Proposing Standardised Geographical Indicators of Physical Access to Emergency Obstetric and Newborn Care in Low-Income and Middle Income Countries

Publish Date: June 2019
Author: Steeve Ebener, Karin Stenberg, Michel Brun, Jean-Pierre Monet, Nicolas Ray, Howard Lawrence Sobel, Nathalie Roos, Patrick Gault, Claudia Morrissey Conlon, Patsy Bailey, Allisyn C Moran, Leopold Ouedraogo, Jacqueline F Kitong, Eunyoung Ko, Djenaba Sanon, Farouk M Jega, Olajumoke Azogu, Boureima Ouedraogo, Chidude Osakwe, Harriet Chimwemwe Chanza, Mona Steffen, Imed Ben Hamadi, Hayat Tib, Ahmed Haj Asaad, Tessa Tan Torres

This paper proposes three additional emergency obstetric and newborn care (EmONC) indicators to the standard set for monitoring EmONC; two consider physical accessibility and a third addresses referral time from basic to comprehensive EmONC services. We provide examples to illustrate how the AccessMod tool can be used to measure these indicators, analyse service utilisation and propose options for the scaling-up of EmONC services. The additional indicators and analysis methods can supplement traditional EmONC assessments by informing approaches to improve timely access to achieve Universal Health Coverage and reach Sustainable Development Goals (SDG) 3.


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