Female Health and Family Planning in Sierra Leone

被引:7
作者
Groen, Reinou S. [1 ]
Solomon, Julie
Samai, Mohamed
Kamara, Thaim B.
Cassidy, Laura D.
Blok, Lucie
Kushner, Adam L.
Dhanaraj, Mitra
Stekelenburg, Jelle
机构
[1] Johns Hopkins Univ Hosp, Dept Gynecol & Obstet, Baltimore, MD 21287 USA
关键词
MATERNAL MORTALITY;
D O I
10.1097/AOG.0b013e31829a2808
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: To describe the current status of access to maternal care, family planning use, and place of delivery in Sierra Leone, one of the poorest countries in the world with one of the highest maternal mortality rates. METHODS: Data from the Surgeons OverSeas Assessment of Surgical Need, a cross-sectional two-stage cluster-based household survey conducted in Sierra Leone in 2012, were analyzed to determine access to maternal care, family planning use, and location of delivery. RESULTS: Of 3,318 females of reproductive age (12-50 years of age), 1,205 participants were interviewed in depth. Twenty percent (95% confidence interval [CI] 17.9-22.5) of respondents reported using family planning methods; injectables were the most frequently used method. Fifty-nine percent (95% CI 54.0-63.0) of the recalled deliveries took place outside of a health facility. Of the total births, 1.9% (95% CI 1.3-2.5) were reportedly delivered by cesarean and 0.4% (9/2,316) with instrumental delivery. There were 53 reported maternal deaths in the 12 months before the survey, resulting in a maternal mortality rate of 1,600 per 100,000 females per year. Of the maternal deaths, 30 females (56.6%) did not receive any type of modern health care with 53% (16/30) of families citing financial constraints. CONCLUSION: This study reaffirms a low family planning uptake and very low instrument deliveries and cesarean delivery rates in Sierra Leone. Additionally, financial barriers hinder access to health care and indicate that the free health care initiative for pregnant females is not yet fully covering the reproductive needs of the females of Sierra Leone.
引用
收藏
页码:525 / 531
页数:7
相关论文
共 19 条
[11]   ESTIMATING MATERNAL MORTALITY - THE SISTERHOOD METHOD [J].
GRAHAM, W ;
BRASS, W ;
SNOW, RW .
STUDIES IN FAMILY PLANNING, 1989, 20 (03) :125-135
[12]   Untreated surgical conditions in Sierra Leone: a cluster randomised, cross-sectional, countrywide survey [J].
Groen, Reinou S. ;
Samai, Mohamed ;
Stewart, Kerry-Ann ;
Cassidy, Laura D. ;
Kamara, Thaim B. ;
Yambasu, Sahr E. ;
Kingham, T. Peter ;
Kushner, Adam L. .
LANCET, 2012, 380 (9847) :1082-1087
[13]   Pilot Testing of a Population-based Surgical Survey Tool in Sierra Leone [J].
Groen, Reinou S. ;
Samai, Mohamed ;
Petroze, Robin T. ;
Kamara, Thaim B. ;
Yambasu, Sahr E. ;
Calland, James F. ;
Kingham, T. Peter ;
Guterbock, Thomas M. ;
Choo, Barbara ;
Kushner, Adam L. .
WORLD JOURNAL OF SURGERY, 2012, 36 (04) :771-774
[14]  
Koroma DS., 2006, Republic of Sierra Leone 2004 Population and Housing Census
[15]  
The World Bank: MDGs, 2011, TAC MDGTRACK
[16]  
UNDP, UNDP 2011 REPORT SIE
[17]   Maternity waiting facilities for improving maternal and neonatal outcome in low-resource countries [J].
van Lonkhuijzen, L. ;
Stekelenburg, J. ;
van Roosmalen, J. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2009, (03)
[18]   The lifetime risk of maternal mortality: concept and measurement [J].
Wilmoth, John .
BULLETIN OF THE WORLD HEALTH ORGANIZATION, 2009, 87 (04) :256-262
[19]   ASSESSING THE ROLE OF FAMILY-PLANNING IN REDUCING MATERNAL MORTALITY [J].
WINIKOFF, B ;
SULLIVAN, M .
STUDIES IN FAMILY PLANNING, 1987, 18 (03) :128-143