Female health and family planning in Sierra Leone

Reinou S. Groen, Julie Solomon, Mohamed Samai, Thaim B. Kamara, Laura D. Cassidy, Lucie Blok, Adam L. Kushner, Mitra Dhanaraj, Jelle Stekelenburg

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

OBJECTIVE:: To describe the current status of access to maternal care, family planning use, and place of delivery in Sierra Leone, one of the poorest countries in the world with one of the highest maternal mortality rates. METHODS:: Data from the Surgeons OverSeas Assessment of Surgical Need, a cross-sectional two-stage cluster-based household survey conducted in Sierra Leone in 2012, were analyzed to determine access to maternal care, family planning use, and location of delivery. RESULTS:: Of 3,318 females of reproductive age (12-50 years of age), 1,205 participants were interviewed in depth. Twenty percent (95% confidence interval [CI] 17.9-22.5) of respondents reported using family planning methods; injectables were the most frequently used method. Fifty-nine percent (95% CI 54.0-63.0) of the recalled deliveries took place outside of a health facility. Of the total births, 1.9% (95% CI 1.3-2.5) were reportedly delivered by cesarean and 0.4% (9/2,316) with instrumental delivery. There were 53 reported maternal deaths in the 12 months before the survey, resulting in a maternal mortality rate of 1,600 per 100,000 females per year. Of the maternal deaths, 30 females (56.6%) did not receive any type of modern health care with 53% (16/30) of families citing financial constraints. CONCLUSION:: This study reaffirms a low family planning uptake and very low instrument deliveries and cesarean delivery rates in Sierra Leone. Additionally, financial barriers hinder access to health care and indicate that the free health care initiative for pregnant females is not yet fully covering the reproductive needs of the females of Sierra Leone.

Original languageEnglish (US)
Pages (from-to)525-531
Number of pages7
JournalObstetrics and Gynecology
Volume122
Issue number3
DOIs
StatePublished - Sep 2013
Externally publishedYes

Fingerprint

Sierra Leone
Health Planning
Family Planning Services
Maternal Death
Maternal Mortality
Confidence Intervals
Mothers
Delivery of Health Care
Health Services Accessibility
Needs Assessment
Mortality
Health Facilities
Parturition
Injections
Surveys and Questionnaires

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Groen, R. S., Solomon, J., Samai, M., Kamara, T. B., Cassidy, L. D., Blok, L., ... Stekelenburg, J. (2013). Female health and family planning in Sierra Leone. Obstetrics and Gynecology, 122(3), 525-531. https://doi.org/10.1097/AOG.0b013e31829a2808

Female health and family planning in Sierra Leone. / Groen, Reinou S.; Solomon, Julie; Samai, Mohamed; Kamara, Thaim B.; Cassidy, Laura D.; Blok, Lucie; Kushner, Adam L.; Dhanaraj, Mitra; Stekelenburg, Jelle.

In: Obstetrics and Gynecology, Vol. 122, No. 3, 09.2013, p. 525-531.

Research output: Contribution to journalArticle

Groen, RS, Solomon, J, Samai, M, Kamara, TB, Cassidy, LD, Blok, L, Kushner, AL, Dhanaraj, M & Stekelenburg, J 2013, 'Female health and family planning in Sierra Leone', Obstetrics and Gynecology, vol. 122, no. 3, pp. 525-531. https://doi.org/10.1097/AOG.0b013e31829a2808
Groen RS, Solomon J, Samai M, Kamara TB, Cassidy LD, Blok L et al. Female health and family planning in Sierra Leone. Obstetrics and Gynecology. 2013 Sep;122(3):525-531. https://doi.org/10.1097/AOG.0b013e31829a2808
Groen, Reinou S. ; Solomon, Julie ; Samai, Mohamed ; Kamara, Thaim B. ; Cassidy, Laura D. ; Blok, Lucie ; Kushner, Adam L. ; Dhanaraj, Mitra ; Stekelenburg, Jelle. / Female health and family planning in Sierra Leone. In: Obstetrics and Gynecology. 2013 ; Vol. 122, No. 3. pp. 525-531.
@article{4aebf28e64f54e239d285000a2a251be,
title = "Female health and family planning in Sierra Leone",
abstract = "OBJECTIVE:: To describe the current status of access to maternal care, family planning use, and place of delivery in Sierra Leone, one of the poorest countries in the world with one of the highest maternal mortality rates. METHODS:: Data from the Surgeons OverSeas Assessment of Surgical Need, a cross-sectional two-stage cluster-based household survey conducted in Sierra Leone in 2012, were analyzed to determine access to maternal care, family planning use, and location of delivery. RESULTS:: Of 3,318 females of reproductive age (12-50 years of age), 1,205 participants were interviewed in depth. Twenty percent (95{\%} confidence interval [CI] 17.9-22.5) of respondents reported using family planning methods; injectables were the most frequently used method. Fifty-nine percent (95{\%} CI 54.0-63.0) of the recalled deliveries took place outside of a health facility. Of the total births, 1.9{\%} (95{\%} CI 1.3-2.5) were reportedly delivered by cesarean and 0.4{\%} (9/2,316) with instrumental delivery. There were 53 reported maternal deaths in the 12 months before the survey, resulting in a maternal mortality rate of 1,600 per 100,000 females per year. Of the maternal deaths, 30 females (56.6{\%}) did not receive any type of modern health care with 53{\%} (16/30) of families citing financial constraints. CONCLUSION:: This study reaffirms a low family planning uptake and very low instrument deliveries and cesarean delivery rates in Sierra Leone. Additionally, financial barriers hinder access to health care and indicate that the free health care initiative for pregnant females is not yet fully covering the reproductive needs of the females of Sierra Leone.",
author = "Groen, {Reinou S.} and Julie Solomon and Mohamed Samai and Kamara, {Thaim B.} and Cassidy, {Laura D.} and Lucie Blok and Kushner, {Adam L.} and Mitra Dhanaraj and Jelle Stekelenburg",
year = "2013",
month = "9",
doi = "10.1097/AOG.0b013e31829a2808",
language = "English (US)",
volume = "122",
pages = "525--531",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Female health and family planning in Sierra Leone

