Temporal trends analysis of emergency obstetric and newborn care availability and readiness index of healthcare facilities in Burkina Faso

• Published in: BMC health services research Vol. 24; no. 1; pp. 1295 - 12
• Main Authors: Ilboudo, Dieudonné, Sombié, Issiaka, Koffi, Alain K., Asiki, Gershim, Yaméogo, Téné Marcéline, Kirakoya-Samadoulougou, Fati
• Format: Journal Article
• Language: English
• Published: London BioMed Central 29.10.2024; BioMed Central Ltd; BMC
• Subjects: Analysis; Availability; Blood transfusion; Blood transfusions; Burkina Faso; Caesarean section; Care and treatment; Cesarean section; Delivery, Obstetric - standards; Delivery, Obstetric - statistics & numerical data; Emergency medical services; Emergency Medical Services - standards; Emergency obstetric; Evaluation; Fatalities; Female; Forecasts and trends; Health Administration; Health care system; Health facilities; Health Facilities - standards; Health Informatics; Health Services Accessibility; Humans; Infant, Newborn; Infants (Newborn); Maternal health services; Maternal Health Services - standards; Maternal mortality; Medicine; Medicine & Public Health; Newborn care; Nursing Research; Pregnancy; Preparedness; Public Health; Services; Trends; Womens health; Burkina Faso; Africa; Availability; Caesarean section; Health care system; Burkina Faso; Readiness; Newborn care; Blood transfusion; Emergency obstetric
• ISSN: 1472-6963; 1472-6963
• DOI: 10.1186/s12913-024-11818-y

Background Ensuring healthcare services are equipped to offer; emergency obstetric and newborn care (EmONC) is crucial for improving the quality of maternal and newborn care in low- and middle-income countries. We assessed the temporal trends of the availability and readiness of the healthcare system to provide EmONC in Burkina Faso. Methods We analyzed the data from three national health facilities surveys, conducted in 2014, 2016 and 2018, using the WHO Service Availability and Readiness Assessment tool. We performed multivariable linear regression models to examine the trends. Results Between 2014 and 2018, the percentage of healthcare facilities providing delivery service and blood transfusion significantly decreased (88.1% to 75.4% for delivery services and 67.3% to 50.2% for blood transfusion, p  < 0.001). The readiness index of healthcare facilities to provide basic EmONC showed a negative trend according to public healthcare, primary healthcare, and Centre-Nord, Centre-sud, Hauts-Bassins, Nord, Plateau Central and Sud-ouest health regions. Conclusions We observed multiple indications of a decline in the readiness of healthcare services to offer EmONC in Burkina Faso from 2014 to 2018. As such, bolstering the capabilities of health facilities to deliver EmONC is essential for hastening the decrease in maternal mortality.