Évaluation de la qualité des services de consultation prénatale recentrée à l'hôpital de district de Suru-Léré au Bénin

Saizonou, Jacques; Agueh, Damienne Victoire; Aguemon, Badirou; Adé, Virginie Mongbo; Assavedo, S; Makoutodé, Michel

doi:10.3917/spub.138.0249

Cited by 9 publications

(10 citation statements)

References 14 publications

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“…In our study, almost all pregnant women (87%) benefited from it. Elsewhere in other Beninese studies, the situation is different [10,14].…”

Section: Discussionmentioning

confidence: 96%

Assessment of the Quality of Prenatal Consultations in the Regions of Kandi-Gogounou-Segbana in the Northern Benin

Mshs¹

2018

Clinics Mother Child Health

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Introduction: Care during pregnancy is important for the health of the mother and the development of the unborn baby. Objective: To evaluate the quality of Refocused Prenatal Consultations (RPNC) in one health zone of the Northern Benin. Patients and methods: This is a prospective and evaluative study carried out from March 20 th to May 25 th , 2017 in twelve health centers at the Kandi-Gogounou-Segbana health zone (KGS) in northern Benin. Sampling is systematic with extensive recruitment. The study included all midwives practicing in the study area and all pregnant women received by these midwives at one of the twelve public health centers of the KGS health zone during the study period. Each midwife and each pregnant woman are included after oral consent. Results: The quality of the Prenatal Consultation (PNC) at the KGS health zone in the Northern Benin is unsatisfactory (76.9%). Several steps of RPNC (Reception of pregnant, physical examination, tasks after examination, counseling/advices) were insufficiently executed. The best executed steps are Prevention care (92.8%), prenatal checkup (92.0%) and Interview/interrogation (91.3%). The quality of the RPNC is compromised by the lack of control and monitoring of norms and standards in force in Benin.

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“…In our study, almost all pregnant women (87%) benefited from it. Elsewhere in other Beninese studies, the situation is different [10,14].…”

Section: Discussionmentioning

confidence: 96%

Assessment of the Quality of Prenatal Consultations in the Regions of Kandi-Gogounou-Segbana in the Northern Benin

Mshs¹

2018

Clinics Mother Child Health

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“…Women utilized better quality ANC services if health facilities and better structural quality (inputs) in Nepal [31]. Characteristics of better facility readiness include the availability of ANC guidelines and procedures, supply of central electricity, information, organization of services, community health planning, and patient reception and interpersonal communication [32][33][34].…”

Section: Organizational Factors Of Quality Ancmentioning

confidence: 99%

Input, process, and output factors contributing to quality of antenatal care services: a scoping review of evidence

Khatri

Mengistu

Assefa

2022

BMC Pregnancy Childbirth

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Background High-quality antenatal care (ANC) provides a lifesaving opportunity for women and their newborns through providing health promotion, disease prevention, and early diagnosis and treatment of pregnancy-related health issues. However, systematically synthesised evidence on factors influencing the quality of ANC services is lacking. This scoping review aims to systematically synthesize the factors influencing in provision and utilisation of quality ANC services. Methods We conducted a scoping review of published evidence on the quality of ANC services. We searched records on four databases (PubMed, Scopus, Embase, and Google scholar) and grey literature from 1 to 2011 to 30 August 2021. We analysed data using Braun and Clarke’s thematic analysis approach. We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guideline for the review. We explained themes using the Donabedian healthcare quality assessment model (input-process-output). Results Several inputs- and process-related factors contributed to suboptimal quality of ANC in many low and lower- or middle-income countries. Input factors included facility readiness (e.g., lack of infrastructure, provision of commodities and supplies, health workforce, structural and intermediary characteristics of pregnant women, and service delivery approaches). Processes-related factors included technical quality of care (e.g., lack of skilled adequate and timely care, and poor adherence to the guidelines) and social quality (lack of effective communication and poor client satisfaction). These input and process factors have also contributed to equity gaps in utilisation of quality ANC services. Conclusion Several input and process factors influenced the provision and utilization of optimum quality ANC services. Better health system inputs (e.g., availability of trained workforces, commodities, guidelines, context-specific programs) are essential to creating enabling facility environment for quality ANC services. Care processes can be improved by ensuring capacity-building activities for workforces (training, technical support visits), and mentoring staff working at peripheral facilities. Identifying coverage of quality ANC services among disadvantaged groups could be the initial step in designing and implementing targeted program approaches.

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“…• la qualité des procédures de la CPNR a été analysée à travers les paramètres suivants : l'accueil, l'interrogatoire, l'examen physique [10,11] ; • la perception du personnel sur la réorganisation a été appréciée à partir des conditions de travail, des soins dispensés, de la communication entre le service et la population et sur les améliorations apportées par la réorganisation dans la qualité des soins ; • la satisfaction des gestantes : elle a été appréciée à travers l'accueil, la qualité des soins offerts, le temps d'attente, la communication interpersonnelle et l'accessibilité financière [11,12].…”

Section: Variables De L'étudeunclassified

“…Pourtant, étant donné la prévalence élevée des infections sexuellement transmissibles chez les femmes enceintes en Côte d'Ivoire (plus de 10 %) et de l'importance de leur dépistage lors de la première CPNR, cet examen devrait être systématique [16]. Les antécédents médicaux non plus n'ont pas été recherchés systématiquement comme dans l'étude de Saizonou au Bénin [11]. En ce qui concerne la prévention du paludisme, le taux de TPI a pratiquement doublé après la réorganisation pour atteindre 63 %, ce qui est proche du taux trouvé au Mali (62 %) [17].…”

Section: Procédures De La Cpnrunclassified

“…Dans cette étude, presque toutes les femmes enceintes ont trouvé la qualité de l'accueil des prestataires satisfaisante à l'inverse de l'étude de Saizonou [11] où l'accueil, la communication entre les prestataires et usagers ainsi que l'accessibilité financière avaient été des éléments d'insatisfaction. Il en est de même dans l'étude de Bénié à la maternité de Yopougon où le mauvais accueil était évoqué par les parturientes comme déterminant des accouchements à domicile [20].…”

Section: Opinions Des Clientes Sur L'offre De Soins En Cpnrunclassified

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Effet de la réorganisation des services sur les consultations prénatales à l’Hôpital Général de Marcory, Côte d’Ivoire

Bi¹,

Tiembré²,

Ahoussou³

et al. 2015

Santé Publique

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réservés pour tous pays.La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.

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Évaluation de la qualité des services de consultation prénatale recentrée à l'hôpital de district de Suru-Léré au Bénin

Abstract: Improvement will have to be carried out based on shortcomings identified, by the planners, organizers and staff in order to reinforce the hospital's performance on antenatal services.

Cited by 9 publications

References 14 publications

Assessment of the Quality of Prenatal Consultations in the Regions of Kandi-Gogounou-Segbana in the Northern Benin

Assessment of the Quality of Prenatal Consultations in the Regions of Kandi-Gogounou-Segbana in the Northern Benin

Input, process, and output factors contributing to quality of antenatal care services: a scoping review of evidence

Effet de la réorganisation des services sur les consultations prénatales à l’Hôpital Général de Marcory, Côte d’Ivoire

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