par Wollast, Elise 
;Renard, Françoise ;Vandenbussche, Paul ;Buekens, Pierre
Référence Health policy and planning, 8, 2, page (161-168)
Publication Publié, 1993-06
;Renard, Françoise ;Vandenbussche, Paul ;Buekens, Pierre Référence Health policy and planning, 8, 2, page (161-168)
Publication Publié, 1993-06
Article révisé par les pairs
| Résumé : | In Burkina Faso, an initial experiment in training 280 traditional birth attendants (TBAs) was monitored and assessed before extending this training to the whole country. The activities of trained TBAs in 142 villages were continuously recorded. File cards were filled out for 6129 women registered by the TBAs in the course of the prepartum, delivery and postpartum. The risk factors and the decisions associated with these procedures were standardized for all the villages involved in the study. In addition to the evaluation of the work of the TBAs, registering the women enabled us to assess the obstetrical pathology found, and to estimate, in a rural environment, the maternal mortality ratio, which amounts to 452 for 100 000 deliveries (27 deaths). Obstructed labour is the main factor leading to complications and maternal death. However, the majority of the deaths occur during postpartum, and the causes for these are not well defined by the TBAs. © 1993 Oxford University Press. |
