Referral and counter-referral in obstetric emergencies

By Sara Ndiaye and Mamadou Moustapha Thioub

As the crow flies, K dougou is located in the extreme south-east of Senegal, 739km from the capital Dakar. Most of its departmental roads leading to the regional capital are unpaved, with dilapidated traditional bridges. At the last census, K dougou's maternal mortality ratio was the highest in Senegal, with 921 deaths per 100,000 live births in 2013 and 340 deaths per 100,000 live births in 2023. Obstetric referral is particularly problematic in K dougou, where 67% of cases involve delivery haemorrhage, generally unaccompanied by a qualified provider, without a medical ambulance, and with undocumented procedures. This article highlights the effects of the dysfunctional referral and counter-referral system in the K dougou health district on women's vital prognosis. It is based on an emic approach, starting from health care providers whose information provides an embedded theory of the local health infrastructure.

• Format: Paperback
• Language: English
• ISBN: 6202760362
• ISBN13: 9786202760362
• Release Date: March 2025
• Publisher: Our Knowledge Publishing
• Length: 196 Pages
• Weight: 0.59 lbs.
• Dimensions: 0.5" x 6.0" x 9.0"