Abstract:
Background: Comprehensive emergency obstetric care (CEmOC) program is the strategy
used to reduce maternal mortality and morbidity. Ethiopia is one of the countries with high
maternal mortality, 412/100,000 live births, and significant number of mothers attending
comprehensive emergency obstetric care is missing opportunities for different recommended
services Objective. : To evaluate the implementation of comprehensive emergency obstetric care program
in Shenan Gibe Hospital in, 2017
Method: Single case study design using both Quantitative and Qualitative methods were
conducted from March 1 to 30. The evaluation was focused on the process of Comprehensive
emergency obstetric care program and the approach of evaluation was formative. Availability,
compliance and acceptability dimensions were employed. Exit interview was conducted with a
total of 293clients and Resource inventory and documents were reviewed from October1/2016 to
March 30/2017 and 30 observation session were conducted. Qualitatively, a total of 5 in-depth
interviews were conducted with different stake holder. Quantitative data for exit interview was
entered to Epidata 3.1 and analyzed by SPSS version 20. Qualitative data was transcribed into text
formats, translated to English language and then analyzed manually through content analysis.
Result: The process of CEmOC program service in Shenan Gibe hospital was measured to be
74.4% which is good according to the judgment parameter. However, there is intermittent supply
of drug like magnesium sulfate; hydralazine and the compatible blood are not available as it is
needed. In terms of dimensions the availability of resources and the compliance to standards of
care were good with 73.8% and 84. 05% respectively and it requires improvement. However, the
acceptability of the program found to be 62.4% which need urgent improvement. The proportion
of clients satisfied with overall processes of the program services were 243 (82.9%).
Conclusion: The overall process of CEmOC program service in Shenan Gibe hospital was good
requiring improvement according to judgment parameter. Thus program resources and back up
equipment should be consistently available and supplied for the facilities. Performance of the
midwife following the labor by partograph and Compliance of Surgical safety check list in
operation room theatre during caesarean section should followed and correction should be given.
