Abstract
Background:Maternal and neonatal mortality are unacceptably high in Zanzibar. Maternal mortality and neonatal mortality ratio stand at 350 per 100,000 live births and 29 per 1,000 live births respectively as of 2018. Addressing challenges facing maternal and newborn health requires among others, the assurance of essential medicine and equipment to deliver evidence based interventions. This paper reports evidence gathered on the availability of essential medicines and equipment in providing Emergency Obstetric and Newborn Care (EmoNC) services in Zanzibar. Methods:A cross-sectional mixed methods study design was used to collect information on the availability of drugs and equipment from all health facilities providing delivery services in Zanzibar. Semi-structure interview guide was used to carry in-depth interviews (IDIs) with health facility in-charges while observation on availability of essential medicine and equipment for EmONC was carried using standard observation guide as adopted from Averting Maternal Death and Disability program.
Highlights
Addressing challenges facing maternal and newborn health antibiotics, antihypertensives, anticonvulsants, and equipment 1 requires among others, the assurance of essential medicine for delivery, removal of products of conception and and equipment to deliver evidence based interventions
Improvement of maternal health indicators calls for health system strengthening
One of the six important health system pillars is ensuring availability of all essential medicines, availability is lower in lower levels medicine and supplies
Summary
A cross-sectional mixed methods study design was used to collect information on the availability of drugs and equipment from all health facilities providing delivery services. Semi-structure interview guide was used to carry in-depth interviews (IDIs) with health facility in-charges. I. Background while observation on availability of essential medicine and equipment for EmONC was carried using standard observation guide as adopted from Averting Maternal Death and Disability program. Thematic analysis was adopted for the IDIs, and a descriptive analysis was carried out for the observation data with the aid of STATA computer programme and results were summarized in frequency tables and figures
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