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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/5996

Title: Availability and Use of Emergency Obstetric Care Services in Four Districts of West Bengal, India
Authors: Biswas, Akhil Bandhu
Das, Dilip Kumar
Misra, Raghunath
Roy, Rabindra Nath
Ghosh, Debdatta
Mitra, Kaninika
Keywords: Maternal mortality; Emergency obstetric care; Process indicators; Caesarean section; Health services; Case-fatality rate; Cross-sectional studies; India
Issue Date: 31-Dec-2005
Publisher: ICDDR,B: Centre for Health and Population Research
Citation: The Journal of Health, Population and Nutrition (ISSN: 1606-0997) Vol 23 Num 3
Abstract: Process indicators have been recommended for monitoring the availability and use of emergency obstetric care (EmOC) services. A health facility-based study was carried out in 2002 in four districts of West Bengal, India, to analyze these process indicators. Relevant records and registers for 2001 of all studied facilities in the districts were reviewed to collect data using a pre-designed schedule. The numbers of basic and comprehensive EmOC facilities were inadequate in all the four districts compared to the minimum acceptable level. Overall, 26.2% of estimated annual births took place in the EmOC facilities (ranged from 16.2% to 45.8% in 4 districts) against the required minimum of 15%. The rate of caesarean section calculated for all expected births in the population varied from 3.5% to 4.4% in the four districts with an overall rate of 4%, which is less than the minimum target of 5%. Only 29.9% of the estimated number of complications (which is 15% of all births) was managed in the EmOC facilities. The combined case-fatality rate in the basic/comprehensive EmOC facilities was 1.7%. Major obstetric complications contributed to 85.7% of maternal deaths, and pre-eclampsia/eclampsia was the most common cause. It can be concluded that all the process indicators, except proportion of deliveries in the EmOC facilities, were below the acceptable level. Certain priority measures, such as making facilities fully functional, effective referral and monitoring system, skill-based training, etc., are to be emphasized to improve the situation.
URI: http://hdl.handle.net/1807/5996
Other Identifiers: http://www.bioline.org.br/abstract?id=hn05034
Rights: Copyright 2005 - ICDDR,B: Centre for Health and Population Research
Appears in Collections:Bioline International Legacy Collection

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