TITLE:
Effect of the Implementation of Emonc in the Reduction of Maternal Deaths in the Department of Collines from 2018 to 2022
AUTHORS:
Joachim Aifa, Florence Abraham, Roger Klikpezo, Edgard-Marius Ouendo, Badirou Aguemon
KEYWORDS:
Effect, BEmONC, CEmONC, Maternal deaths, Department of Collines
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.2,
February
28,
2024
ABSTRACT: Background: Maternal
and neonatal mortality remains a public health problem in Benin. Each year,
approximately 1500 maternal deaths and more than 12,000 newborn deaths are
recorded there. In order to correct the situation, strategies such as the
implementation of Emergency Obstetric and Neonatal Care (EmONC) were initiated. Objective: Determine the rates of maternal deaths in EmONC centers in
the Collines department from 2018 to 2022. Framework and Methods: The
study took place in Benin precisely in the Collines department. This was a
descriptive cross-sectional study. Data collection was carried out during the
first two weeks of January 2023 and covered data from the 09 Basic Emergency
Obstetric and Neonatal Care centers (BEMONC) and the Obstetric and Neonatal
Care centers of Complete Emergency (CEmONC) of the Collines department from
2018 to 2022. An estimate of the ratios of maternal deaths occurring at the
level of the EmONC centers of the Collines department from 2018-2022 was
carried out followed by constructive suggestions. Results: During the
five years (2018 to 2022), the Collines department recorded 42,582 live births
with 148 maternal deaths, i.e. a
ratio of 348 maternal deaths per 100,000 live births. Between 2018 and 2022,
the highest maternal death ratio was recorded in 2019, i.e. 425 maternal deaths per 100,000 live births for all EmONC
centers and 607 maternal deaths per 100,000 live births in EmONC centers. The
highest maternal death ratio at the BEmONC center level was recorded in 2020, i.e. 129 maternal deaths per 100,000 births. Conclusion: These results suggest that despite the implementation of
EmONC in the Collines department, maternal deaths have not decreased. To
improve these outcomes for a reduction in maternal deaths, urgent action must
be taken.