tailieunhanh - Availability and quality of emergency obstetric care in Gambia's main referral hospital: women-users' testimonies

Whilst reproductive health targets and rights have been agreed in international negotiations and universal access to reproductive health services incorporated into the MDG5, many countries do not recognise sexual health as being distinct from reproductive health and the need for sexual health services and information as going beyond those concerning reproduction and HIV. Sexual health services have generally been neglected because providing them requires governments to acknowledge sexual rights including sexual pleasure and sexual orientation; and address issues such as gender roles and power imbalances within relationships. At national levels, there is a general lack. | Reproductive Health BioMed Central Research Availability and quality of emergency obstetric care in Gambia s main referral hospital women-users testimonies Mamady Cham 1 2 Johanne Sundby1 and Siri Vangen3 Open Access Address 1Section for International Health Institute of General Practice and Community Medicine University of Oslo Norway 2Department of State for Health Banjul Gambia and 3National Resource Centre for Women s Health Rikshospitalet Medical Centre Oslo Norway Email Mamady Cham - mamady_cham@ Johanne Siri Vangen - Corresponding author Published 14 April 2009 Received 21 October 2008 Reproductive Health 2009 6 5 doi 1742-4755-6-5 Accepted 14 April 2009 This article is available from http content 6 1 5 2009 Cham et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Reduction of maternal mortality ratio by two-thirds by 2015 is an international development goal with unrestricted access to high quality emergency obstetric care services promoted towards the attainment of that goal. The objective of this qualitative study was to assess the availability and quality of emergency obstetric care services in Gambia s main referral hospital. Methods From weekend admissions a group of 30 women treated for different acute obstetric conditions including five main diagnostic groups hemorrhage hypertensive disorders dystocia sepsis and anemia were purposively selected. In-depth interviews with the women were carried out at their homes within two weeks of discharge. Results Substantial difficulties in obtaining emergency obstetric care were uncovered. Health system inadequacies including lack

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