Local use of geographic information systems to improve data utilisation and health services: mapping caesarean section coverage in rural Rwanda
| Autor: | Fabien Munyaneza, Leanna Sudhof, Peter Barebwanuwe, Cheryl Amoroso, Giovanni Zambotti, Peter Drobac, Adolphe Karamaga, Lisa R. Hirschhorn |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Rural Population Emergency Medical Services Research methodology Population Obstetrical surgery Health Services Accessibility Program Accessibility Resource Allocation Health services Uterine Rupture Pregnancy Humans Maternal Health Services education Health Services Needs and Demand education.field_of_study Cesarean Section Incidence Rwanda Public Health Environmental and Occupational Health Quality Improvement Hospitals Pregnancy Complications Infectious Diseases Geography Research Design Fetal Mortality Geographic Information Systems Regional health planning Female Parasitology Health Services Research Rural Health Services Humanities |
| Zdroj: | Tropical Medicine & International Health. 18:18-26 |
| ISSN: | 1360-2276 |
| Popis: | Objectives To show the utility of combining routinely collected data with geographic location using a Geographic Information System (GIS) in order to facilitate a data-driven approach to identifying potential gaps in access to emergency obstetric care within a rural Rwandan health district. Methods Total expected births in 2009 at sub-district levels were estimated using community health worker collected population data. Clinical data were extracted from birth registries at eight health centres (HCs) and the district hospital (DH). C-section rates as a proportion of total expected births were mapped by cell. Peri-partum foetal mortality rates per facility-based births, as well as the rate of uterine rupture as an indication for C-section, were compared between areas of low and high C-section rates. Results The lowest C-section rates were found in the more remote part of the hospital catchment area. The sector with significantly lower C-section rates had significantly higher facility-based peri-partum foetal mortality and incidence of uterine rupture than the sector with the highest C-section rates (P |
| Databáze: | OpenAIRE |
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