2. To Avert Death and Disability… … We Need to Ensure that Women have Access To… Emergency Obstetric Care (EmOC)
3. How Can We Improve Access to EmOC? By making sure health facilities provide the services needed to save women’s lives. Eight key functions “signal” a facility’s ability to provide EmOC
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10. How Do We Know Which Women Will E xperience Complications? WE DON’T
11. … But we do know that of any population of pregnant women at least 15% will experience an obstetric complication … This is as true of pregnant women in the US and Europe as of women in Africa, Asia and Latin America Nobody Knows Why This Happens. It is a Fact of Life.
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16. INDICATOR #1 For every 500,000 population, there should be at least: 1 Comprehensive EmOC Facility 4 Basic EmOC Facilities
17. INDICATOR #2 Geographical Distribution of EmOC Facilities EmOC Facilities should be well-distributed to serve 500,000 people Minimum: 1 Comprehensive and 4 Basic EmOC Facilities
18. INDICATOR #3 Proportion of All Births in EmOC Facilities At Least 15% of All Births in the Community Should Take Place in EmOC Facilities
19. INDICATOR #4 Met Need for EmOC Services At Least 100% of Women Estimated to Have Obstetric Complications Should Be Treated in EmOC Facilities
20. INDICATOR #5 Cesarean Sections as a Percentage of All Births Minimum: 5% Maximum: 15%
21. INDICATOR #6 Case Fatality Rate Proportion of Women with Obstetric Complications Admitted to a Facility Who Die: Maximum Acceptable Level: 1%
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26. QUALITY OF EmOC Does Indicator # 6 show that more than 1% of women treated for obstetric complications are dying at your EmOC facilities? Problem:
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28. Any Country Can Avert Maternal Death and Disability if it Makes Good EmOC Available and Accessible on Time
