CSwMR

The partograph, an essential item for monitoring labor, is available in more than 8 in
10 facilities (81 percent), but is found less frequently in facilities in Ziguinchor (60 percent),
Kolda (68 percent), Louga (71 percent), Matam (71 percent), Dakar (75 percent), and
Diourbel (78 percent).
Medicines and Basic Commodities for Supporting Deliveries and Newborns
Tables 3.18.1 and 3.18.2 show the availability of medicines and commodities for
delivery and newborn care in the health facilities offering delivery services according to the
type of facility and managing authority and region.
Across the country, among the facilities providing normal delivery services, there was
a limited availability of many essential medications including injectable antibiotics
(53percent), magnesium sulfate (28 percent), intravenous fluids with infusion set (54
percent), calcium gluconate (5 percent), misoprostol (1 percent), and dexamethasone (6
percent).
The availability of essential commodities for newborn care is generally low in all
regions. Notably, misoprostol is available at the regional level only in Dakar and Thiès.
Table 3.18.1 Medicines and commodities for delivery and newborn care byfacility type and managing authority
Among facilities offering normal delivery services, the percentages with essential medicines and commodities for delivery care, essential medicines
for newborns, and priority medicines for mothers observed to be available on the day of the survey by facility type and managing authority, Senegal
SCSPA 2012–2013
Medicines
Facility type
Managing authority
Hospital Health center Health post Public Private
Essential medicines for delivery 1
Injectable uterotonic (oxytocin) 2 74 79 73 73 83 73 NA
Injectable antibiotic 3 68 43 53 51 77 53 NA
Injectable magnesium sulphate 2 66 46 24 26 58 28 NA
Injectable diazepam 77 76 68 68 83 69 NA
Skin disinfectant 91 93 95 96 86 95 74
Intravenous fluids with infusion set 4 76 64 52 54 60 54 NA
Essential medicines for newborns
Antibiotic eye ointment 1 50 38 47 44 79 47 18
4 percent chlorhexidine 1 74 41 47 46 81 48 72
Injectable gentamicin 2 61 64 50 52 50 52 NA
Ceftriaxone powder for injection 62 48 19 22 40 23 NA
Amoxicillin suspension 49 89 79 80 44 78 NA
Total
Health hut
Priority medicines for mothers 5
Sodium chloride injectable solution 76 91 80 81 74 80 NA
Injectable calcium gluconate 55 5 2 3 38 5 NA
Ampicillin powder for injection 70 89 84 84 71 83 NA
Injectable metronidazole 70 54 28 31 38 32 NA
Misoprostol capsules or tablets 9 0 1 0 16 1 0
Azithromycin capsules or tablets or oral liquid 13 4 2 2 17 3 NA
Cefixime capsules or tablets 38 47 20 23 22 23 NA
Benzathine benzyl penicillin powder for injection 39 75 65 66 38 64 NA
Injectable betamethasone/ dexamethasone 47 11 3 3 43 6 NA
Nifedipine capsules or tablets 35 20 18 18 28 19 NA
Number of facilities offering normal delivery services 14 20 242 257 18 275 56
NA = Not applicable
Note: The essential medicines and antibiotic eye ointment for children presented in this table comprise the medicines domain for assessing
readiness to provide basic obstetric care within the health facility assessment methodology proposed by WHO and USAID (2012).
1
All essential medicines for delivery, antibiotic eye ointment, and 4 percent chlorhexidine were assessed and must be available at the service
delivery site.
2
Injectable uterotonic (e.g., oxytocin), injectable magnesium sulphate, and injectable gentamicin are also classified as priority medicines for mothers.
3
Injectable penicillin, injectable gentamycin, injectable ampicillin, or injectable ceftriaxone
4
Normal saline solution, lactated Ringer’s solution, or 5 percent dextrose solution
5 The priority medicines for mothers are defined by WHO; the list is published at http://www.who.int/medicines/publications/A4prioritymedicines.pdf.
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