Availability of Obstetric And Neonatale Mergency Cares (Emonc) In Benin

Abstract

Objective: The aim of our study was to assess the availability of EmONC in Benin. Methodology: Itis a descriptive, analytical and transversal study such as SARA (Service Availability and ReadinessAssessment) which took place from January 1 to August 31, 2013. The sample consisted of health facilities in public and private sectors located in both urban and rural areas. Results: The delivery services were available in 82% of health facilities (97.7% of hospitals, 92.2% of Health Centers (HC), 40.5% of Primary Care Centers (PCC), 86.1% of public’s health facilities have and 75.7% of private). Qualified personnel was available in 88.4% of health-centers. Parenteral administration of antibiotics, oxytocic and anticonvulsants were available respectively 94.2%, 94.2% and 76.1%. The assisted vaginal delivery, the manual removal of placenta and uterine evacuation maneuvers were respectively found in 42.6%, 88.4% and 54.8% of health facilities which practice birth. Neonatal resuscitation was available in 83.9% of facilities including all hospitals, 83% of HC and 47% of PCC. Only a quarter of institutions offering delivery (25.8%) were real BEmONC centers. Cesarean section was available in all hospitals and 3.2% HC. Blood transfusion was available in 25.8% of health facilities surveyed. Actual CEmONC health facilities represent 18.1% of all health facilities offering delivery services. Conclusion: Efforts are still needed to ensure better availability of all EmONC functions to achieve the MDGs.