Dehne K L, Wacker J, Cowley J
Save the Children Fund (UK), Burkina Faso.
World Health Forum. 1995;16(4):415-9.
A small-scale training programme for birth attendants in a remote area of Burkina Faso was evaluated two years after it had been started. The evaluation methods included interviews with trained birth attendants and the analysis of health service statistics and survey data. The findings showed that the programme had been moderately successful in imparting knowledge and overcoming cultural inhibitions about assisted deliveries. However, the effectiveness of the programme was severely curtailed by structural deficits in the health system, especially lack of skilled staff, supervision and transport. In deprived areas such as the Sahel, it is probably the health centre, the hospital and the referral system that should be the first priority for improvement, rather than grass-roots practices.
在布基纳法索一个偏远地区启动的针对助产人员的小规模培训项目在启动两年后进行了评估。评估方法包括与经过培训的助产人员进行访谈，以及分析卫生服务统计数据和调查数据。结果表明，该项目在传授知识和克服对助产的文化禁忌方面取得了一定成功。然而，该项目的有效性因卫生系统的结构性缺陷而受到严重限制，特别是缺乏技术人员、监督和交通条件。在萨赫勒等贫困地区，或许应该首先优先改进的是保健中心、医院和转诊系统，而不是基层做法。
