Kiemtoré Sibraogo, Zamané Hyacinthe, Kaïn Danlotoma P, Sawadogo Yobi A, Ouédraogo Issa, Ouédraogo Ali, Lankoandé Jean
Unit of Training and Research in Health Sciences, University of Ouagadougou, Ouagadougou, Burkina Faso.
Department of Obstetrics and Gynecology, Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Ouagadougou, Burkina Faso.
Int J Gynaecol Obstet. 2017 Feb;136(2):215-219. doi: 10.1002/ijgo.12031. Epub 2016 Nov 24.
To evaluate the results of an intervention by the Societé de Gynécologues et Obstétriciens du Burkina (SOGOB) to improve postabortion care (PAC) in rural areas of Burkina Faso.
From June 1, 2012, to May 31, 2013, SOGOB increased capacity for PAC by providing training in health care and equipment to 45 rural health facilities. Performance in PAC in the year before intervention (June 1, 2011, to May 31, 2012) was compared with that in the year following intervention (June 1, 2013, to May 31, 2014).
The number of cases of incomplete abortion managed within a year increased from 1812 before the intervention to 2738 afterwards. Before capacity building, none of the health facilities was using misoprostol for management of incomplete abortion. After capacity building, misoprostol was used in 805 (29.4%) cases. The use of inappropriate methods to empty the uterus decreased (27.5% [498/1812] vs 1.4% [38/2738]; P<0.001). The frequencies of uterine perforation and pelvic infection also decreased (P≤0.01 for both). In the year after implementation, 2035 (78.3%) of 2600 women had taken up a family planning method before leaving the facility.
SOGOB's intervention has improved the quality of PAC in rural health facilities in Burkina Faso.
评估布基纳法索妇产科医师协会（SOGOB）为改善布基纳法索农村地区流产后护理（PAC）所采取干预措施的效果。
2012年6月1日至2013年5月31日，SOGOB通过为45个农村卫生设施提供医疗保健培训和设备，提高了PAC服务能力。将干预前一年（2011年6月1日至2012年5月31日）的PAC服务表现与干预后一年（2013年6月1日至2014年5月31日）的表现进行比较。
一年内处理的不全流产病例数从干预前的1812例增加到干预后的2738例。在能力建设之前，没有一个卫生设施使用米索前列醇来处理不全流产。能力建设后，805例（29.4%）使用了米索前列醇。子宫排空不当方法的使用减少（27.5%[498/1812]对1.4%[38/2738]；P<;0.001）。子宫穿孔和盆腔感染的发生率也有所下降（两者P≤;0.01）。在实施后的一年里，2600名妇女中有2035名（78.3%）在离开医疗机构前采取了计划生育措施。
SOGOB的干预提高了布基纳法索农村卫生设施的PAC质量。
