joint-aus-us-gov-review-hamlin-fistula-ethiopia-final-report.doc

Figure 2 number of surgeries performed by hospital

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Figure 2: Number of surgeries performed by hospital 2011/2012 *Additional surgeries are 3 rd /4 th degree tear, Urethral stricture, Bladder stone removal, Lengthening and shortening for stress incontinence, closed vagina, colostomy, Hysterectomy, Caesarean section related to fistula, etc. Source: Data from HFE Annual Report 2011-2012 AusAID Health Resource Facility 50 Managed by HLSP in association with IDSS
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AID and USAID Review of Support to Hamlin Fistula Ethiopia (Ethiopia) 31/05/2018 Services Order 230 Draft report Figure 3: Trends in fistula repair HFE and WAHA Source: USAID Situation assessment OF in Ethiopia Figure 3 above shows trends in fistula repair in 5 HFE and 3 WAHA facilities. Both Harar and Mettu show a declining trend following an increase in 2011; In Bahar Dar, Mekelle and Yrgalem, where the trend is declining, it is also true that uptake for family planning is higher than in most other areas. Having part-time surgeons in Mettu and Harar is thought to be a reason for low levels. Community mobilisation provided by the various NGOs in Bahir Dar and Yrgalem help in case identification and transfer to hospitals. In the 3 WAHA facilities, numbers are still low, but the trend is showing a steady increase. It is important to understand the trends and to explain these in reports and take action where possible to ensure that cases are identified and referred. Figure 4: Admissions and Surgeries in Fistula repair for all centres 2009-2012 Figure 4 above shows that there is a reduction in the number of cases admitted which are operated on without any explanation. Midwife deployment in government health centres The HFE midwives provide the required services at Health Centre level which include antenatal care, safe delivery, postnatal care, family planning and all other maternal and newborn health related services. AusAID Health Resource Facility 51 Managed by HLSP in association with IDSS
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AID and USAID Review of Support to Hamlin Fistula Ethiopia (Ethiopia) 31/05/2018 Services Order 230 Draft report Skilled delivery The HFE deliveries shown in Table 1 are extrapolated from the 2011-12 Annual Report to AusAID (consultant report) and cumulative data provided by HCM from each of the health centres (see Figure 5). These are completely different . The totals show how HFE’s numbers compare with total number of skilled deliveries in the entire region for 2011-2012 taken from FMOH HMIS. Midwives’ performance in Health Centres 2011-2012 Table 1: Skilled deliveries by health centres Region HFE 2011/12 AR HFE HCM report MOH SBA Amhara 446 991 85,793 Oromia 139 290,300 SNNPR 173 346 89,044 Tigray 448 864 48,679 Harari 371 4,734 Total 1,206 2,532 513,816 Sources: HFE data and FMOH HMIS (EFY 2004) Figure 5 below shows the number of deliveries in all HFE supported health centres during the calendar year of 2012. There is a significant variation between regions.
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