Availability and distribution of, and geographic access to emergency obstetric care in Zambia
Availability and distribution of, and geographic access to emergency obstetric care in Zambia
复制标题
DOI：
10.1016/j.ijgo.2011.05.007
复制
发表时间：
2011-08-01
影响因子：
3.8
通讯作者：
Campbell, Oona M. R.
中科院分区：
文献类型：
--
作者：
Gabrysch, Sabine;Simushi, Virginia;Campbell, Oona M. R.
目的：评估赞比亚紧急产科护理 (EmOC) 服务的可用性和覆盖范围。方法：使用赞比亚卫生机构普查中报告的 EmOC 信号功能提供情况以及有关人员配置、开放时间和转诊能力的附加标准，将赞比亚所有卫生机构分为提供全面 EmOC、基本 EmOC 或更有限的护理。 EmOC 服务的地理可及性是通过将卫生设施数据与赞比亚人口普查数据联系起来来估计的。结果：赞比亚很少有卫生机构能够提供所有基本的 EmOC 信号功能，并配备合格的卫生专业人员 24 小时提供服务。在赞比亚 1131 个配送设施中，有 135 个（12%）被归类为提供 EmOC。赞比亚在全国范围内几乎达到了联合国 EmOC 密度基准，但 EmOC 设施和卫生专业人员在各省之间分布不均。农村地区获得 EmOC 服务的地理机会较少；在大多数省份，只有不到 25% 的人口居住在 EmOC 设施 15 公里范围内。结论：利用地理信息进行的全国卫生机构普查是评估国家和国家以下各级的服务可用性和覆盖范围的宝贵工具。同时评估卫生工作者密度和地理位置可增加重要信息。 (C) 2011 年国际妇产科联合会。由爱思唯尔爱尔兰有限公司出版。保留所有权利。
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.