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).