Yugbaré Belemsaga Danielle, Bado Aristide, Goujon Anne, Duysburgh Els, Degomme Olivier, Kouanda Seni, Temmerman Marleen
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.
Biomedical and Public Health Department, Research Institute of Health Sciences, Ouagadougou, Burkina Faso.
Int J Gynaecol Obstet. 2016 Nov;135 Suppl 1:S20-S26. doi: 10.1016/j.ijgo.2016.08.005.
To propose a rationale to improve maternal postpartum care in reproductive, maternal, newborn, and child health (RMNCH) services.
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.
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.
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.
提出改进生殖、孕产妇、新生儿和儿童健康（RMNCH）服务中孕产妇产后护理的基本原理。
我们基于2012年12月至2013年5月期间进行的两次数据收集活动，在布基纳法索的卡亚健康区开展了一项横断面混合研究。对757名产后第一年的母亲进行了家庭调查。通过对关键信息提供者进行深入访谈、与母亲进行焦点小组讨论以及参与观察进行定性分析作为补充。
产后服务存在严重缺陷。总体而言，52%（n = 384）的母亲未接受任何孕产妇产后护理；然而在她们之中，47%（n = 349）接受了婴儿产后护理。
我们建议将孕产妇产后护理纳入RMNCH服务，作为改善产后护理的关键一步。该干预措施需要克服与服务质量和成本相关的挑战，以及覆盖低教育水平和高生育次数的贫困人口。
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