Measuring effective coverage of curative child health services in rural Burkina Faso: a cross-sectional study

Koulidiati, Jean-Louis; Nesbitt, Robin; Ouédraogo, Nobila; Hien, Hervé; Robyn, Paul Jacob; Compaore, Philippe; Souares, Aurélia; Brenner, Stephan

doi:10.1136/bmjopen-2017-020423

Cited by 19 publications

(35 citation statements)

References 36 publications

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“…Our results indicate that women who delivered in a health facility did not necessarily receive the quality of care needed to avoid preventable maternal and newborn mortality. [27] Taken along with findings from studies in other health areas and settings, [8, 28, 29] these highlight the need for improving quality of care to achieve the health-related Sustainable Development Goals.…”

Section: Discussionmentioning

confidence: 98%

Effective coverage of facility delivery in Bangladesh, Haiti, Malawi, Nepal, Senegal, and Tanzania

et al. 2019

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Background The persistence of preventable maternal and newborn deaths highlights the importance of quality of care as an essential element in coverage interventions. Moving beyond the conventional measurement of crude coverage, we estimated effective coverage of facility delivery by adjusting for facility preparedness to provide delivery services in Bangladesh, Haiti, Malawi, Nepal, Senegal, and Tanzania. Methods The study uses data from Demographic and Health Surveys (DHS) and Service Provision Assessments (SPA) in Bangladesh (2014 DHS and 2014 SPA), Haiti (2012 DHS and 2013 SPA), Malawi (2015–16 DHS and 2013–14 SPA), Nepal (2016 DHS and 2015 SPA), Senegal (2016 DHS and 2015 SPA), and Tanzania (2015–16 DHS and 2014–15 SPA). We defined effective coverage as the mathematical product of crude coverage and quality of care. The coverage of facility delivery was measured with DHS data and quality of care was measured with facility data from SPA. We estimated effective coverage at both the regional and the national level and accounted for type of facility where delivery care was sought. Findings The findings from the six countries indicate the effective coverage ranges from 24% in Haiti to 66% in Malawi, representing substantial reductions (20% to 39%) from crude coverage rates. Although Malawi has achieved almost universal coverage of facility delivery (93%), effective coverage was only 66%.vSuch gaps between the crude coverage and the effective coverage suggest that women delivered in health facility but did not necessarily receive an adequate quality of care. In all countries except Malawi, effective coverage differed substantially among the country’s regions of the country, primarily due to regional variability in coverage. Interpretation Our findings reinforce the importance of quality of obstetric and newborn care to achieve further reduction of maternal and newborn mortality. Continued efforts are needed to increase the use of facility delivery service in countries or regions where coverage remains low.

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Section: Discussionmentioning

confidence: 98%

Effective coverage of facility delivery in Bangladesh, Haiti, Malawi, Nepal, Senegal, and Tanzania

et al. 2019

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“…Pregnancies, births and newborns are identified and enrolled at a Centre de Santé et de Promotion Sociale (CSPS) in the study area. CSPSs are government nurse-led primary care facilities that offer preventive and curative care to catchment areas covering several rural villages 11. Study headquarters are at the Centre de Recherche en Santé de Nouna in Nouna, northwestern Burkina Faso.…”

Section: Methodsmentioning

confidence: 99%

Neonatal azithromycin administration to prevent infant mortality: study protocol for a randomised controlled trial

et al. 2019

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IntroductionBiannual mass azithromycin distribution to children aged 1–59 months has been shown to reduce all-cause mortality. Children under 28 days of age were not treated in studies evaluating mass azithromycin distribution for child mortality due to concerns related to infantile hypertrophic pyloric stenosis (IHPS). Here, we report the design of a randomised controlled trial to evaluate the efficacy and safety of administration of a single dose of oral azithromycin during the neonatal period.Methods and analysisTheNouveaux-nés et Azithromycine: une Innovation dans le Traitement des Enfants(NAITRE) study is a double-masked randomised placebo-controlled trial designed to evaluate the efficacy of a single dose of azithromycin (20 mg/kg) for the prevention of child mortality. Newborns (n=21 712) aged 8–27 days weighing at least 2500 g are 1:1 randomised to a single, directly observed, oral dose of azithromycin or matching placebo. Participants are followed weekly for 3 weeks after treatment to screen for adverse events, including IHPS. The primary outcome is all-cause mortality at the 6-month study visit.Ethics and disseminationThis study was approved by the Institutional Review Boards at the University of California, San Francisco in San Francisco, USA (Protocol #18-25027) and the Comité National d’Ethique pour la Recherche in Ouagadougou, Burkina Faso (Protocol #2018-10-123). The findings of this trial will be presented at local, regional and international meetings and published in open access peer-reviewed journals.Trial registration numberNCT03682653; Pre-results.

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“…Health care for children younger than 5 years has been provided free of charge since 2016, and the median distance from communities to the CSPS is 8 km. 8,9 Childhood vaccination coverage in the Nouna HDSS has increased over time, from 72% in 2012 to 81% in 2014. 10 The HDSS conducts a triannual census, in which all members of all HDSS communities are enumerated.…”

Section: Study Settingmentioning

confidence: 99%

Antibiotic Prescription Patterns among Children Younger than 5 Years in Nouna District, Burkina Faso

Sié

Coulibaly

Adama

et al. 2019

The American Journal of Tropical Medicine and Hygiene

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Understanding antibiotic use may help predict emergence of antimicrobial resistance. We evaluated antibiotic prescription trends in rural Burkina Faso, where little is known about antibiotic consumption. Antibiotic prescription data for 20 communities were extracted through record review in six primary health-care facilities serving the communities. The number of antibiotic prescriptions per child-year was calculated using population-based census data from the communities. A total of 1,444 antibiotic prescriptions were made from March to June 2017 among 3,401 children in the communities. The frequency of antibiotic prescription was 1.70 prescriptions per child-year (95% CI: 1.61-1.79). Penicillins were the most common (1.04 prescriptions per child-year, 95% CI: 1.01-1.06), followed by sulfonamides (0.69 prescriptions per child-year, 95% CI: 0.67-0.71) and macrolides (0.38 prescriptions per child-year, 95% CI: 0.37-0.40). Continued monitoring of antibiotic consumption in diverse settings will be important to understand the potential for emergence of antibiotic resistance.

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Measuring effective coverage of curative child health services in rural Burkina Faso: a cross-sectional study

Cited by 19 publications

References 36 publications

Effective coverage of facility delivery in Bangladesh, Haiti, Malawi, Nepal, Senegal, and Tanzania

Effective coverage of facility delivery in Bangladesh, Haiti, Malawi, Nepal, Senegal, and Tanzania

Neonatal azithromycin administration to prevent infant mortality: study protocol for a randomised controlled trial

Antibiotic Prescription Patterns among Children Younger than 5 Years in Nouna District, Burkina Faso

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