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Percentage of Facilities Which Offered Emergency Obstetric Care for at Least the Last<br />

Three Months<br />

Table 3.19 presents, for health facilities offering delivery services, the signal<br />

functions performed in cases of emergency obstetric care.<br />

During the three months preceding the survey, a blood transfusion was performed in<br />

only 2 percent of all facilities offering delivery services. This service was performed most<br />

often in hospitals (40 percent) and rarely in health centers (2 percent). Caesarean sections<br />

were performed in 5 percent of facilities during the same period, but much more frequently in<br />

the private sector (41 percent) than in the public (3 percent).<br />

Essential functions that were carried out in the facilities providing normal delivery<br />

services included the parenteral application of antibiotics (75 percent) and oxytocic drugs (97<br />

percent), assisted vaginal delivery (98 percent), manual removal of the placenta (73 percent),<br />

manual aspiration (72 percent), and neonatal resuscitation (68 percent).<br />

Table 3.19 Signal functions for emergency obstetric care<br />

Among facilities offering normal delivery services, percentages reporting that they performed the signal functions for emergency obstetric care at least<br />

once during the three months before the survey by background characteristics, Senegal SCSPA 2012–2013<br />

Background<br />

characteristics<br />

Percentage of facilities that applied<br />

parenteral<br />

Antibiotics<br />

Oxytocic<br />

Anticonvulsant<br />

Assisted<br />

vaginal<br />

delivery<br />

Percentage of facilities that carried out the following<br />

Manual<br />

removal of<br />

placenta<br />

Removal of<br />

retained<br />

products of<br />

conception<br />

(MVA)<br />

Neonatal<br />

resuscitation<br />

Blood<br />

transfusion<br />

Caesarean<br />

section<br />

Number of<br />

facilities<br />

offering<br />

normal<br />

delivery<br />

services<br />

Facility type<br />

Hospital 100 96 64 100 80 75 98 40 76 14<br />

Health center 93 100 81 100 89 90 91 2 15 20<br />

Health post 72 96 36 98 72 71 65 0 1 242<br />

Managing authority<br />

Public 75 96 41 98 75 74 67 2 3 257<br />

Private 70 97 39 100 56 48 83 5 41 18<br />

Region<br />

Dakar 93 98 73 100 90 81 100 2 26 26<br />

Diourbel 84 95 35 100 78 57 73 3 3 24<br />

Fatick 63 88 48 100 42 56 88 0 0 21<br />

Kaffrine 90 100 37 100 77 46 58 2 6 13<br />

Kaolack 70 93 38 100 55 70 86 2 2 20<br />

Kédougou 65 100 47 100 66 79 20 9 6 7<br />

Kolda 76 92 36 92 88 72 68 4 4 12<br />

Louga 80 100 43 100 100 100 57 2 2 20<br />

Matam 24 100 24 100 100 100 42 1 1 17<br />

Saint Louis 67 100 8 95 95 100 40 3 3 25<br />

Sédhiou 88 100 49 100 70 82 73 2 2 11<br />

Tambacounda 61 100 38 92 12 20 53 1 1 17<br />

Thiès 91 100 57 96 98 83 85 3 9 37<br />

Ziguinchor 72 89 25 100 30 53 53 0 0 24<br />

Total 75 97 41 98 73 72 68 2 5 275<br />

Health hut NA NA NA 84 NA NA NA NA NA 56<br />

MVA = manual vacuum aspiration<br />

NA = Not applicable<br />

37

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