Abstract
Objective: To evaluate the availability of emergency obstetric care (EmOC) in maternity hospitals in Parakou as well as the knowledge, attitudes and practices of EmOC providers in 2017. Material and method: This was a descriptive, cross-sectional analytical study conducted in the maternity wards of public and private health facilities in Parakou and the health care providers of the maternity wards. Epi Data software version 3.1, Epi Info version 7.2 and EXCEL 2007 were used for data processing. Results: A total of 17 maternity homes and 91 providers participated in the study. All 7 basic functions (BEmOC) were available in 23.53% of these maternities. Providers’ knowledge of EmOC was good at 6.59%, average at 15.38%, insufficient at 24.18% and bad at 53.85%. As for the attitudes, they were just in 3.30%, approximate in 36.26%, wrong in 26.37% and harmful in 34.07%. Regarding the practices of these providers, they were adequate in 6.59%, inadequate in 38.46% and harmful in 54.95%. The global knowledge, attitudes and practices (CAP) score is acceptable in the majority of providers (57.14%). It is poor in 38.46% and good in 4.40%. Conclusion: In Parakou, the availability of emergency obstetric care (EmOC) contrasts with the level of knowledge, attitudes and practices of providers who require training in EmOC.
Highlights
To accelerate the reduction of maternal mortality (RMM), the actions to be carried out have been oriented towards three axes namely: family planning, assisted delivery assisted by qualified personnel and Emergency Obstetric Care (EmOC) [2] [3]
There is evidence that the analysis of data on the knowledge, attitudes and practices (CAP) of health care providers in maternity hospitals provides strategic health actors with crucial information for better development of health programs that benefit people [8]; in this study, our objective is to assess the availability of emergency obstetric care (EmOC), as well as the knowledge, attitudes and practices of EmOC providers in Parakou
Our results confirm the national study of Hounkpatin and al. who found in 2013 that BEmOC were
Summary
To accelerate the reduction of maternal mortality (RMM), the actions to be carried out have been oriented towards three axes namely: family planning, assisted delivery assisted by qualified personnel and Emergency Obstetric Care (EmOC) [2] [3]. These EmOCs are interventions immediately available 24 hours a day for all pregnant, parturient or childbirth and without them, they will be exposed to major complications that may lead to their death sooner or later. There is evidence that the analysis of data on the knowledge, attitudes and practices (CAP) of health care providers in maternity hospitals provides strategic health actors with crucial information for better development of health programs that benefit people [8]; in this study, our objective is to assess the availability of emergency obstetric care (EmOC), as well as the knowledge, attitudes and practices of EmOC providers in Parakou
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