title: Upgrading obstetric care at a secondary referral hospital, Ogun State, Nigeria. The Lagos PMM Team.
abstract: BACKGROUND
  A 1991 inventory at the State Hospital, Ota, in Ogun State, Nigeria, showed inadequate surgical equipment, drugs, blood and power supply. A time-motion study indicated substantial delays in receiving obstetric care.
  
  
  METHODS
  In 1994, medical officers and midwives were given refresher courses in emergency obstetric skills. In 1995, the surgical theater, labor ward and laboratory were provided with the necessary supplies and equipment. A reliable electrical supply was set up, but problems were encountered in establishing blood services. Subsequent community interventions focused on improving access and reducing delay in seeking care.
  
  
  RESULTS
  The annual number of women with complications seen, which had been declining--from 123 in 1992 to 55 in 1994--increased to 91 in 1995. Case fatality rate (CFR) due to major direct obstetric complications did not change appreciably, i.e. it was 6.6% in 1995, as compared with 7.3%, 8.3% and 7.3% for the years 1992-1994, respectively.
  
  
  RESULTS
  The cost of hospital improvements was approximately US $46,000.
  
  
  CONCLUSIONS
  The facility improvements were completed only recently in mid-1995. It is hoped that improved services will result in reductions in CFR and motivate more women with complications to seek hospital care, despite difficult economic conditions prevailing in Nigeria.
authors.affiliation: College of Medicine, University of Lagos, Nigeria.
authors.forename: A A
authors.initials: AA
authors.lastname: Olukoya
authors.forename: M A
authors.initials: MA
authors.lastname: Ogunyemi
authors.forename: C O
authors.initials: CO
authors.lastname: Akitoye
authors.forename: O
authors.initials: O
authors.lastname: Abudu
authors.forename: M A
authors.initials: MA
authors.lastname: Tijani
authors.forename: A O
authors.initials: AO
authors.lastname: Epoyun
authors.forename: C E
authors.initials: CE
authors.lastname: Ahabue
authors.forename: O
authors.initials: O
authors.lastname: Shaba
mesh_terms: D005260:Female; D006801:Humans; D008427:Maternal Health Services / Q000592:standards*; D009549:Nigeria; D009775:Obstetrics and Gynecology Department, Hospital / Q000191:economics / Q000592:standards; D011247:Pregnancy; D011248:Pregnancy Complications / Q000401:mortality; D011787:Quality of Health Care / Q000191:economics