Emergency obstetric and newborn care utilization in Burkina Faso: trend from 2010 to 2016

Abstract

Introduction: The aim of this study was to describe changes in the provision of basic emergency obstetric and newborn care (EmONC) signal functions in health facilities (referral hospitals and first-level health centres) in Burkina Faso from 2010 to 2016.
Methods: We conducted a secondary analysis of data from cross-sectional assessments of EmONC needs carried out in Burkina Faso in 2010, 2014 and 2016 in all health facilities.
Results: Our results showed that the proportion of facilities that administered parenteral antibiotic (70.3%, n=1628 in 2010 to 91.8%, n=422 in 2016, p<0.001), uterotonic (93.6%, n=1628 in 2010 to 98.9%, n=422 in 2016, p<0.001), and anticonvulsant (38.1%, n=1628 in 2010 to 67%, n=422 in 2016, p<0.001) increased over time. Meanwhile, the percentage of facilities that performed manual vacuum aspiration or curettage (66.5%, n=1628 in 2010 to 45.4%, n=422 in 2016, p<0.001) and assisted vaginal delivery (2%, n=1628 in 2010 ; 4.4% with n= 780 in 2014 and 3%, n=422 in 2016, p<0.001) increased from 2010 to 2014, and decreased afterwards.
Conclusion: Assisted vaginal delivery was the least performed signal function. The inclusion of this function in EmONC health facilities assessment criteria should be revised.