Beyond proximity: an observational study of stillbirth rates and emergency obstetric and newborn care accessibility in The Gambia
In The Gambia, intrapartum stillbirth rates remain alarmingly high, even in geographically accessible CEmONC facilities. Inadequate documentation of fetal heart rate on admission hampers accurate classification, complicating targeted interventions. Ensuring that EmONC-designated facilities-particularly those providing BEmONC services-are fully functional with essential equipment, trained staff and robust referral systems, while enhancing the timeliness and quality of obstetric care, is crucial to reducing stillbirth rates.
Authors
- Sainey Sanneh
- Uduak A. Okomo (ORCID: https://orcid.org/0000-0002-9923-1196)
- Schadrac C. Agbla (ORCID: https://orcid.org/0000-0002-0648-3336)
- Winfred Dotse‐Gborgbortsi (ORCID: https://orcid.org/0000-0001-7627-1809)
- Momodou T Nyassi (ORCID: https://orcid.org/0009-0000-8916-3604)
- Oghenebrume Wariri (ORCID: https://orcid.org/0000-0002-7432-8995)
- Musa Marena
- Joy Elizabeth Lawn (ORCID: https://orcid.org/0000-0002-4573-1443)
- Aduragbemi Oluwabusayo Banke-Thomas (ORCID: https://orcid.org/0000-0002-4449-0131)
- Beate Kampmann (ORCID: https://orcid.org/0000-0002-6546-4709)
- Hawanatu Jah (ORCID: https://orcid.org/0000-0002-4347-5247)
- Mustapha Bittaye (ORCID: https://orcid.org/0000-0003-4537-5060)
- Mamady Cham
- Ba Foday Jawara
- Mariama Janneh
Institutions
- University of Liverpool (GB)
- University of the Gambia (GM)
- Edward Francis Small Teaching Hospital (GM)
- London School of Hygiene & Tropical Medicine (GB)
- MRC Unit the Gambia (GM)
- Ministry of Health and Social Welfare (GM)
- University of Southampton (GB)
- Charité - Universitätsmedizin Berlin (DE)
Publication Details
- Journal
- BMJ Global Health
- Published
- 2025-04-01
- DOI
- https://doi.org/10.1136/bmjgh-2024-016579
- Primary Topic
- Global Maternal and Child Health
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- UNICEF
- Wellcome Trust
- International Seafood Sustainability Foundation
- Department for International Development
- Medical Research Council
- European and Developing Countries Clinical Trials Partnership