Availability and accessibility of basic emergency obstetric and neonatal care in maternity wards in Cotonou, republic of Benin in 2021

Abstract

Introduction: In 2018 in Benin, maternal and newborn health indicators showed a deficit in emergency obstetric and neonatal
care. Objectives: To assess the availability and accessibility of basic emergency obstetric and neonatal care (BEONC) in intermediate maternity hospitals in Cotonou in 2021. Methods: This is a cross-sectional, descriptive and evaluative study of BEONC activities offered in public health facilities in Cotonou between May and July 2021. It focused on patients, newborns and caregivers. Sampling was non-probability with a comprehensive census of cases. The availability and accessibility of the 7 basic BEONC functions were evaluated. Accessibility to a BEONC function was good when used for 100% of the emergencies for which it is recommended. Results: Six (6) out of seven (7) SONUB functions were available in Cotonou. The availability of enhanced qualified human resources in BEONC was 33.3%. It ranged from 0 to 66.7% for antibiotics, oxytocics in general, and material resources. It was 100% for oxytocin, anticonvulsants, and BEONC equipment. Accessibility to vacuum/forceps delivery was 0% but ranged from 44.6% to 84.7% for oxytocin, antibiotics, and manual vacuum aspiration practice. It was 100% for magnesium sulphate, Artificial delivery and uterine revision and neonatal resuscitation. Conclusion: The vast majority of BEONC functions were available in Cotonou but their accessibility deserved improvement through training and mentoring. availability, accessibility, care, obstetric emergencies, Cotonou