Emergency obstetric and neonatal care needs assessment: Results of the 2010 and 2014 surveys in Burkina Faso.
OBJECTIVE
To analyze and compare the availability, utilization, and quality of services for maternal and neonatal health in 2010 and 2014 in Burkina Faso.


METHODS
A cross-sectional study of emergency obstetric and neonatal care services (EmONC) in all public and private health facilities in Burkina Faso in 2010 and a sample of 812 health facilities in 2014. The generic tools developed by the Averting Maternal Death and Disability (AMDD) program were used as the basic tools for evaluation.


RESULTS
In 2010, 25 health facilities were considered as EmONC health facilities and there were 23 in 2014. In 2010 and 2014, the proportion of births in EmONC health facilities was low (4.5%). The cesarean delivery rate also remained very low, at 0.9% in 2010 and 1.13% in 2014. The proportion of obstetric complications supported in health facilities was 12.3% in 2010 and 17.1% in 2014. The direct complication case fatality rate in EmONC health facilities was 1.6% in 2010 and 1.3% in 2014.


CONCLUSIONS
The two surveys did not show a significant improvement in the availability, utilization, and quality of maternal and neonatal healthcare services between 2010 and 2014.
Kaya Health and Demographic Surveillance System, Kaya, Burkina Faso; Research Institute of Health Sciences, Ouagadougou, Burkina Faso; African Institute of Public Health, Ouagadougou, Burkina Faso. Electronic address: sekouanda@yahoo.fr.
Seni
S
Kouanda
Kaya Health and Demographic Surveillance System, Kaya, Burkina Faso; Research Institute of Health Sciences, Ouagadougou, Burkina Faso.
Adja M
AM
Ouédraogo
Kaya Health and Demographic Surveillance System, Kaya, Burkina Faso; Research Institute of Health Sciences, Ouagadougou, Burkina Faso; African Institute of Public Health, Ouagadougou, Burkina Faso.
Gautier H
GH
Ouédraogo
Ministry of Health, Ouagadougou, Burkina Faso.
Djeneba
D
Sanon
UNFPA, Ouagadougou, Burkina Faso.
Seydou
S
Belemviré
World Health Organization, Brazzaville, Congo.
Leopold
L
Ouédraogo
D002050:Burkina Faso / Q000453:epidemiology; D003430:Cross-Sectional Studies; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007229:Infant Welfare / Q000706:statistics & numerical data; D007231:Infant, Newborn; D008429:Maternal Welfare / Q000706:statistics & numerical data; D000068101:Maternal-Child Health Services / Q000706:statistics & numerical data*; D007744:Obstetric Labor Complications / Q000453:epidemiology* / Q000517:prevention & control; D018743:Perinatal Care / Q000706:statistics & numerical data; D011181:Postnatal Care / Q000706:statistics & numerical data; D011247:Pregnancy; D019984:Quality Indicators, Health Care
Burkina Faso; EmONC; Emergency obstetric and neonatal care; Maternal health; Quality of care; UN process indicators