Document Detail


Quality cesarean delivery in Ouagadougou, Burkina Faso: a comprehensive approach.
MedLine Citation:
PMID:  18992882     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the effects of a comprehensive intervention (staff training, equipment, internal clinical audits, cost sharing system, patients-providers meetings) in improving cesarean delivery access and quality in an urban district of Burkina Faso. METHODS: We conducted a before-after study in the health district sector 30 in Ouagadougou between 2003 and 2006. We measured cesarean delivery quality (accessibility, diagnosis, procedure, postoperative follow-up) and maternal and neonatal health in 1371 sections. RESULTS: The number of cesarean deliveries performed increased each year, from 42 in 2003 to 630 in 2006. This increase happened without increase in maternal and perinatal post-cesarean mortality (respectively 1.1% and 3.6% in 2006). The cesarean delivery rate for women of the district increased from 1.9% to 3.3% of expected births between 2003 and 2005. CONCLUSION: To improve access to quality cesarean delivery, we have shown that it was necessary to have a systemic approach combining technical, operational, sociocultural, and political factors.
Authors:
F Richard; C Ouédraogo; V De Brouwere
Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-11-06
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  103     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-21     Completed Date:  2009-02-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  283-90     Citation Subset:  IM    
Affiliation:
Quality and Human Resources Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium. frichard@itg.be
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MeSH Terms
Descriptor/Qualifier:
Burkina Faso
Cesarean Section / adverse effects,  standards*,  statistics & numerical data
Cost Sharing
Female
Health Services Accessibility / organization & administration*
Health Services Needs and Demand / statistics & numerical data
Humans
Intervention Studies
Maternal Health Services / standards*,  utilization
Medical Audit
Patient Education as Topic
Perinatal Mortality
Pregnancy
Quality of Health Care / standards
Risk Factors
Socioeconomic Factors
Staff Development
Comments/Corrections
Comment In:
Int J Gynaecol Obstet. 2008 Dec;103(3):275   [PMID:  18922526 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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