Evaluation of Provision, Utilization and Quality of Emergency Obstetric and Neonatal Care in the Health District of Kadiolo Mali

Abstract

Objective:  The study was aimed at assessing emergency obstetric and neonatal care in the Health District of Kadiolo Mali.

Methodology:  It was a cross - sectional descriptive study that consisted of collecting public health structures offering complete or basic emergency and neonatal care (S O N U C or S ONUB) in the Kadiolo health district. The sample consisted of all the women who had obstetrical complications or maternal deaths registered in the SONU. United Nations process indicators were used to compare the data.

Results:  the health district of Kadiolo has one S O N U C and three S O N U B for 304,000 inhabitants in 2016 and for 313,480 in 2017 (standard is four S O N U B or one S O N U C 500,000 inhabitants) The S O N U C structures were unevenly distributed in the Kadiolo district. Indeed, S O N U C of Kadiolo and S O N U B of the central community health center and of Zegoua were all located within a radius of 15 km. S O N U of Fourou was located more than 100 km from the S O N U C S O N U structures. The main maternal fetal obstetric emergencies were hemorrhages (3%), uterine rupture (5%) and eclampsia (1.2%).

Conclusion:  At the end of this study, we say that the improvement, use and quality of services depend on the availability of qualified staff at the districts level and the functionality of the referral – evacuation system. The extension of S O N U structures and the involvement of all stakeholders are necessary to reduce maternal neonatal mortality.