance to maternal mortality within the context of Millennium Development Goal (MDG) 5. METHODS: A sample of 118 health facilities was surveyed. Data were collected on 5 dimensions...

Full description

Bibliographic Details
Main Authors: Sharan, M., Ahmed, S., Ghebrehiwet, M., Rogo, K.
Format: Journal Article
Language:EN
Published: 2012
Online Access:http://hdl.handle.net/10986/5135
id okr-10986-5135
recordtype oai_dc
spelling okr-10986-51352021-04-23T14:02:21Z The Quality of the Maternal Health System in Eritrea Sharan, M. Ahmed, S. Ghebrehiwet, M. Rogo, K. OBJECTIVE: To examine the quality of the maternal health system in Eritrea to understand system deficiencies and its relevance to maternal mortality within the context of Millennium Development Goal (MDG) 5. METHODS: A sample of 118 health facilities was surveyed. Data were collected on 5 dimensions of health system quality: availability; accessibility; management; infrastructure; and process indicators. Data on the causes of hospital admissions for obstetric patients and maternal deaths were extracted from medical records. RESULTS: Eritrea has only 11 comprehensive emergency obstetric care (CEmOC) facilities, all of which are grossly understaffed. There is considerable pressure on the infrastructure and health providers at hospitals. Compliance with clinical care standards and availability of supplies were optimal. As a result, the case fatality rate of 0.65% was low. In total, 45.6% of obstetric admissions and 19.5% of maternal deaths were attributed to abortion complications. CONCLUSION: In Eritrea, critical gaps in the health system-especially those related to human resources-will impede progress toward MDG 5, and it will not be possible to reduce maternal mortality without addressing the high burden of abortion. 2012-03-30T07:31:29Z 2012-03-30T07:31:29Z 2011 Journal Article Int J Gynaecol Obstet 1879-3479 (Electronic) 0020-7292 (Linking) http://hdl.handle.net/10986/5135 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article Eritrea
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language EN
geographic_facet Eritrea
relation http://creativecommons.org/licenses/by-nc-nd/3.0/igo
description OBJECTIVE: To examine the quality of the maternal health system in Eritrea to understand system deficiencies and its relevance to maternal mortality within the context of Millennium Development Goal (MDG) 5. METHODS: A sample of 118 health facilities was surveyed. Data were collected on 5 dimensions of health system quality: availability; accessibility; management; infrastructure; and process indicators. Data on the causes of hospital admissions for obstetric patients and maternal deaths were extracted from medical records. RESULTS: Eritrea has only 11 comprehensive emergency obstetric care (CEmOC) facilities, all of which are grossly understaffed. There is considerable pressure on the infrastructure and health providers at hospitals. Compliance with clinical care standards and availability of supplies were optimal. As a result, the case fatality rate of 0.65% was low. In total, 45.6% of obstetric admissions and 19.5% of maternal deaths were attributed to abortion complications. CONCLUSION: In Eritrea, critical gaps in the health system-especially those related to human resources-will impede progress toward MDG 5, and it will not be possible to reduce maternal mortality without addressing the high burden of abortion.
format Journal Article
author Sharan, M.
Ahmed, S.
Ghebrehiwet, M.
Rogo, K.
spellingShingle Sharan, M.
Ahmed, S.
Ghebrehiwet, M.
Rogo, K.
The Quality of the Maternal Health System in Eritrea
author_facet Sharan, M.
Ahmed, S.
Ghebrehiwet, M.
Rogo, K.
author_sort Sharan, M.
title The Quality of the Maternal Health System in Eritrea
title_short The Quality of the Maternal Health System in Eritrea
title_full The Quality of the Maternal Health System in Eritrea
title_fullStr The Quality of the Maternal Health System in Eritrea
title_full_unstemmed The Quality of the Maternal Health System in Eritrea
title_sort quality of the maternal health system in eritrea
publishDate 2012
url http://hdl.handle.net/10986/5135
_version_ 1764394075089272832