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The Journal of Health, Population and Nutrition
icddr,b
ISSN: 1606-0997 EISSN: 1606-0997
Vol. 28, No. 1, 2010, pp. 67-75
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Bioline Code: hn10009
Full paper language: English
Document type: Research Article
Document available free of charge
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The Journal of Health, Population and Nutrition, Vol. 28, No. 1, 2010, pp. 67-75
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Quality of Antenatal Care and Obstetrical Coverage in Rural Burkina Faso
Nikiema, L.; Kameli, Y.; Capon, G.; Sondo, B. & Martin-Prével, Y.
Abstract
Improving maternal health is one of the Millennium Development Goals of the United Nations. Despite
the efforts to promote maternal and neonatal care to achieve this goal, the use of delivery care remains
below expectations in Burkina Faso. This situation raises the question of the quality of care offered in
maternity wards. The aim of this study was to identify primary healthcare facility and antenatal care characteristics
predictive of an assisted delivery in rural Burkina Faso. A cross-sectional study was carried out
in Gnagna province (North-East Burkina Faso) in November 2003. The operational capacities of health
facilities were assessed, and a non-participating
observation of the antenatal care (ANC) procedure was
undertaken to evaluate their quality. Scores were established to summarize the information gathered. The
rate of professional childbirth (obstetrical coverage) was derived from the number of childbirths registered
in the health facility compared to the size of the population. The established scores were related to the
obstetrical coverage using non-parametric
tests (Kendall). In total, 17 health facilities were visited, and 81
antenatal consultations were observed. Insufficiencies were observed at all steps of ANC (mean total score
for the quality of ANC=10.3±3.0, ranging from 6 to 16, out of a maximum of 20). Health facilities are
poorly equipped, and the availability of qualified staff remained low (mean total score for the provision of
care was 22.9±4.2, ranging from 14 to 33). However, these scores were not significantly related to the rate of
professional childbirth (tau Kendall=0.27: p=0.14 and 0.01, p=0.93 respectively). The ability of the primary
health centres to provide good antenatal care remains low in rural Burkina Faso. The key factors involved in
the limited use of professional childbirth relating to maternal health services may be the quality of ANC.
Keywords
Antenatal care; Cross-sectional studies; Deliveries; Developing countries; Maternal health services; Obstetric care; Quality of care; Burkina Faso; Africa
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