Examples of Analyses from Recent Needs Assessments
Indicator: Availability of comprehensive and basic EmOC facilities Recommendation: for every 500,000
population we should have a minimum of 5 EmONC facilities, where at least 1 is Comprehensive
Source: Monitoring Emergency Obstetric Care: A Handbook, WHO, UNICEF, UNFPA and AMDD (June 2009)
0
20
40
60
80
100
120
2000 2002 2003 2004 2005
Basic Comprehensive
Minimum number of facilities with EmOC
Availability of facilities with EmOC: Sofala, Mozambique, 2006
Source: Santos et al. (2006).
Availability of facilities with EmOC: Ethiopia, 2008
Source: FMOH Ethiopia. (2008). Preliminary Results.
Fulfillment of recommended minimum number of EmOC facilities: Angola 2007
125%
72%
52% 52% 51%50% 46%42% 39% 38%
25% 21% 19%19% 17%17% 15%8%
0%0%
20%
40%
60%
80%
100%
120%
140%
Source: MoH, UNICEF, UNFPA, WHO. (2007). Preliminary Results.
How many hospitals provide CEmOC?Ethiopia 2009
Hospitals
Source: FMOH Ethiopia. (2008). Preliminary Results.
How many health centers provide BEmOC? Ethiopia 2009
Health Centers
Source: FMOH Ethiopia. (2008). Preliminary Results.
Facilities that performed the Signal Function in the last 3 months: Angola 2007
Source: MoH, UNICEF, UNFPA, WHO. (2007). Preliminary Results.
Nurses and Midwives: Numbers trained and not yet trained in BEmOC: Ethiopia 2009
2511
1493988
1906
2262
184248100137167130
23
20
78
040
50
72
29610
0
500
1000
1500
2000
2500
3000
Trained
Not yet trained
Source: FMOH Ethiopia. (2008). Preliminary Results.
Availability of cesarean delivery:Angola 2007Cabinda 1
Zaire5
Uige77
Kuanza Sul4
Benguela7
Huambo1
Bié2 Moxico
3
Kuando Kubango1
Namibe1
Huila7
Cunene2
Lunda Sul 1
Lunda Norte3
Malange1
Bengo1
Kuanza Norte2
Luanda7
Source: MOH, UNICEF, UNFPA, WHO. (2007). Preliminary Results.
Institutional cesarean delivery rate by sector: Ethiopia 2009
45%
17%
8%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
For profit Not for profit Government
Source: FMOH Ethiopia. (2008). Preliminary Results.
Availability of anticonvulsants among facilities that had used them in the last 12 months: Angola 2007
0%10%
20%30%
40%50%60%
70%80%
90%100%
Mag Sulfate Diazepam Both
Source: MOH, UNICEF, UNFPA, WHO. (2007). Preliminary Results.
Case fatality rates for eclampsia: Angola 2007
5.55%
1.13%
1.37%
8.97%
Luanda 17 provinces Huila + Benguela 15 provinces
Source: MOH, UNICEF, UNFPA, WHO. (2007). Preliminary Results.
Percent of facilities with items needed for BEmOC, by type of facility: Ethiopia 2009
46
76
80
88
92
94
94
97
46
35
36
46
56
41
87
86
0 20 40 60 80 100 120
Blank partographs
Ventilatory bag
MVA equipment
Vacuum extractor
Oxytocin
Diazepam
Ampicillin
Gentamicin
Hospitals Health Centers
Source: FMOH Ethiopia. (2008). Preliminary Results.
Causes of maternal death: Angola 2007
N=1,410
Source: MOH, UNICEF, UNFPA, WHO. (2007). Preliminary Results.
Direct causes of maternal deaths: Angola 2007
Hemorrhage25%
HDP20%
Sepsis8%
Ect Preg6%
Abortion4%
Other13%
Uterine Rupture
10%Pro/Obs Labor14% N=860
Source: MOH, UNICEF, UNFPA, WHO. (2007). Preliminary Results.
Case fatality rates by complication: Sofala, Mozambique 2000-2005
Source: Santos et al. (2006).