Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland
Projestine Muganyizi,
Edward Maswanya,
Stella Kilima,
Grades Stanley,
Ahmad Makuwani,
Julius Massaga,
Victor Bakengesa,
Georgina Msemo
Issue:
Volume 5, Issue 1, January 2017
Pages:
1-8
Received:
4 October 2016
Accepted:
19 January 2017
Published:
15 February 2017
Abstract: In order to assess the availability of Emergency Obstetric and Neonatal Care (EmONC) services in Tanzania Mainland, a Cross-sectional survey of a National sample of obstetric care facilities was conducted in 2015. We adapted the Averting Maternal Deaths and Disabilities (AMDD) tool and did spatial mapping using a calibrated Global Positioning System (GPS) Essential Software for Android and Arc Geographical Information System (GIS) software. Data were analysed using STATA, SPSS and Excel computer programs. Ethical approval was granted by the National Institute for Medical Research and the Ministry of Health, Community Development, Gender, Elderly and Children. We identified 5207 obstetric care facilities which is equivalent to 59.7 facilities per 500,000 population. We surveyed 2405 (46.2%) facilities of which 251 (10.4%) had provided all the 7 Basic Emergency Obstetric and Neonatal Care (BEmONC) in past 3 months. Among these, 130 had provided Comprehensive Emergency Obstetric and Neonatal Care (CEmONC). The UN benchmarks for BEmONC and CEmONC facility densities were attained or exceeded by 40% and 76% in all 25 regions respectively. EmONC facilities were dominated by hospitals and were clustered in cities and townships. In conclusions, the distribution of EmONC facilities in Tanzania Mainland is suboptimal in more than half of regions with clustering around cities and townships.
Abstract: In order to assess the availability of Emergency Obstetric and Neonatal Care (EmONC) services in Tanzania Mainland, a Cross-sectional survey of a National sample of obstetric care facilities was conducted in 2015. We adapted the Averting Maternal Deaths and Disabilities (AMDD) tool and did spatial mapping using a calibrated Global Positioning Syste...
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Advanced Heterotopic Pregnancy: A Case Report
Dehayni Mohamed,
Moussaoui Driss,
Kouach Jaouad
Issue:
Volume 5, Issue 1, January 2017
Pages:
9-19
Received:
15 December 2016
Accepted:
29 December 2016
Published:
17 February 2017
Abstract: Heterotopic pregnancy is a pathological form of biovular dizygotic twin pregnancy. This is a rare disease, but its incidence has increased sharply in recent years due to the development of medically assisted procreation and the resurgence of pelvic infections. Diagnosis and therapeutic management of heterotopic pregnancy are essential to improve maternal prognosis and proper conduct of the intrauterine pregnancy. The authors report a new advanced heterotopic pregnancy in a woman treated for infertility. Through the literature data, they focus on the different aspects of this rare form of pregnancy.
Abstract: Heterotopic pregnancy is a pathological form of biovular dizygotic twin pregnancy. This is a rare disease, but its incidence has increased sharply in recent years due to the development of medically assisted procreation and the resurgence of pelvic infections. Diagnosis and therapeutic management of heterotopic pregnancy are essential to improve ma...
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Obstetric Vesicouterine Fistulas: About 26 Cases Managed at Cocody’s University Hospital (Abidjan-Cote d’Ivoire)
Vedi Andre Loue,
Mamadou Salia Traore,
Kouadio Achille Koffi,
Cassou Roland Adjoby,
Arthur Didier Kouame,
Akpa Yehi Gbary,
Ehouman Serge Boni
Issue:
Volume 5, Issue 1, January 2017
Pages:
20-24
Received:
26 January 2017
Accepted:
14 February 2017
Published:
2 March 2017
Abstract: The aim of this work is to recall the etiopathogenic, diagnostic and therapeutic aspects of vesicouterine fistulas. This is a prospective study of 26 cases of obstetric vesicouterine fistula cared for in Cocody University Hospital Center (Abidjan, Cote d’Ivoire) between 07/09/11 and 24/04/2015. Early in the disease, patients were all in reproductive age with a different obstetrical history. The mean duration of the signs before diagnosis was 6 years. Etiologies are largely dominated by caesarean sections (69%) which four iteratives. The classic Youssef’s triad syndrome had represented 42.3%. Both hysterography and cystography were sufficient to establish the diagnosis of vesicouterine fistula in all cases. All patient underwent transperitoneal laparotomy repair. Peritoneal patch had been necessary in two cases and in four cases a hysterectomy was performed. Functional outcome was satisfactory. Vesicouterine fistula is a rare obstetric complication and very often iatrogenic. The good prognosis after repairing should not make us forget that this pathology seriously affects the quality of life of the patient. There must be a permanent and quality prevention.
Abstract: The aim of this work is to recall the etiopathogenic, diagnostic and therapeutic aspects of vesicouterine fistulas. This is a prospective study of 26 cases of obstetric vesicouterine fistula cared for in Cocody University Hospital Center (Abidjan, Cote d’Ivoire) between 07/09/11 and 24/04/2015. Early in the disease, patients were all in reproductiv...
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