Post-Ebola situational assessment of opportunities for capacity building at the national obstetrics and gynecology referral hospital in Sierra Leone

Rachel Chan Seay, Alimamy P. Koroma, Jenell S. Coleman Fennell, John Sampson, Lucy Koroma, Emmanuel A. Ugwa, Jean Anderson

Research output: Contribution to journalArticle

Abstract

Objective: To describe a site assessment of the Princess Christian Maternity Hospital (PCMH; Freetown, Sierra Leone), the national referral center for reproductive, maternal, newborn, child and adolescent health (RMNCAH) services and logical site for focused efforts to train and expand the RMNCAH workforce in Sierra Leone. Methods: In April 2016, a mixed-methods assessment approach was used involving facility observation and staff interviews using the WHO's Service Availability and Readiness Assessment (SARA) tool. Quantitative and qualitative data were obtained. Results: PCMH had 150 inpatient beds and provided care for more than 4600 deliveries in 2015. The number of maternal deaths increased at a rate of approximately 40% per month from January 2015 to June 2016 (P=0.005). Key factors requiring attention were identified in the categories of infrastructure and supplies, RMNCAH services, and human resources. Conclusion: SARA provided a framework for identifying strengths and weaknesses in infrastructure and supplies, RMNCAH services, and human resources. The process described might serve as a model for evaluating obstetrics and gynecology training facilities in low- and middle-income countries. Human resources are currently insufficient for the volume and complexity of patients at PCMH. Numerous opportunities exist for strengthening healthcare services and capacity building in Sierra Leone.

Original languageEnglish (US)
Pages (from-to)74-79
Number of pages6
JournalInternational Journal of Gynecology and Obstetrics
Volume141
Issue number1
DOIs
StatePublished - Apr 1 2018

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Sierra Leone
Capacity Building
Adolescent Health Services
Reproductive Health
Gynecology
Obstetrics
Referral and Consultation
Health Manpower
Maternity Hospitals
Maternal Death
Inpatients
Observation
Interviews
Delivery of Health Care
Infant Health
Maternal-Child Health Services

Keywords

  • Clinical governance
  • Maternal mortality
  • OBGYN postgraduate education
  • Sierra Leone
  • Site assessment

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

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title = "Post-Ebola situational assessment of opportunities for capacity building at the national obstetrics and gynecology referral hospital in Sierra Leone",
abstract = "Objective: To describe a site assessment of the Princess Christian Maternity Hospital (PCMH; Freetown, Sierra Leone), the national referral center for reproductive, maternal, newborn, child and adolescent health (RMNCAH) services and logical site for focused efforts to train and expand the RMNCAH workforce in Sierra Leone. Methods: In April 2016, a mixed-methods assessment approach was used involving facility observation and staff interviews using the WHO's Service Availability and Readiness Assessment (SARA) tool. Quantitative and qualitative data were obtained. Results: PCMH had 150 inpatient beds and provided care for more than 4600 deliveries in 2015. The number of maternal deaths increased at a rate of approximately 40{\%} per month from January 2015 to June 2016 (P=0.005). Key factors requiring attention were identified in the categories of infrastructure and supplies, RMNCAH services, and human resources. Conclusion: SARA provided a framework for identifying strengths and weaknesses in infrastructure and supplies, RMNCAH services, and human resources. The process described might serve as a model for evaluating obstetrics and gynecology training facilities in low- and middle-income countries. Human resources are currently insufficient for the volume and complexity of patients at PCMH. Numerous opportunities exist for strengthening healthcare services and capacity building in Sierra Leone.",
keywords = "Clinical governance, Maternal mortality, OBGYN postgraduate education, Sierra Leone, Site assessment",
author = "{Chan Seay}, Rachel and Koroma, {Alimamy P.} and {Coleman Fennell}, {Jenell S.} and John Sampson and Lucy Koroma and Ugwa, {Emmanuel A.} and Jean Anderson",
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T1 - Post-Ebola situational assessment of opportunities for capacity building at the national obstetrics and gynecology referral hospital in Sierra Leone

AU - Chan Seay, Rachel

AU - Koroma, Alimamy P.

AU - Coleman Fennell, Jenell S.

AU - Sampson, John

AU - Koroma, Lucy

AU - Ugwa, Emmanuel A.

AU - Anderson, Jean

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AB - Objective: To describe a site assessment of the Princess Christian Maternity Hospital (PCMH; Freetown, Sierra Leone), the national referral center for reproductive, maternal, newborn, child and adolescent health (RMNCAH) services and logical site for focused efforts to train and expand the RMNCAH workforce in Sierra Leone. Methods: In April 2016, a mixed-methods assessment approach was used involving facility observation and staff interviews using the WHO's Service Availability and Readiness Assessment (SARA) tool. Quantitative and qualitative data were obtained. Results: PCMH had 150 inpatient beds and provided care for more than 4600 deliveries in 2015. The number of maternal deaths increased at a rate of approximately 40% per month from January 2015 to June 2016 (P=0.005). Key factors requiring attention were identified in the categories of infrastructure and supplies, RMNCAH services, and human resources. Conclusion: SARA provided a framework for identifying strengths and weaknesses in infrastructure and supplies, RMNCAH services, and human resources. The process described might serve as a model for evaluating obstetrics and gynecology training facilities in low- and middle-income countries. Human resources are currently insufficient for the volume and complexity of patients at PCMH. Numerous opportunities exist for strengthening healthcare services and capacity building in Sierra Leone.

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