Elkhoudri Noureddine, Baali Abdellatif, Amor Hakima
Laboratory of Science and Health Technologies, Higher Institute of Health Sciences University Hassan First Settat, Marrakech, Morocco.
Dept. of Biology, Laboratory of Human Ecology, Semlalia School of Sciences, Cadi Ayyad University, Marrakech, Morocco.
Iran J Public Health. 2017 Feb;46(2):242-248.
Despite the importance of the postnatal consultation, in Morocco, only 22% of women attended these consultations. The aim of this study was to identify associated factors with these consultations and offer suggestions to improve their use.
This study was conducted in 2014 in Marrakech. A sample of women in reproductive age (15-49 yr) giving birth during 2013 year was enrolled. They were examined in the public health centers for postnatal consultation or for the BCG. A descriptive and analytic cross-sectional survey was conducted. All participants (n=1029) provided consent before participating in the survey. A questionnaire makes it possible to collect information about socio-demographic, knowledge and perception of women regarding these consultations.
The proportion of women who attended a postnatal consultation was 30.1%. Lack of information (87%), lack of complications (68.6%); health professional poor reception (42%) and financial difficulties (3.3%) were the main reasons that hinder these consultations. In addition, women of rural origin, low education level, and low socioeconomic status are important determinants associated with non-use of postnatal consultation.
This study confirmed the low rate of these consultations. Various determinants explain this fact. The fight against illiteracy, improving household living standards, sensitization of women on the importance of postpartum care, awareness and capacity building of health professionals in the postnatal consultation and communication, and the development of a system of home visits for non-users of postnatal care allow improving the postnatal consultation rate.
尽管产后咨询很重要，但在摩洛哥，只有22%的女性参加了这些咨询。本研究的目的是确定与这些咨询相关的因素，并提出改进其利用率的建议。
本研究于2014年在马拉喀什进行。纳入了2013年生育的育龄妇女（15 - 49岁）样本。她们在公共卫生中心接受产后咨询或卡介苗检查。进行了描述性和分析性横断面调查。所有参与者（n = 1029）在参与调查前均提供了同意书。通过问卷收集有关社会人口统计学、女性对这些咨询的知识和认知的信息。
参加产后咨询的女性比例为30.1%。信息缺乏（87%）、无并发症（68.6%）、医护人员接待态度差（42%）和经济困难（3.3%）是阻碍这些咨询的主要原因。此外，农村出身、低教育水平和低社会经济地位的女性是与未进行产后咨询相关的重要决定因素。
本研究证实了这些咨询的低利用率。多种决定因素解释了这一事实。扫盲、提高家庭生活水平、提高女性对产后护理重要性的认识、对医护人员进行产后咨询和沟通方面的意识和能力建设，以及为未进行产后护理的人群建立家访制度，有助于提高产后咨询率。
