![]() Re-examination of the criteria for selecting and positioning EmONC facilities is recommended, as is the provision of high-quality, essential maternal and neonatal health services at all levels of the healthcare system, linked by appropriate communication and functional referral systems. Notable progress has been made in Afghanistan over the past 8 years in improving the quality, coverage, and utilization of EmONC services, but gaps remain. The direct and indirect obstetric case fatality rates were 0.8% and 0.2%, respectively. Most maternal deaths (96%) were due to direct causes. ![]() ![]() The population-based rate of cesarean delivery was 1%. ![]() The study facilities delivered 17% of all neonates expected in their target populations and treated 20% of women expected to experience direct complications. ![]() In a cross-sectional study of 78 first-line referral facilities located in secure areas of Afghanistan, EmONC service delivery was evaluated by using Averting Maternal Deaths and Disabilities (AMDD) Program assessment tools.įorty-two percent of peripheral facilities did not perform all 9 signal functions required of comprehensive EmONC facilities. To assess the availability and utilization of emergency obstetric and neonatal care (EmONC) facilities in Afghanistan, as defined by UN indicators. ![]()
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