AU - Groen, Reinou S.

AU - Solomon, Julie

AU - Samai, Mohamed

AU - Kamara, Thaim B.

AU - Cassidy, Laura D.

AU - Blok, Lucie

AU - Kushner, Adam L.

AU - Dhanaraj, Mitra

AU - Stekelenburg, Jelle

PY - 2013/9

Y1 - 2013/9

N2 - OBJECTIVE:: To describe the current status of access to maternal care, family planning use, and place of delivery in Sierra Leone, one of the poorest countries in the world with one of the highest maternal mortality rates. METHODS:: Data from the Surgeons OverSeas Assessment of Surgical Need, a cross-sectional two-stage cluster-based household survey conducted in Sierra Leone in 2012, were analyzed to determine access to maternal care, family planning use, and location of delivery. RESULTS:: Of 3,318 females of reproductive age (12-50 years of age), 1,205 participants were interviewed in depth. Twenty percent (95% confidence interval [CI] 17.9-22.5) of respondents reported using family planning methods; injectables were the most frequently used method. Fifty-nine percent (95% CI 54.0-63.0) of the recalled deliveries took place outside of a health facility. Of the total births, 1.9% (95% CI 1.3-2.5) were reportedly delivered by cesarean and 0.4% (9/2,316) with instrumental delivery. There were 53 reported maternal deaths in the 12 months before the survey, resulting in a maternal mortality rate of 1,600 per 100,000 females per year. Of the maternal deaths, 30 females (56.6%) did not receive any type of modern health care with 53% (16/30) of families citing financial constraints. CONCLUSION:: This study reaffirms a low family planning uptake and very low instrument deliveries and cesarean delivery rates in Sierra Leone. Additionally, financial barriers hinder access to health care and indicate that the free health care initiative for pregnant females is not yet fully covering the reproductive needs of the females of Sierra Leone.

AB - OBJECTIVE:: To describe the current status of access to maternal care, family planning use, and place of delivery in Sierra Leone, one of the poorest countries in the world with one of the highest maternal mortality rates. METHODS:: Data from the Surgeons OverSeas Assessment of Surgical Need, a cross-sectional two-stage cluster-based household survey conducted in Sierra Leone in 2012, were analyzed to determine access to maternal care, family planning use, and location of delivery. RESULTS:: Of 3,318 females of reproductive age (12-50 years of age), 1,205 participants were interviewed in depth. Twenty percent (95% confidence interval [CI] 17.9-22.5) of respondents reported using family planning methods; injectables were the most frequently used method. Fifty-nine percent (95% CI 54.0-63.0) of the recalled deliveries took place outside of a health facility. Of the total births, 1.9% (95% CI 1.3-2.5) were reportedly delivered by cesarean and 0.4% (9/2,316) with instrumental delivery. There were 53 reported maternal deaths in the 12 months before the survey, resulting in a maternal mortality rate of 1,600 per 100,000 females per year. Of the maternal deaths, 30 females (56.6%) did not receive any type of modern health care with 53% (16/30) of families citing financial constraints. CONCLUSION:: This study reaffirms a low family planning uptake and very low instrument deliveries and cesarean delivery rates in Sierra Leone. Additionally, financial barriers hinder access to health care and indicate that the free health care initiative for pregnant females is not yet fully covering the reproductive needs of the females of Sierra Leone.

UR - http://www.scopus.com/inward/record.url?scp=84883207748&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84883207748&partnerID=8YFLogxK

U2 - 10.1097/AOG.0b013e31829a2808

DO - 10.1097/AOG.0b013e31829a2808

M3 - Article

VL - 122

SP - 525

EP - 531

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 3

ER -