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...
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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 |
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Digital Repository |
institution_category |
Foreign Institution |
institution |
Digital Repositories |
building |
World Bank Open Knowledge Repository |
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World Bank |
language |
EN |
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Eritrea |
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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 |