Role of faith-based and nongovernment organizations in the provision of obstetric services in 3 African countries - 21/11/12
, Ana Pilar Betrán, PhD b, Mariana Widmer, MSc b, João Paulo Souza, PhD b, Ahmet Metin Gülmezoglu, PhD b, Armando Seuc, PhD b, Maria Regina Torloni, PhD c, Tigest Ketsela Mengestu, MPH d, Mario Merialdi, PhD b
Reprints: Joshua Peter Vogel, MBBS, Department of Reproductive Health and Research, World Health Organization, Avenue Appia 20, Geneva, CH-1211, SwitzerlandRésumé |
Objective |
We sought to describe obstetric care capacity of nongovernment organization (NGO)-/faith-based organization (FBO)-run institutions compared to government-run institutions in 3 African countries using the World Health Organization Global Survey. We also compared delivery characteristics and outcomes.
Study Design |
This is a descriptive analysis of the 22 NGO-/FBO-run institutions in Uganda, Kenya and Democratic Republic of Congo delivering 11,594 women, compared to 20 government-run institutions delivering 25,825 women in the same countries and period.
Results |
Infrastructure, obstetric services, diagnostic facilities, and anesthesiology at NGO/FBO institutions were comparable to government institutions. Women delivering at NGO/FBO institutions had more antenatal care, antenatal complications, and cesarean delivery. NGO/FBO institutions had higher obstetrician attendance and lower rates of eclampsia, preterm birth, stillbirth, Apgar <7, and neonatal near miss.
Conclusion |
NGO/FBO institutions are comparable to government institutions in capacity to deliver obstetric care. NGO/FBOs have been found effective in providing delivery care in developing countries and should be appropriately recognized by stakeholders in their efforts to assist nations achieve international goals.
Le texte complet de cet article est disponible en PDF.Key words : Africa, faith-based organization, nongovernment organization, obstetric care
Plan
| J.P.V. is supported by an Australian Postgraduate Award and the A&A Saw Scholarship. The WHO Global Survey on Maternal and Perinatal Health was funded by the Governments of China, India, and Japan and the United States Agency for International Development (USAID). |
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| The findings and conclusions in this article are those of the named authors only. |
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| The authors report no conflict of interest. |
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| Cite this article as: Vogel JP, Betrán AP, Widmer M, et al. Role of faith-based and nongovernment organizations in the provision of obstetric services in 3 African countries. Am J Obstet Gynecol 2012;207:495.e1-7. |
Vol 207 - N° 6
P. 495.e1-495.e7 - décembre 2012 Retour au numéro
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