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  1. Involving the private sector in improving obstetric care, Anambra State, Nigeria.

    Article - En anglais

    Preliminary studies : Of 11 facilities providing obstetric services in the Njikoka Local Govemment Area, four were private, for-profit institutions.

    Focus group discussions in seven communities revealed a preference for private facilities due to flexible payment schedules, proximity, reliable availability of a medical doctor and poor quality government services.

    Each of the private facilities had one doctor and one midwife and the bulk of patient care was performed by health aides with no formal midwifery training.

    Interventions 

    In 1992,15 aides from the private facilities were trained in the recognition and management of obstetric complications.

    The training consisted of one week of classroom instruction and two weeks of practical training in local missionary hospitals.

    Results 

    Improvements were assessed by a written test.

    The percent of trainees obtaining a passing test mark increased from 33% (pre-training) to 61% (post-classroom) to 77% (post-practicum).

    Costs : The cost of this intervention was approximately US $18000.

    Conclusions 

    Auxiliaries'skills can be improved with classroom and practical training.

    The involvement of private sector institutions is important where they provide a substantial proportion of emergency obstetric services.

    However, maintaining improvements requires sustained efforts.

    Mots-clés Pascal : Prévention, Mortalité, Mère, Obstétrique, Gestation pathologie, Accouchement pathologie, Amélioration, Enseignement, Sage femme, Secteur privé, Hôpital, Homme, Femelle, Nigéria, Afrique

    Mots-clés Pascal anglais : Prevention, Mortality, Mother, Obstetrics, Pregnancy disorders, Delivery disorders, Improvement, Teaching, Midwife, Private sector, Hospital, Human, Female, Nigeria, Africa

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0033483

    Code Inist : 002B30A03B. Création : 17/04/1998.