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Quality cesarean delivery in Ouagadougou, Burkina Faso: a comprehensive approach

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Show simple item record Richard, F. Ouédraogo, C. De Brouwere, V. 2009-01-08T14:28:41Z 2009-01-08T14:28:41Z 2008
dc.identifier.issn 0020-7292
dc.identifier.other ITG-H1A
dc.identifier.other ITG-HLA
dc.identifier.other HEALTH
dc.identifier.other U-PUBLIC
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other UPD8
dc.identifier.other ABSTRACT
dc.description.abstract 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. en
dc.language English en
dc.subject Maternal mortality en
dc.subject Prevention programs en
dc.subject Health interventions en
dc.subject Comprehensive en
dc.subject Health personnel en
dc.subject Training en
dc.subject Equipment supply en
dc.subject Cost sharing en
dc.subject Obstetric services en
dc.subject Emergency obstetric care en
dc.subject Cesarean sections en
dc.subject Quality of care en
dc.subject Accessibility en
dc.subject Standards en
dc.subject Burkina Faso en
dc.subject Africa, West en
dc.title Quality cesarean delivery in Ouagadougou, Burkina Faso: a comprehensive approach en
dc.type Article en
dc.citation.issue 3 en
dc.citation.jtitle International Journal of Gynecology & Obstetrics en
dc.citation.volume 103 en
dc.citation.pages 283-290 en
dc.citation.jabbreviation Int J Gynecol Obstet en

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