PDF(Pubmed)
Abstract：
UNASSIGNED: To reduce maternal mortality by 2030, Benin needs to implement strategies for improving access to high quality emergency obstetric and neonatal care (EmONC). This study applies an expert-based approach using sub-national travel specificities to identify and prioritize a network of EmONC maternities that maximizes both population coverage and functionality.
UNASSIGNED: We conducted a series of workshops involving international, national, and department experts in maternal health to prioritize a set of EmONC facilities that meet international standards. Geographical accessibility modeling was used together with EmONC availability to inform the process. For women in need of EmONC, experts provided insights into travel characteristics (i.e., modes and speeds of travel) specific to each department, enabling more realistic travel times estimates modelled with the AccessMod software.
UNASSIGNED: The prioritization approach resulted in the selection of 109 EmONC maternities from an initial group of 125 designated maternities. The national coverage of the population living within an hour\'s drive of the nearest EmONC maternity increased slightly from 92.6% to 94.1% after prioritization. This increase in coverage was achieved by selecting maternities with sufficient obstetrical activities to be upgraded to EmONC maternities in the Plateau and Atlantique departments.
UNASSIGNED: The prioritization approach enabled Benin to achieve the minimum EmONC availability, while ensuring very good geographical accessibility to the prioritized network. Limited human and financial resources can now be targetted towards a smaller number of EmONC facilities to make them fully functioning in the medium-term. By implementing this strategy, Benin aims to reduce maternal mortality rates and deliver effective, high-quality obstetric and neonatal care, especially during emergencies.
UNASSIGNED: We conducted a series of workshops involving international, national, and department experts in maternal health to prioritize a set of EmONC facilities that meet international standards. Geographical accessibility modeling was used together with EmONC availability to inform the process. For women in need of EmONC, experts provided insights into travel characteristics (i.e., modes and speeds of travel) specific to each department, enabling more realistic travel times estimates modelled with the AccessMod software.
UNASSIGNED: The prioritization approach resulted in the selection of 109 EmONC maternities from an initial group of 125 designated maternities. The national coverage of the population living within an hour\'s drive of the nearest EmONC maternity increased slightly from 92.6% to 94.1% after prioritization. This increase in coverage was achieved by selecting maternities with sufficient obstetrical activities to be upgraded to EmONC maternities in the Plateau and Atlantique departments.
UNASSIGNED: The prioritization approach enabled Benin to achieve the minimum EmONC availability, while ensuring very good geographical accessibility to the prioritized network. Limited human and financial resources can now be targetted towards a smaller number of EmONC facilities to make them fully functioning in the medium-term. By implementing this strategy, Benin aims to reduce maternal mortality rates and deliver effective, high-quality obstetric and neonatal care, especially during emergencies.
摘要：
为了到2030年降低孕产妇死亡率，贝宁需要实施战略，以改善获得高质量紧急产科和新生儿护理（EMONC）的机会。这项研究采用了基于专家的方法，利用国家以下旅行的特殊性来识别和优先考虑EmONC材料网络，以最大程度地提高人口覆盖率和功能。
■我们举办了一系列研讨会，涉及国际，国家,和孕产妇保健部门专家优先考虑一套符合国际标准的EMONC设施。地理可访问性建模与EMONC可用性一起使用以告知该过程。对于需要EMONC的女性来说，专家提供了对旅行特征的见解(即，旅行模式和速度)特定于每个部门，启用使用AccessMod软件建模的更真实的旅行时间估计。
■优先排序方法导致从125个指定母材的初始组中选择109个EmONC母材。在优先排序后，居住在最近的EMONC产妇一小时车程内的人口的全国覆盖率从92.6％略有增加到94.1％。覆盖率的增加是通过选择具有足够产科活动的母材来实现的，这些母材将升级为高原和大西洋省的EMONC母材。
■优先排序方法使贝宁能够实现最低的EMONC可用性，同时确保对优先网络的良好地理可达性。现在可以将有限的人力和财政资源用于数量较少的EMONC设施，以使其在中期内充分运作。通过实施这一战略，贝宁的目标是降低孕产妇死亡率，高质量的产科和新生儿护理，尤其是在紧急情况下。
■我们举办了一系列研讨会，涉及国际，国家,和孕产妇保健部门专家优先考虑一套符合国际标准的EMONC设施。地理可访问性建模与EMONC可用性一起使用以告知该过程。对于需要EMONC的女性来说，专家提供了对旅行特征的见解(即，旅行模式和速度)特定于每个部门，启用使用AccessMod软件建模的更真实的旅行时间估计。
■优先排序方法导致从125个指定母材的初始组中选择109个EmONC母材。在优先排序后，居住在最近的EMONC产妇一小时车程内的人口的全国覆盖率从92.6％略有增加到94.1％。覆盖率的增加是通过选择具有足够产科活动的母材来实现的，这些母材将升级为高原和大西洋省的EMONC母材。
■优先排序方法使贝宁能够实现最低的EMONC可用性，同时确保对优先网络的良好地理可达性。现在可以将有限的人力和财政资源用于数量较少的EMONC设施，以使其在中期内充分运作。通过实施这一战略，贝宁的目标是降低孕产妇死亡率，高质量的产科和新生儿护理，尤其是在紧急情况下。
