Monitoring maternity mortality in Botswana
Monitoring maternity mortality in Botswana
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DOI：
10.1016/s0968-8080(07)30330-3
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发表时间：
2007-11-01
影响因子：
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通讯作者：
Bowelo, Motsholathebe
中科院分区：
文献类型：
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作者：
Mogobe, Keitshokile Dintle;Tshiamo, Wananani;Bowelo, Motsholathebe
本文介绍了博茨瓦纳1998年建立的孕产妇监测系统，以及所使用的主要方法：在服务提供一级进行孕产妇死亡和发病率审查，国家孕产妇死亡率审计委员会对两种形式报告的审查数据进行分析，使用过程指标进行围产期审查和调查。我们对这些结果进行了研究，以检查该系统是否运作良好。对2001年和2006年使用进程指标进行的调查进行了分析。审查的其他数据来自2004-2006年和2007年初。产妇死亡通知表被认为是全面的，但并非所有保健设施都提交了，有些设施提供的信息不完整。2001年，70%的孕妇接受了产前护理，但获得产科急诊的机会不均衡。2006年，接受调查的28家提供产科服务的设施提供24小时分娩护理，但实验室和血液供应较为有限，只有50%的医生和67%的助产士具备救生技能。抗生素可以广泛获得，但硫酸镁、安定、催产剂和手动真空抽吸工具包短缺。已经提出了改进建议，对熟练护理人员的培训正在进行，博茨瓦纳大学刚刚开设了一所医学院。(c)2007年生殖健康问题。All rights reserved.
This paper describes the maternity monitoring system in Botswana, developed in 1998, and the main methods used: maternal death and morbidity reviews at service delivery level, analysis by the National Maternal Mortality Audit Committee of data from the reviews as reported on two forms, perinatal reviews and surveys using process indicators. We carried out a study of these findings to examine whether the system was working well. Surveys using process indicators in 2001 and 2006 were analysed. Other data examined were from 2004-2006 and early 2007. The Maternal Death Notification Form was found to be comprehensive but not all health facilities were submitting them and some gave incomplete information. In 2001, 70% of pregnant women attended antenatal care but access to emergency obstetric care was uneven. In 2006, 28 facilities with Maternity services surveyed were providing 24-hour delivery care, but laboratory theatre and blood supplies were more limited, and only 50% of doctors and 67% of midwives had life-saving skills. Antibiotics were widely available, but there were shortages of magnesium sulphate, diazepam, oxytocics and manual vacuum aspiration kits. Recommendations for improvements have been made, training for skilled attendants is ongoing and a medical school has just opened at the University of Botswana. (c) 2007 Reproductive Health Matters. All rights reserved.