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Use of facility assessment data to improve reproductive health service delivery in the Democratic Republic of the Congo

BACKGROUND: Prolonged exposure to war has severely impacted the provision of health services in the Democratic Republic of the Congo (DRC). Health infrastructure has been destroyed, health workers have fled and government support to health care services has been made difficult by ongoing conflict. P...

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Autores principales: Casey, Sara E, Mitchell, Kathleen T, Amisi, Immaculée Mulamba, Haliza, Martin Migombano, Aveledi, Blandine, Kalenga, Prince, Austin, Judy
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2809040/
https://www.ncbi.nlm.nih.gov/pubmed/20025757
http://dx.doi.org/10.1186/1752-1505-3-12
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author Casey, Sara E
Mitchell, Kathleen T
Amisi, Immaculée Mulamba
Haliza, Martin Migombano
Aveledi, Blandine
Kalenga, Prince
Austin, Judy
author_facet Casey, Sara E
Mitchell, Kathleen T
Amisi, Immaculée Mulamba
Haliza, Martin Migombano
Aveledi, Blandine
Kalenga, Prince
Austin, Judy
author_sort Casey, Sara E
collection PubMed
description BACKGROUND: Prolonged exposure to war has severely impacted the provision of health services in the Democratic Republic of the Congo (DRC). Health infrastructure has been destroyed, health workers have fled and government support to health care services has been made difficult by ongoing conflict. Poor reproductive health (RH) indicators illustrate the effect that the prolonged crisis in DRC has had on the on the reproductive health (RH) of Congolese women. In 2007, with support from the RAISE Initiative, the International Rescue Committee (IRC) and CARE conducted baseline assessments of public hospitals to evaluate their capacities to meet the RH needs of the local populations and to determine availability, utilization and quality of RH services including emergency obstetric care (EmOC) and family planning (FP). METHODS: Data were collected from facility assessments at nine general referral hospitals in five provinces in the DRC during March, April and November 2007. Interviews, observation and clinical record review were used to assess the general infrastructure, EmOC and FP services provided, and the infection prevention environment in each of the facilities. RESULTS: None of the nine hospitals met the criteria for classification as an EmOC facility (either basic or comprehensive). Most facilities lacked any FP services. Shortage of trained staff, essential supplies and medicines and poor infection prevention practices were consistently documented. All facilities had poor systems for routine monitoring of RH services, especially with regard to EmOC. CONCLUSIONS: Women's lives can be saved and their well-being improved with functioning RH services. As the DRC stabilizes, IRC and CARE in partnership with the local Ministry of Health and other service provision partners are improving RH services by: 1) providing necessary equipment and renovations to health facilities; 2) improving supply management systems; 3) providing comprehensive competency-based training for health providers in RH and infection prevention; 4) improving referral systems to the hospitals; 5) advocating for changes in national RH policies and protocols; and 6) providing technical assistance for monitoring and evaluation of key RH indicators. Together, these initiatives will improve the quality and accessibility of RH services in the DRC - services which are urgently needed and to which Congolese women are entitled by international human rights law.
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spelling pubmed-28090402010-01-21 Use of facility assessment data to improve reproductive health service delivery in the Democratic Republic of the Congo Casey, Sara E Mitchell, Kathleen T Amisi, Immaculée Mulamba Haliza, Martin Migombano Aveledi, Blandine Kalenga, Prince Austin, Judy Confl Health Research BACKGROUND: Prolonged exposure to war has severely impacted the provision of health services in the Democratic Republic of the Congo (DRC). Health infrastructure has been destroyed, health workers have fled and government support to health care services has been made difficult by ongoing conflict. Poor reproductive health (RH) indicators illustrate the effect that the prolonged crisis in DRC has had on the on the reproductive health (RH) of Congolese women. In 2007, with support from the RAISE Initiative, the International Rescue Committee (IRC) and CARE conducted baseline assessments of public hospitals to evaluate their capacities to meet the RH needs of the local populations and to determine availability, utilization and quality of RH services including emergency obstetric care (EmOC) and family planning (FP). METHODS: Data were collected from facility assessments at nine general referral hospitals in five provinces in the DRC during March, April and November 2007. Interviews, observation and clinical record review were used to assess the general infrastructure, EmOC and FP services provided, and the infection prevention environment in each of the facilities. RESULTS: None of the nine hospitals met the criteria for classification as an EmOC facility (either basic or comprehensive). Most facilities lacked any FP services. Shortage of trained staff, essential supplies and medicines and poor infection prevention practices were consistently documented. All facilities had poor systems for routine monitoring of RH services, especially with regard to EmOC. CONCLUSIONS: Women's lives can be saved and their well-being improved with functioning RH services. As the DRC stabilizes, IRC and CARE in partnership with the local Ministry of Health and other service provision partners are improving RH services by: 1) providing necessary equipment and renovations to health facilities; 2) improving supply management systems; 3) providing comprehensive competency-based training for health providers in RH and infection prevention; 4) improving referral systems to the hospitals; 5) advocating for changes in national RH policies and protocols; and 6) providing technical assistance for monitoring and evaluation of key RH indicators. Together, these initiatives will improve the quality and accessibility of RH services in the DRC - services which are urgently needed and to which Congolese women are entitled by international human rights law. BioMed Central 2009-12-21 /pmc/articles/PMC2809040/ /pubmed/20025757 http://dx.doi.org/10.1186/1752-1505-3-12 Text en Copyright ©2009 Casey et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Casey, Sara E
Mitchell, Kathleen T
Amisi, Immaculée Mulamba
Haliza, Martin Migombano
Aveledi, Blandine
Kalenga, Prince
Austin, Judy
Use of facility assessment data to improve reproductive health service delivery in the Democratic Republic of the Congo
title Use of facility assessment data to improve reproductive health service delivery in the Democratic Republic of the Congo
title_full Use of facility assessment data to improve reproductive health service delivery in the Democratic Republic of the Congo
title_fullStr Use of facility assessment data to improve reproductive health service delivery in the Democratic Republic of the Congo
title_full_unstemmed Use of facility assessment data to improve reproductive health service delivery in the Democratic Republic of the Congo
title_short Use of facility assessment data to improve reproductive health service delivery in the Democratic Republic of the Congo
title_sort use of facility assessment data to improve reproductive health service delivery in the democratic republic of the congo
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2809040/
https://www.ncbi.nlm.nih.gov/pubmed/20025757
http://dx.doi.org/10.1186/1752-1505-3-12
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