Availability of Health Services and Preparedness for Basic Emergency Obstetric and Newborn Care in Togo

• DOI: 10.11648/j.wjph.20251002.14
• Publication Date: 2025-06-04T02:14:11Z
• Authors: Wankpaouyare Gmak...; Komi Azianu; Labaguibe Gangak; Gountante Kombate; Mazabalo Bini; Salaraga Bantakpa
• Keywords: Preparedness

<i>Introduction:</i> Togo, like many low-income countries, faces critical challenges in reducing maternal mortality, including limited access to care, inconsistent service quality, and regional disparities healthcare availability. Improving the accessibility readiness of health facilities is essential reduce neonatal deaths by ensuring timely adequate care. This study aims assess preparedness availability services necessary deliver Basic Emergency Obstetric Neonatal Care (BEmONC), focusing on seven functions defined WHO. Using data from 2021 Harmonized Health Facility Assessment (HHFA) a national cross-sectional survey evaluates across facilities. Availability was measured based presence BEmONC signal functions, while assessed using composite index that includes three key criteria: trained staff, diagnostic equipment, medications. methodological framework offers comprehensive evaluation capacity manage obstetric emergencies resource-limited setting, providing insights for strengthening systems. <i>Results</i>: An analysis 200 Togo revealed 76 (38%) these offer services. Hospitals demonstrate superior exhibit higher average score comparison medical-social centres dispensaries (p<0.05). The identified associated with geographical location facilities, regular undertaking death reviews, patient feedback. However, persist, particularly certain interventions, such as manual removal retained products conception resuscitation. paucity ongoing staff training has also been barrier enhancement <i>Conclusion</i>: highlights significant provide To address this, it crucial Ministry strengthen quality assurance implement systematic audits centers. equitable distribution clinical guidelines, medications, continuous improve These measures will facility ensure provision emergency especially areas.