A cross-sectional mixed study of the opportunity to improve maternal postpartum care in reproductive, maternal, newborn, and child health services in the Kaya health district of Burkina Faso

Danielle Yugbaré Belemsaga; Aristide Bado; Anne Goujon; Els Duysburgh; Olivier Degomme; Seni Kouanda; Marleen Temmerman

doi:10.1016/j.ijgo.2016.08.005

A cross-sectional mixed study of the opportunity to improve maternal postpartum care in reproductive, maternal, newborn, and child health services in the Kaya health district of Burkina Faso

Int J Gynaecol Obstet. 2016 Nov:135 Suppl 1:S20-S26. doi: 10.1016/j.ijgo.2016.08.005.

Authors

Danielle Yugbaré Belemsaga¹, Aristide Bado², Anne Goujon³, Els Duysburgh⁴, Olivier Degomme⁴, Seni Kouanda⁵, Marleen Temmerman⁶

Affiliations

¹ Biomedical and Public Health Department, Research Institute of Health Sciences, Ouagadougou, Burkina Faso; Wittgenstein Centre for Demography and Global Human Capital (IIASA, VID/ÖAW, WU), Vienna, Austria. Electronic address: belemsagadanielle@yahoo.fr.
² Biomedical and Public Health Department, Research Institute of Health Sciences, Ouagadougou, Burkina Faso.
³ Wittgenstein Centre for Demography and Global Human Capital (IIASA, VID/ÖAW, WU), Vienna, Austria.
⁴ International Centre for Reproductive Health, Faculty of Medicine and Health Sciences Department of Uro-Gynaecology, Ghent University, Ghent, Belgium.
⁵ Biomedical and Public Health Department, Research Institute of Health Sciences, Ouagadougou, Burkina Faso; African Institute of Public Health, Ouagadougou, Burkina Faso.
⁶ International Centre for Reproductive Health, Faculty of Medicine and Health Sciences Department of Uro-Gynaecology, Ghent University, Ghent, Belgium; Centre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya.

PMID: 27836080
DOI: 10.1016/j.ijgo.2016.08.005

Abstract

Objective: To propose a rationale to improve maternal postpartum care in reproductive, maternal, newborn, and child health (RMNCH) services.

Methods: We conducted a cross-sectional mixed study in the Kaya health district in Burkina Faso based on two data collection exercises conducted between December 2012 and May 2013. A household survey of 757 mothers in their first year after delivery was processed. It was complemented with a qualitative analysis using in-depth interviews with key informants, focus group discussions with mothers, and participant observation.

Results: Postpartum services showed serious weaknesses. Overall, 52% (n=384) of mothers did not receive any maternal postpartum care; however among them, 47% (n= 349) received infant postpartum care.

Conclusion: We suggest the integration of maternal postpartum care in RMNCH services as a key step to improving postpartum care. The intervention would require the overcoming of challenges related to the quality and cost of services, and to reaching the poor populations with low education and a high parity.

Keywords: Burkina Faso; Infant health; Integration of services; Maternal health; Postpartum care; Reproductive health.

MeSH terms

Adult
Burkina Faso
Community Health Services / methods*
Cross-Sectional Studies
Female
Health Education / methods*
Health Planning / methods*
Health Services Accessibility / statistics & numerical data*
Humans
Infant
Infant, Newborn
Maternal-Child Health Services / organization & administration*
Postnatal Care / methods*
Young Adult