作者
Gianluca Quaglio, Francesca Tognon, Livio Finos, David Bome, Santigie Sesay, Atiba Kebbie, Francesco Di Gennaro, Bienvenu Salim Camara, Claudia Marotta, Vincenzo Pisani, Zainab Bangura, Damiano Pizzol, Annalisa Saracino, Walter Mazzucco, Susan Jones, Giovanni Putoto
发表日期
2019/9/1
期刊
BMJ open
卷号
9
期号
9
页码范围
e029093
出版商
British Medical Journal Publishing Group
简介
Objectives
To assess the trends concerning utilisation of maternal and child health (MCH) services before, during and after the Ebola outbreak, quantifying the contribution of a reorganised referral system (RS).
Design
A prospective observational study of MCH services.
Setting
Pujehun district in Sierra Leone, 77 community health facilities and 1 hospital from 2012 to 2017.
Main outcome measures
MCH utililization was evaluated by assessing: (1) institutional deliveries, Cesarean-sections, paediatric and maternity admissions and deaths, and major direct obstetric complications (MDOCs), at hospital level; (2) antenatal care (ANC) 1 and 4, institutional delivery and family planning, at community level. Contribution of a strengthened RS was also measured.
Results
At hospital level, there is a significant difference between trends Ebola versus pre-Ebola for maternal admissions (7, 95% CI 4 to 11, p<0.001), MDOCs (4, 95 …
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G Quaglio, F Tognon, L Finos, D Bome, S Sesay… - BMJ open, 2019