| Quality cesarean delivery in Ouagadougou, Burkina Faso: a comprehensive approach. | |
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MedLine Citation:
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PMID: 18992882 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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F Richard; C Ouédraogo; V De Brouwere |
Publication Detail:
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Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't Date: 2008-11-06 |
Journal Detail:
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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:
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Created Date: 2008-11-21 Completed Date: 2009-02-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0210174 Medline TA: Int J Gynaecol Obstet Country: Ireland |
Other Details:
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Languages: eng Pagination: 283-90 Citation Subset: IM |
Affiliation:
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Quality and Human Resources Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium. frichard@itg.be |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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Int J Gynaecol Obstet. 2008 Dec;103(3):275
[PMID:
18922526
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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