Evaluation of comprehensive emergency obstetric care program in shenan gibe hospital, jimma town administrative, south west Ethiopia, 2017

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.