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The Role of Indicators and Benchmarks in Reducing Maternal Mortality: A Case Study on EmOC Indicators Samantha Lobis. Pathway to reduction of maternal mortality. Available, accessible, acceptable and good quality:. Health system. EmOC Indicators.
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The Role of Indicators and Benchmarks in Reducing Maternal Mortality: A Case Study on EmOC IndicatorsSamantha Lobis
Pathway to reduction of maternal mortality Available, accessible, acceptable and good quality: Health system
EmOC Indicators WHO, UNFPA, UNICEF, AMDD. Monitoring emergency obstetric care – A handbook. 2009. • Used in 40+ countries to: • Monitor progress of maternal mortality reduction programs • Contribute to national & sub-national planning processes • Inform policy development • Track progress at the global level
EmOC Indicators • Are there enough facilities providing EmOC? • Are the facilities well distributed? • Are enough women using the facilities? • Are women with obstetric complications using the facilities? • Are enough critical services being provided? • Is the quality of service adequate?
Availability of EmOC:Sofala, Mozambique (1999-2005) Recommended minimum Number EmOC facilities Santos et al. Improving emergency obstetric care in Mozambique: The story of Sofala. IJGO, 2006: 190-201.
Met need for EmOC: Sofala, Mozambique (1999-2005) Acceptable level Met need for EmOC Santos et al. Improving emergency obstetric care in Mozambique: The story of Sofala. IJGO, 2006: 190-201.
Direct obstetric case fatality rate: Sofala, Mozambique (1999-2005) Direct obstetric case fatality rate Acceptable level Santos et al. Improving emergency obstetric care in Mozambique: The story of Sofala. IJGO, 2006: 190-201.
Availability of EmOC:Bhutan (2000 & 2002) Source: UNICEF and Ministry of Health and Education, Bhutan, 2002.
Data not for citation or publication. Availability of EmOC:Namibia (2005) Source: Namibia Ministry of Health and Social Services. 2006.
Data not for citation or publication. Cesarean sections as a proportion of all births:Angola (2007) Maximum acceptable level 15% Minimum acceptable level Cesareans as a % of all births Angola Direcção Nacional de Saúde Pública. 2008.
Data not for citation or publication. Met need for EmOC:Cambodia (2007-08) Acceptable level Met need for EmOC Cambodia Ministry of Health. 2009.
Expanding use of EmOC Indicators • Accountability and civil society participation • Inform choice of where to go in an emergency • Provide to community / women’s / civil society groups for monitoring • Accountability within the health system • Strengthen health professionals / district level planners’ efforts to advocate for additional resources • Determine resource allocation – directing the $$ to areas in need • Accountability and independent bodies
Conclusion • Indicators and benchmarks are crucial: • Show what needs to be done to reduce maternal mortality • Monitor progressive realization • Strengthen accountability mechanisms
For more information: www.amddprogram.org