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Availability and quality of emergency obstetric and neonatal care services in Afghanistan

Journal Article
(Published November, 2012)
Kim, K.M. (Author),
Zainullah, P. (Author),
Mungia, J. (Author),
Tappis, H. (Author),
Bartlett, L. (Author),
Zaka, N. (Author)
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To assess the availability and utilization of emergency obstetric and neonatal care (EmONC) facilities in Afghanistan, as defined by UN indicators,  a cross-sectional study of 78 first-line referral facilities located in secure areas of Afghanistan, EmONC service delivery was evaluated by using Averting Maternal Deaths and Disabilities (AMDD) Program assessment tools.  Gaps remain with 42% of peripheral facilities not performing all 9 signal functions required of comprehensive EmONC facilities. However, progress has been made in Afghanistan over the past 8 years in improving the quality, coverage, and utilization of EmONC services. Re-examination of the criteria for selecting and positioning EmONC facilities is recommended, as is the provision of high-quality, essential maternal and neonatal health services at all levels of the healthcare system, linked by appropriate communication and functional referral systems.

Citation: 
Kim Y-M, Zainullah P, Mungia J, Tappis H, Bartlett L, Zaka N. Availability and quality of emergency obstetric and neonatal care services in Afghanistan. Int J Gynaecol Obstet. 2012;116(3):192-6.