Obstetric General Service Readiness in the Primary Healthcare setting in Ogoniland, Niger Delta, Nigeria.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 2
Abstract
Background:New scientific interventions and financial commitments have been introduced in Primary Health Centres PHCs in Nigeria and women are encouraged to give birth in the centres with a view of reducing maternal and perinatal morbidity and mortality. Unfortunately evidence-based assessment of obstetric general service readiness in the centres has not been paid adequate attention and they are decaying. Objectives:The aim of this study was therefore to assess the obstetric general service readiness in PHCs in Ogoniland in the Niger Delta area of Nigeria, identify shortcomings and recommend measures to improve care Method:This was a descriptive observational study whereby a stepwise multistage cluster sampling and analysis of obstetric general service readiness of the PHCs in the 4 Local Government areas that make up Ogoniland was conducted. The following 5 domains were assessed against the WHO benchmarks, using tracer items: basic amenities, basic instruments, standard precautions, laboratory capability and essential medicines. Results:There were 30 functioning Primary Health Centres in Ogoniland. Obstetric general service readiness of the PHCs was generally substandard when compared with the required 100% benchmark for the WHO domains that were used as standards. The average percentage of fulfilled tracer items in the PHCs in the whole of Ogoni kingdom for basic amenities, standard precautions, laboratory capability and essential medicines were 13.33%, 59.76, 51.90% and 39.38% respectively. The corresponding figure for basic equipment was 95% but unfortunately, majority of them were not functional.). Conclusion:The overall poor result of obstetric general service readiness of PHCs in Ogoni Kingdom underscores the urgent need for improvement in the 5 main domains - basic amenities, basic instruments, standard precautions, laboratory capability and essential medicines through funding by the State and Federal Government and / or public-private partnerships.
Authors and Affiliations
Mkpe Abbey, Samuel Uzoigwe
Keywords
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- EP ID EP580483
- DOI 10.9790/0853-1702057687.
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