Averting Maternal Death and Disability : Role of Eoc in Chittagong District

Abstract

Objectives of this study are: 1. To find out the number of facitilities providing EmOC services in rural areas of Chittagong district. 2. To assess the proportion of women who deliver at Emoc facilities. 3. To find out the “METNEED” at EmOC facilities. 4. To find out the caesarean deliveries as a proportion of all births at EmOC. 5. To see the “Case fatality rate” which reflects the quality of care & facility performance. This is a retrospective study between January 2009 to December 2009 done in thirteen upazilla health complexes in Chittagong district of population size-52,39,000. Outcome measures are availability of EmOC, Proportion of births in EmOC facilities, Met need, Cesarean deliveries &case fatality rate. About 6.7 & of births take place in Comprensive EmOC facilities and 2.4% in Basic EmOC (i.e. About 9.1% births are institutional). Study shows that “Met Need” is about 18%. Only <0.8% of all births in the population is delivered by casesarean section. In this study case fatality rate is only .067%. This study describes the baseline indicates calculated in different upazillas. In Chittagong only 5 Comprehensive EmOC services are not sufficient to cover the largely populated area. If we expand the Basic EmOC and Comprehensive EmOC we can help the people even in grass root level.

JCMCTA 2012; 23(1): 7-10