Legrand Fosso Albert, Moluh Seidou, Ngum Belyse, Vougmo Clémence, Amani Adidja, Kananda Grégoire, Baye Martina, Essomba Ernest, Banze Wa Nsensele Lucien, Mbu Robinson
Sante Publique. 2020;HS1(S1):45-52. doi: 10.3917/spub.200.0045.
Policy directions in the health sector are based on research which provides insight into implemented actions and helps to formulate improvement recommendations for health. In Cameroon, an innovative experience of anthropological research on newborn health was followed by a process of appropriating findings by the Ministry of Public Health aiming at improving the quality of care. We suggest reporting this Cameroonian experience of interdisciplinary collaboration and involved research.
Coinciding with the anthropological study on newborn care in hospital maternities and at home conducted by researchers in the field of anthropology from December 2016 to June 2017, a process of appropriating findings was carried out. This article accurately describes this process both at the peripheral level, during "reflexive returns" in investigated maternity hospitals, and at the central level within the framework of work conducted by the study's steering committee. It reports on the changes that have taken place as a result of the study both at the level of health structures and at the level of national policies and strategies with a view to improving the quality of newborns care.
The output of this process is twofold. At the peripheral level, activities of "reflexive returns" led to in situ changes of some harmful practices detrimental to the survival of the newborn, such as inappropriate use of the cradle in the birth room and lack of knowledge relative to the fight against hypothermia through the practice of skin-to-skin contact. At central level, changes concerned communication and strengthening policies and strategies of newborn care.
The contribution of anthropology in the production evidence-based data is of paramount importance for the implementation of strategies to improve the quality of neonatal care. It opens up new perspectives for the sustainable improvement of the quality of care for newborns.
卫生部门的政策方向基于研究，这些研究能深入了解已实施的行动，并有助于制定改善健康的建议。在喀麦隆，一项关于新生儿健康的人类学研究的创新经验之后，公共卫生部开展了一个采纳研究结果的过程，旨在提高护理质量。我们建议报告喀麦隆的这种跨学科合作及相关研究的经验。
2016年12月至2017年6月，人类学领域的研究人员对医院产科病房和家中的新生儿护理进行了人类学研究，与此同时开展了一个采纳研究结果的过程。本文准确描述了这一过程，既包括在被调查产科医院进行“反思性反馈”时的外围层面，也包括在研究指导委员会开展工作框架内的中心层面。它报告了该研究在卫生机构层面以及国家政策和战略层面所带来的变化，以期提高新生儿护理质量。
这一过程的成果是双重的。在外围层面，“反思性反馈”活动导致了一些不利于新生儿生存的有害做法的现场改变，例如产房内摇篮的不当使用以及缺乏通过皮肤接触预防低体温的知识。在中心层面，变化涉及新生儿护理的沟通及政策和战略的强化。
人类学在产生循证数据方面的贡献对于实施提高新生儿护理质量的战略至关重要。它为可持续改善新生儿护理质量开辟了新的视角。
