PUBLICATION: BMC Health Services Research
Ziraba, A.K., Mills, S., Madise, N., Saliku, T., Fotso, J.C.
Maternal mortality in Sub-Saharan Africa remains a challenge with estimates exceeding 1,000 maternal deaths per 100,000 live births in some countries. Successful prevention of maternal deaths hinges on adequate and quality emergency obstetric care. In addition to skilled personnel, there is need for a supportive environment in terms of essential drugs and supplies, equipment, and a referral system. Many household surveys report a reasonably high proportion of women delivering in health facilities. However, the quality and adequacy of facilities and personnel are often not assessed. The three delay model; 1) delay in making the decision to seek care; 2) delay in reaching an appropriate obstetric facility; and 3) delay in receiving appropriate care once at the facility guided this project. This paper examines aspects of the third delay by assessing quality of emergency obstetric care in terms of staffing, skills equipment and supplies.
Ziraba is an Epidemiologist and a Medical Doctor. His research interests include reproductive, maternal, newborn and child health, HIV/AIDS, health systems research, health and demographic surveillance, estimation of mortality in environments with poor or no...